Annual Maximum: The most a dental plan will pay toward your dental care within a specific period.
Benefit Period: Dental benefits are calculated within a benefit period, which is typically for one year, but not always a calendar year. Check your benefits on our member portal to learn if you are close to satisfying your annual deductible or reaching your maximum.
Coinsurance: A fixed percentage of a dental treatment cost that you share with Delta Dental.
Copay: A set dollar amount you pay for a procedure.
Deductible: A set dollar amount you pay before your dental plan begins to pay for covered services.
In-network Dentist: A dentist who has agreed to be part of a Delta Dental network and accept pre-established service fees.
Limitations and Exclusions: Dental benefits are meant to help with dental expenses, but plans may not cover every aspect of dental care. There may be limitations on the number of procedures, the number of dental visits or the patient’s age. Any limitations and exclusions are detailed in your member welcome kit, available on our member portal.
Pre-determination: If your dental care will be extensive, ask your dentist for a pre-determination of benefits, or a pre-treatment estimate, so you know which procedures will be covered, the amount your plan will pay and what you will owe.
To take full advantage of your dental coverage, read your benefits information before you go to the dentist. Log into our member portal to view your benefits or click below for more information on commonly asked questions about dental benefits.
