Dental Insurance
Dental benefits are fully insured through Delta Dental of Michigan.
Dental Benefits
Premium Contribution
| Coverage Tier | Company | Associate |
|---|---|---|
| Single | $6.60 | $8.31 |
| Associate + Spouse | $12.38 | $16.15 |
| Associate + Child(ren) | $13.75 | $21.69 |
| Family | $23.27 | $32.31 |
Single
- Company
- $6.60
- Associate
- $8.31
Associate + Spouse
- Company
- $12.38
- Associate
- $16.15
Associate + Child(ren)
- Company
- $13.75
- Associate
- $21.69
Family
- Company
- $23.27
- Associate
- $32.31
Covered Services
| Feature | PPO | Premier |
|---|---|---|
| Annual Deductible | $50 Individual/ $150 Family | $50 Individual/ $150 Family |
| Type A Diagnostic and Preventive | 100% | 100% |
| Type B Basic | 80% | 50% |
| Type C Major | 60% | 50% |
| Annual Plan Maximum (per person per benefit year) | $1,500 | $1,500 |
| Type D Orthodontia | 50% | 50% |
| Lifetime Orthodontia Benefit Maximum | $1,250 | $1,250 |
Annual Deductible
- PPO
- $50 Individual/ $150 Family
- Premier
- $50 Individual/ $150 Family
Type A Diagnostic and Preventive
- PPO
- 100%
- Premier
- 100%
Type B Basic
- PPO
- 80%
- Premier
- 50%
Type C Major
- PPO
- 60%
- Premier
- 50%
Annual Plan Maximum (per person per benefit year)
- PPO
- $1,500
- Premier
- $1,500
Type D Orthodontia
- PPO
- 50%
- Premier
- 50%
Lifetime Orthodontia Benefit Maximum
- PPO
- $1,250
- Premier
- $1,250
Important Plan Notes
- You will receive maximum benefits when you receive care from a Delta Dental PPO or Premier provider.
- Participating dentists with Delta Dental PPO have agreed to accept lower fees as full payment for covered services.
- You may receive care from a non-Delta provider, but you will have higher out-of-pocket costs.
- Also, you may also have to pay the entire bill when you receive out-of-network services and then submit you are claim to Delta for reimbursement.
