Dental

Keep those pearly whites bright with dental coverage.

What you need to know

You have a choice of two dental plans through Delta Dental of Pennsylvania:
The Base DPPO and the Buy-Up DPPO.

Each plan offers free in-network preventive care and covers common services like cleanings, fillings, and crowns, up to the plan annual maximum. The Buy-Up DPPO also covers orthodontia. You can see any dentist you want, but you save money when you use in-network providers.

How it works

Both plans work the same way. For most services, you pay a percentage of the cost — known as coinsurance — after you meet the deductible.

In the Base DPPO, you’ll only get access to the Delta Dental PPO network. If you choose the Buy-Up DPPO, you’ll get access to the Delta Dental PPO network and the Premier network. Dentists in the PPO and the Premier networks both offer reduced fees, although fees for dentists in the Premier network are not as low as those for dentists in the PPO network.

If you use a provider outside the network, you’ll pay more. That’s important, because both plans limit the amount they cover or reimburse for dental services each year.

The plans differ in how much you pay for coverage, the annual deductible you must meet before the plan shares the cost of care, and the total amount of care the plan will pay in one calendar year. Also, only one plan — the Buy-Up DPPO — covers orthodontia care, up to a lifetime maximum.

What you pay when you need care

Annual deductible
Annual maximum 1
Diagnostic & Preventive Services 2
Basic Services 3
Major Services 4
Orthodontia
Delta Dental Base DPPO
PPO Network
$75
(per person)
$225
(per family)
$1,000
(per person)
Diagnostic & Preventive Services do not apply
Plan pays 100%
(no deductible)
Plan pays 85% coinsurnace
(after deductible up to the annual maximum)
Plan pays 50% coinsurance
(after deductible up to the annual maximum)
Not covered
Delta Dental Buy-Up DPPO
PPO and Premier Network
$50
(per person)
$150
(per family)
$2,000
(per person)
Diagnostic & Preventive Services do not apply
Plan pays 100%
(no deductible)
Plan pays 100%
(no deductible up to the annual maximum)
Plan pays 50% coinsurance
(after deductible up to the annual maximum)
Plan pays 50% coinsurance
(no deductible up to $1,500 per person per lifetime maximum)
1 For basic and major care combined.
2 Includes routine oral exams, cleanings, X-rays, and sealants.
3 Fillings and simple extractions.
4 Major restorative care, including dentures, bridges, and crowns.

What you pay each month for care

You only
You + spouse/domestic partner 1
You + child(ren) 1
Family 1
Delta Dental Base DPPO
$20.48
$39.57
$48.45
$73.19
Delta Dental Buy-Up DPPO
$32.14
$62.15
$78.06
$117.36
1 If you are covering your domestic partner and/or your domestic partner’s children, imputed income will apply. (Imputed income is the value of coverage paid by Rentokil for your domestic partner and eligible children. Imputed income is considered taxable income to you, and your portion of the premium must also be paid on an after-tax basis.) The costs of benefits may differ from what is listed above.

Looking for a provider?

Network dentists discount their fees for Plan participants. Plus, your coinsurance is lower when you stay in the network.

See Providers