Dental

Your Two Dental Plan Choices

Delta Dental PPO Plan

Delta Dental gives you the flexibility to see any dental provider, but you save money when you use in-network providers. Delta Dental is America's largest dental network, so you have many providers to choose from. Preventive care services are covered at no cost to you, and you pay coinsurance for other services. The plan has a calendar year maximum and a lifetime orthodontia maximum.

LIBERTY Dental Plan DHMO-EPO (Benefit Plan NV-400)

LIBERTY Dental Plan is a dental health maintenance organization (DHMO). LIBERTY Dental Plan contracts with a wide network of private dental offices to provide benefits under this plan. With this plan, you can choose any LIBERTY Dental Plan contracted dentist; however there is no coverage outside of this network. This plan has no annual maximums, no deductibles and $0 to low out-of-pocket costs.

Dental Plan Comparison Chart

Swipe to see full table.

 
Delta Dental PPO Plan
In-Network Coverage

LIBERTY Dental Plan DHMO-EPO
(Benefit Plan NV-400)
In-Network Required

Calendar year deductible None None
Calendar year maximum $2,000 per person None
Preventive care services No cost to you for:
Routine annual exam and
x-rays
Routine cleaning twice/year
No cost to you for:
Routine annual exam and x-rays
Routine cleaning twice/year
Basic services You pay 20% See copayment schedule in enrollment packet
Major services You pay 20% See copayment schedule in enrollment packet
Orthodontia You pay 20%
$1,200 lifetime maximum for
children under age 19
Coverage is available for both adults and children; see copayment schedule in enrollment packet

How to Find a Dental Plan Provider

Delta Dental PPO Plan

Visit www.deltadental.com and use the "Find a Dentist" search box. 

LIBERTY Dental Plan DHMO-EPO
(Benefit Plan NV-400)

See the provider list in your enrollment packet, or visit www.libertydentalplan.com and click the "Find a Dentist" tab and select NV-100 through NV-700 from the Benefit Plan drop-down menu, then follow the instructions. You may also call LIBERTY Dental Plan at (888) 401-1128.

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