Dental Insurance - HR Duke

Dental Insurance

Dental Insurance

dental-bg

PROVIDER: Delta Dental

Contact Information:
www.deltadentalmo.com
+ 1.800.335.8266
services@deltadentalmo.com

  • TWO OPTIONS!
    • Base plan with $1,000 Annual Maximum
    • UPGRADE plan with $1,500 Annual Maximum
  • Preferred Dental Provider program offers deeper discounts
  • Out-of-Network services are paid at R&C rates (Reasonable & Customary); employees will be responsible for charges over R&C
  • Separate from the medical and prescription plan
  • You will receive an ID card but it is not necessary for services
  • Employees become eligible the first day of the month after 30 days of employment
  • Full time employees working an average of 30 hours per week or more (or on Shared Work program)
  • Dependent children through their 26th birthday
  • Spouses
TREATMENT TYPE BASIC COVERAGE UPGRADE COVERAGE NOTES
Type A (Preventive) 100% 100% Based on R&C charges
Type B (Basic Services) 80% 90%
Type C (Major Services) 50% 60%
Type D (Orthodontia) 50% up to $1,000 50% up to $1,000
Annual Maximum $1000 $1500 Per member
Orthodontia Lifetime Maximum $1000 $1000 For Child to age 19 only
Deductible (type B&C) $50/$150 $50/$150 $Individual/Family
  • Cost is shared between Employee and Duke Manufacturing

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2024 Bi-Weekly Deductions

DENTAL, BASE PLAN, $1000 ANNUAL MAXIMUM
Employee Only $4.93
Employee + Spouse $9.83
Employee + Child(ren) $8.89
Family $16.36
DENTAL, UPGRADE OPTION, $1500 ANNUAL MAXIMUM
Employee Only $7.75
Employee + Spouse $15.80
Employee + Child(ren) $15.21
Family $26.42
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