Dental
Base Dental Plan from Delta Dental: Included free for participants enrolled in a THG Medical plan
A healthy smile is key to your overall physical health. That’s why you and your covered dependent(s) who are enrolled in a THG Medical plan are automatically enrolled in the Base Dental Plan.
The plan pays 100% for preventive dental services, including oral exams, cleanings, x-rays, oral cancer screenings and fluoride treatments. Depending on your dentist’s network participation, most other basic and major dental services are covered as well.
Download Dental Summary of Benefits Base Plan (2024)
Enhanced Dental Plan from Delta Dental
Why choose an enhanced dental plan?
If you foresee the need for a higher annual benefit maximum and/or orthodontia coverage for children age 18 and under, this may be the dental plan for you.
The plan offers the same services as the base plan but is enhanced because of an increase to the annual maximum benefit per person to $1500 and includes coverage for orthodontic care as outlined in the summary.
Not enrolled in a THG medical plan? You are still eligible to enroll you and your eligible dependents in the enhanced dental plan.
Download Dental Summary of Benefits Enhanced Plan (2024)
| DELTA PPO NETWORK | DELTA PREMIER NETWORK | |
Preventive Dental Services Includes diagnostic and preventive services (oral exams, cleanings and fluoride treatments twice per calendar year, space maintainers once per area for people up to age 16, sealants, oral cancer screenings, x-rays) | 100% | 100% |
Basic Dental Services Includes temporary pain relief, fillings, root canals, treatment of gum disease, extractions and dental surgery, as well as repairs to crowns, bridges, implants and dentures | 90% Coverage, 10% Patient | 80% coverage, 20% Patient |
Major Dental Services Includes crowns, bridges, implants and dentures | 60% Coverage, 40% Patient | 50% Coverage, 50% Patient |
| BASE DENTAL PLAN | ENHANCED DENTAL PLAN | |
| Calendar Year Deductible | $50 Individual, $100 Family | $50 Individual, $100 Family |
|---|---|---|
| Annual Maximum Benefit | $1,000 | $1,500 |
| Orthodontic Services (Examinations, treatment, repositioning of the teeth) | Not Covered | 50% coverage (Lifetime Max of $1,500 per dependent age 18 and under) |
| Weekly, Bi-Weekly | |
| Employee Only | Included with medical |
|---|---|
| Employee + Spouse or Domestic Partner | Included with medical |
| Employee + Child(ren) | Included with medical |
| Family | Included with medical |
| Weekly | Bi-Weekly | |
| Employee Only | $2.40 | $4.80 |
|---|---|---|
| Employee + Spouse or Domestic Partner | $4.83 | $9.65 |
| Employee + Child(ren) | $6.52 | $13.05 |
| Family | $9.87 | $19.73 |
| Weekly | Bi-Weekly | |
| Employee Only | $4.80 | $9.60 |
|---|---|---|
| Employee + Spouse or Domestic Partner | $9.65 | $19.30 |
| Employee + Child(ren) | $13.05 | $26.10 |
| Family | $19.73 | $39.46 |
The rates paid are adjusted to account for off-season coverage | ||
Resources
Base Dental Plan Summary Of Benefit (2024)
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Enhanced Dental Plan Summary Of Benefits (2024)
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Delta Dental Certificate (2024)
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Orthodontic Services: Frequently Asked Questions (FAQs)
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