PowerPoint Presentation

DENTAL Delta Dental PPO PLUS PREMIER – High Option

IN NETWORK Diagnostic and Preventive

100%/100%/100% 90%/80%/80%

Basic Dental Care Major Dental Care

60%/50%/50% 50%/50%/50% $50/$50/$50

Orthodontics Deductible Annual Max

$2,500/$2500/$2500 $2,500/$2,500/$2,500

Orthodontic Lifetime Max Annual MaxOver Amount

$625

$2,500

Maxover Account Limit

EMPLOYEE MONTHLY DEDUCTIONS Employee

$8.91

Employee/Spouse Employee/Child(ren)

$19.212 $19.344 $34.754

Family