Care for
Every Smile.
Our dental benefits offer comprehensive coverage to help you maintain a bright and healthy smile.
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Dental
Our dental plan offers two network options. Delta Dental PPO offers the highest savings opportunities with fewer dentist options, and Delta Dental Premier offers the largest network with moderate savings. Both options ensure guaranteed treatments, direct claim payments, and no balance billing. While out of network coverage is available, going out of network for dental services typically results in higher costs, potential balance billing, and lower coverage levels compared to in-network services.
Dental Premiums
| Dental Coverage Tier | Bi-Weekly Premium |
|---|---|
| Partner Only | $2.38 |
| Partner + Spouse | $4.82 |
| Partner + Child(ren) | $5.11 |
| Partner + Family | $9.15 |
Dental Plan Details
| Delta PPO/Premier | Out of Network | |
|---|---|---|
| Annual Deductible (Per Person/Per Family) | ($50/$150) | ($75/$225) |
| Annual Maximum | $1500 | $1500 |
| Lifetime Orthodontic Maximum | $1500 | $1500 |
| Diagnostic & Preventive Services | 100% | 100% |
Basic Restorative Procedures* | 80% | 80% |
| Major Restorative Procedures | 50% | 50% |
| Orthodontic Procedures | 100% | 100% |
| *See medical plan for impacted Wisdom teeth | ||
Additional Resources
You can reach Delta Dental of Wisconsin by emailing claims@deltadentalwi.com or calling 800-236-3712.
The information on this page applies to regular full-time and non-union regular part-time schedules. For details on benefits available to other schedule types, please visit the Flexible Schedules page.
