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. You can choose any LIBERTY Dental Plan contracted dentist. 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
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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 a year |
No cost to you for: Routine annual exam and X-rays Routine cleaning twice a 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% $2,000 lifetime maximum for children under age 19 |
Coverage is available for both adults and children; see copayment schedule in enrollment packet |
