Improving your Benefits with Delta Dental
Group #4759
We've made enhancements to your Delta Dental plan to better serve you and your needs. We believe everyone deserves a healthy smile!
| Service/Procedure | 2023 Benefit |
2024 Benefit |
|---|---|---|
| Oral exams and evaluations | Once every 6 months | 2 per calendar year (not subject to 6 months apart) |
| Cleanings/prophylaxis | Once every 6 months | 2 per calendar year (not subject to 6 months apart) |
| Topical fluoride | 1 per 12 months, through age 18 | 2 per calendar year, through age 18 |
| Composite fillings (white fillings) | Alternate benefit of amalgam fillings | Covered on all teeth, no alternate benefit |
| Athletic mouth guards | Not a benefit | Covered benefit, through age 18 |
| Occlusal guards (for bruxism) | Not a benefit | Covered benefit |
| Cone Beam X-Rays | Not a benefit | Covered benefit |
| Special Health Care Needs Benefit | Not a benefit | Coverage includes additional visits/consultations to the dentist prior to first treatment; up to four total dental cleanings in a Calendar Year; treatment delivery modifications, including anesthesia, that are necessary to provide dental care. Eligible members should notify their provider that their plan includes this benefit (no age limit). |
