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Dental Insurance

There are two Plan design options to choose from provided through Delta Dental plus an opt-out feature.  There are no changes to our Dental Plan for 2017.

Enhanced Dental - 2017:

Enhanced Plan pays 100% of reasonable & customary (R&C) charges for cleaning, exams & X-ray twice a year under preventive care.  Plus the Plan pays 75% of R&C charges for basic treatment such as fillings, crowns, etc. and 50% of R&C charges for major treatment such as bridges, dentures, etc.  Under this plan there is a calendar year deductible of $50/individual; $150/family and an annual maximum of $1,200/per person per year.  Includes an orthodontia benefit, the plan pays 50%, not subject to deductible; $1,500/per person lifetime maximum.

Calendar Year Deductible   

$50 Individual, $150 Family

Annual Maximum

$1,200/person

Preventative Care

Plan pays 100%, not subject to deductible, of reasonable & customary charges for cleaning, exams & x-rays, twice a year*

Basic Care

Plan pays 75% after deductible

Major Care

Plan pays 50% after deductible

Orthodontia

Plan pays 50%, not subject to deductible, $1,500 lifetime maximum

 

 

Single

$16.46/Biweekly

Two Person

$30.60/Biweekly

Family

$51.61/Biweekly

*The costs for these services do contribute toward the annual maximum of $1,200/person.

Oral surgery coverage will be provided under the Enhanced Dental option.  The Plan will provide 75% coverage for these services with the participant paying 25% after meeting the deductible. Enhanced Dental Plan Summary.

Core Dental - 2017:

Core Plan pays 100% of reasonable & customary charges (R&C) for cleaning, exams & X-ray twice a year under preventive care.  Under this Plan there are no calendar year deductibles or annual maximums to meet. 

 

Calendar Year Deductible    

None

Annual Maximum

N/A

Preventative Care

Plan pays 100% of reasonable & customary charges for cleaning, exams & x-rays, twice a year

Basic Care

Not Covered

Major Care

Not Covered

Orthodontia

Not Covered

 

 

Single

Company Paid

Two Person

Company Paid

Family

Company Paid

Preventative Treatment: Oral examinations, cleaning of teeth, bite wing x-rays, topical application of fluoride solution for dependents under age 18. Dental Plan Summary, click here

Waiver Option allows for an employee to opt out of the dental plan when proof of other dental coverage is provided; employee receives a biweekly credit of $2.50.

Delta Dental Q & A:  For helpful questions and answers, click here.  Delta Dental pricing example, click here.
 
Note:  For additional Plan information, please refer to the Ave Maria Employee Health Plan Wrap Document, click here

With Delta Dental there is no need for presentation of an ID card.  Just tell your provider you have Delta Dental; they may ask for your Social Security number at the time of your appointment for verification purposes.