Dental Insurance

Highlights: Silver (Base) and Gold (Buy-Up) Plans include the following coverage:

• Posterior composite resin fillings and posterior porcelain crowns/bridges
• Special health care needs benefit for team members or dependents who have specific diagnoses which may require additional cleanings/services throughout the year
• Occlusal guard replacement once every five (5) years

Remember that if you participate in a health care Flexible Spending Account (FSA) or Health Savings Account (HSA), you may be able to use your funds on eligible expenses.

Reminders:

• There are no dental coverage cards.  You will simply use your SSN at the provider’s office; anyone covered under your plan will also be listed.
• The Delta Dental Gold Plan (Buy-Up) covers adult orthodontics ($1,500 lifetime maximum)!

2026 Non-Union Dental Rate Sheet
2027 Non-Union Dental Rate Sheet

BRONZE DENTAL PLAN

• EPO Network* check network before selecting
• $0 annual deductible
• $0 annual maximum
• Preventative services – exams/cleaning/X-rays: 100% covered
• Child orthodontics (up to age 19): $2,100 copay
• All other services subject to varying copays

Bronze Dental Plan Summary

*The EPO Network is a smaller, exclusive network of providers. While the coverage is more robust, we encourage team members to view the EPO Network provider directory. Exceptions to change plans due to network concerns are not able to be granted.

SILVER DENTAL PLAN 

• PPO & Premier Network
• $0 annual deductible
• $1,000 annual maximum
• Preventative services – exams/cleaning/X-rays: 100% covered
• Child orthodontics (up to age 19): 50% covered up to $1,500 lifetime maximum
• $1,000 annual maximum
• All other covered services covered at 50%, up to annual maximum

Silver Dental Plan Summary

GOLD DENTAL PLAN

• PPO & Premier Network
• $0 annual deductible
• $1,500 annual maximum
• Preventative services – exams/cleaning/X-rays: 100% covered
• Child orthodontics (up to age 19): 50% covered up to $1,500 lifetime maximum
• Adult orthodontics (19 or older): 50% covered up to $1,500 lifetime maximum
• All other services covered at 80%, up to annual maximum

Gold Dental Plan Summary

Looking for a participating dental provider? Please visit www.deltadentalmi.com or call customer service at 800-524-0149.

Delta Dental Mobile App Instructions

Please refer to the Summary Plan description for detailed information. Union represented team members may have different benefits. Applicable options are listed on new hire documents, the regional benefits website and will display in the enrollment site during open enrollment. Should any questions arise, contracts in effect will take precedence.