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Dental Plan Options for M&P, Faculty, Police Command Staff, and Postdoctoral Associates

You can choose to enroll in dental coverage or you can waive coverage. A $50 individual annual deductible and a $100 family annual deductible for restorative/specialty services will apply along with an individual annual maximum of $2,000. For more information see the Delta Dental Summary of Benefits for staff members. Here is a general summary of covered services under the Delta Dental Plan:

Click here for instructions on how to obtain a Delta ID card.

Service Category Covered Services Percentage Reimbursement
Preventive & Diagnostic
  • Oral exam
  • Fluoride treatment
  • Prophylaxis/Cleaning
  • Sealants
  • X-rays
  • Space maintainers
100% of reasonable and customary charges (up to the maximum allowable amount)
Basic Restorative
$50 single/$100 family deductible applies
  • Amalgam restorations
    Composite restorations
  • Oral surgery/extractions
  • Periodontal surgery
  • Endodontics (root canal therapy)
80% of reasonable and customary charges (up to the maximum allowable amount) Deductible applies
Major Restorative
$50 single/$100 family deductible applies
  • Crowns
  • Inlays, onlays
  • Fixed bridges
  • Dentures
50% of reasonable and customary charges (up to the maximum allowable amount) Deductible applies
Orthodontics
50% of reasonable and customary charges (up to a $2,000 individual lifetime maximum) Deductible applies