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