Dental Insurance (Delta) is offered to employees working a minimum of 30 hours a week, and your dependents on the 1st of the month following 30 days of employment. There are three plans: High Option PPO, the Standard PPO plan, and the Flagship plan. For the Flagship plan, you must select an In-Network Dentist.
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Annual Maximum
The maximum dollar amount the dental plan will pay toward the cost of your dental care.
$2,000 per person per year.
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Deductible
The amount you must pay out of pocket before the dental plan shares costs with you. Deductible may not apply to all services.
$50 per individual, $150 per family.
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Preventive Services
A category of dental service that typically includes exams, routine cleanings, and some x-rays, Fluoride Treatment.
Covered in full.
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Basic Services
A category of dental service that typically includes fillings, root canals, periodontics, endodontics.
Covered in full.
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Crowns & Prosthodontics
A category of dental service that typically includes Crowns, Gold Restorations, Bridgework, Full & Partial Dentures
You pay 25% (after deductible)
plan pays 75%.
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Orthodontia Services
You pay 50% (after deductible)
plan pays 50% up to $2,000.
Available for dependent children only.
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Click To Download Plan Documents:
Delta Dental High PPO Plan
Provider: Delta Dental
Plan ID# 2522-00002
Phone: 800-452-9310
https://www.deltadentalnj.com/
Provider Network is Premier
Delta Dental ID Card
Delta Dental no longer mails out ID cards. Just let your Dentist know that you are covered by Delta and provide your DOB and SSN.
Want an ID card anyway? You can print one from www.DeltaDentalNJ.com after you register for an account or download the Delta Dental App from your phone.
Delta Dental Mobile App
Delta has a Mobile App that can help you maximize your dental benefits. You can view your benefits, view your ID card and more within the Delta App. Download this via the App Store today.
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Annual Maximum
The maximum dollar amount the dental plan will pay toward the cost of your dental care.
$1,500 per person per year.
-
Deductible
The amount you must pay out of pocket before the dental plan shares costs with you. Deductible may not apply to all services.
$50 per individual, $150 per family.
-
Preventive Services
A category of dental service that typically includes exams, routine cleanings, and some x-rays, Fluoride Treatment.
Covered in full.
-
Basic Services
A category of dental service that typically includes fillings, root canals, periodontics, endodontics.
You pay 20% (after deductible)
plan pays 80%.
-
Crowns & Prosthodontics
A category of dental service that typically includes Crowns, Gold Restorations, Bridgework, Full & Partial Dentures
You pay 50% (after deductible)
plan pays 50%.
-
Orthodontia Services
You pay 50% (after deductible)
plan pays 50% up to $1,000.
Available for dependent children only.
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Click To Download Plan Documents:
Delta Dental Standard PPO Plan
Provider: Delta Dental
Plan ID# 2522-00002
Phone: 800-452-9310
https://www.deltadentalnj.com/
Provider Network is Premier
Delta Dental ID Card
Delta Dental no longer mails out ID cards. Just let your Dentist know that you are covered by Delta and provide your DOB and SSN.
Want an ID card anyway? You can print one from www.DeltaDentalNJ.com after you register for an account or download the Delta Dental App from your phone.
Delta Dental Mobile App
Delta has a Mobile App that can help you maximize your dental benefits. You can view your benefits, view your ID card and more within the Delta App. Download this via the App Store today.
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Plan Year Deductible (Ind/Family)
The amount you must pay out of pocket before the dental plan shares costs with you. Deductible may not apply to all services.
No deductible applies.
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Benefit Maximum (Per Patient)
Unlimited.
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Most Commonly Performed Procedures: Your Responsibility
• Periodic Oral Evaluation – No Charge
• X-rays (Complete Series) – No Charge
• Bitewing X-rays (2 Films) – No Charge
• Bitewing X-rays (4 Films) – No Charge
• Cleaning (Adult and Child) – No Charge
• Silver Filling (Up to 3 Surfaces) – No Charge
• Composite Resin Filling (Up to 2 Surfaces) – No Charge
• Simple Extraction (Single Tooth) – No Charge
• Extraction of Impacted Tooth Completely Covered by Bone – No Charge
• Porcelain Crown with Metal – $290
• Root Canal Therapy (Anterior Tooth) – $185
• Root Canal Therapy (Bicuspid Tooth) – $225
• Root Canal Therapy (Molar Tooth) – $285
• Osseous Surgery (Per Quadrant) – $275
• Periodontal Root Planning and Scaling (Per Quadrant) – $70
• Upper Partial Denture – $300
• Bridge Abutment (Crown), Porcelain with Metal – $290
• Orthodontics – $2,900 (Employee Cost)
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Click To Download Plan Documents:
Flagship NJ Dental Plan
Provider: Flagship
Plan ID# 2522-01
Phone: 800-722-3524
https://www.deltadentalnj.com/
You must select an In Network Dentist.