Dental

University Health System offers two dental plan options:

Option 1 – Delta Dental DPO (Dental Provider Organization) plans allows you to see any dentist nationwide. Under the DPO plans, you and your covered family members can receive additional savings by utilizing a Delta Dental contracted dentist. To locate a contracted dentist, visit www.deltadentalins.com and select the PPO Network or call 800-521-2651.

You may choose one of the below DPO plans to enroll in:

DPO Low Plan – This plan does not cover Orthodontics or Implants.

Category	Monthly Premium
Employee	$23.34
Employee + Spouse/Domestic Partner	$46.48
Employee + Child(ren)	$56.91
Employee + Family	$75.46

DPO High Plan – This plan covers Orthodontics and Implants

Category	Monthly Premium
Employee	$25.64
Employee + Spouse/Domestic Partner	$51.22
Employee + Child(ren)	$69.71
Employee + Family	$90.60

Download Summary of Dental DPO Coverage

Option 2 –DeltaCare USA DHMO (Dental Health Maintenance Organization) Plan 13B  requires you and your covered family members to select a general dentist from their provider network. Your primary general dentist will refer you to a specialist for extended services if needed. To locate a contracted dentist, visit www.deltadentalins.com/deltacare and select the DeltaCare USA Network or call 800-422-4234. This plan does not cover Implants.

Category	Monthly Premium
Employee	$12.99
Employee + Spouse/Domestic Partner	$20.90
Employee + Child(ren)	$28.94
Employee + Family	$32.89

Download Summary of Dental HMO Coverage