Dental
Dental Benefits
Jackson Family Wines is pleased to offer dental coverage through Delta Dental. You are not required to choose a Delta Dental PPO network dentist, but when you do, you will have lower out-of-pocket costs. Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and program allowance for non-Delta Dental dentists.
Delta Dental PPO
| Benefit | In-Network | Out-of-Network |
|---|---|---|
| Annual Deductible | $50 Individual/$150 Family | $50 Individual/$150 Family |
| Annual Benefit Maximum | $2,000 per person | $1,500 per person |
| Diagnostic & Preventive Care | Covered at 100% (deductible waived) | Covered at 100% (deductible waived) |
| Basic Care | 10% after deductible | 20% after deductible |
| Major Care | 40% after deductible | 50% after deductible |
| Orthodontics | (children & adults) 50% (deductible waived) up to $2,000 lifetime maximum per individual | (children & adults) 50% (deductible waived) up to $2,000 lifetime maximum per individual |
Accessing Benefits
Find a Delta Dental PPO network dentist by visiting www.deltadentalins.com.
Click: “Find a dentist”
Select: “Delta Dental PPO” as your plan network
Enter: Options for your search such as state and ZIP code, dentist name, practice name, miles (radius) and type of dentist (specialty)
When You Can’t Find a PPO Dentist
The Delta Dental Premier network (Delta’s larger network consisting of nearly 80% of dentist locations nationwide) provides cost-saving features and is the next best option when you can’t find a PPO dentist. While Premier dentists’ contracted fees are often slightly higher than PPO dentists’ fees, Premier dentists will not bill you above their contracted fees, so you still receive cost protection.
Related Support
Delta
Plan# 1633
Phone: (800) 765-6003
www.deltadentalins.com
