
Delta Dental PPO Basic
Deductibles per calendar year:
$50/person
$150/family
Annual maximum per calendar year:
$1,000/person
Preventive services (cleaning, x-rays):
100%
no waiting period or deductibles
Basic services: (fillings, tooth extraction)
50% waiting period (varies by state)
Major services (root canals, crowns):
not covered
Implants & dentures:
not covered
Orthodontics:
not covered
Teeth whitening:
not covered
Premium cost:
$
Delta Dental PPO Premium
Deductibles per calendar year:
$50/person
$150/family
Annual maximum per calendar year:
$2,000/person
Preventive services (cleaning, x-rays):
100%
no waiting period or deductibles
Basic services:
80% waiting period (varies by state)
Major services (root canals, crowns)
50% waiting period (varies by state)
Implants & amp;dentures:
50% waiting period (varies by state)
Orthodontics:
50% waiting period (varies by state)
Teeth whitening
80%
Premium cost:
$$
