YOUR DENTAL PLAN OPTIONS

We offer dental coverage through Delta Dental of Virginia to help you maintain that healthy smile.

Dental Plans

	Basic Plan			Buy-up Plan
	Basic Plan			Buy-up Plan
	PPO	Premier	PPO	Premier
In-network
Individual/Family Deductible	$25/$75	$50/$150	$25/$75	$50/$150
Annual Maximum Benefit	$750	$750	$1,500	$1,500
Services Preventive Basic Major	You pay $0 You pay 20%, plan pays 80% Not covered	You pay $0 You pay 30%, plan pays 70% Not covered	You pay $0 You pay 10%, plan pays 90% You pay 40%, plan pays 60%	You pay $0 You pay 20%, plan pays 80% You pay 50%, plan pays 50%
Orthodontia Coinsurance/ Lifetime Maximum (Dependent children up to age 26 only)	Not covered			50%/$1,500
Out-of-Network: For coverage details refer to the Documents Library

For more information, visit deltadentalva.com.

Both plans provide:
• Prevention first benefit (preventive and diagnostic services do not count against the annual maximum)
• Affordable coverage
• In-network discounts

Healthy Smile, Healthy You

Healthy Smile, Healthy You offers additional benefits for teammates with these health conditions:

• Pregnancy
• Diabetes
• High-risk cardiac conditions
• Cancer treatments
• Weakened immune system
• Kidney failure or dialysis

Eligible teammates will get an additional cleaning at no cost. Some cancer patients will also be eligible for an additional fluoride application.

This Benefits Website provides general information for our benefit eligible employees; however, more detailed information is available within the plan documents and legal contracts between our company and the insurance providers. In case of any discrepancy between this Benefits Website and the plan documents, the plan documents always govern and determine your exact benefits. In addition, the company reserves the right to modify or terminate any benefit plan at any time. Benefits are not a guarantee of employment.