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Delta Dental Benefit Plans Brief Summary of Percentage of Payments and Maximums |
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*Classified and Confidential Supervisory Employees have a $500.00 additional annual maximum if they use Delta DPO providers. |
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Power Point Presentation English |
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Power Point Presentation Spanish |
Dental Plan /Dental Services |
Certificated Adult School |
Certificated Teachers |
Classified / Confidential Supervisor |
Retirees |
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Diagnostic & Preventative |
70-100% |
70-100% |
70-100% |
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Basic Services |
70-100% |
70-100% |
70-100% |
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Crowns, Jackets, Inlays, Onlays, & Cast Restoration |
70-100% |
70-100% |
70-100% |
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Prosthodontic |
50% |
70% |
50% |
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Orthodontics |
No Benefit |
50% $1000.00 Life Maximum |
50% $500.00 Life Maximum |
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Calendar Year Maximum |
$1000.00 |
$1500.00 |
$1000.00 *$1500.00 DPO Dentist |
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Special Accident Benefit |
100% $1000.00 maximum |
100% $1000.00 maximum |
100% $1000.00 maximum
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Rates 01/01/07 |
81.83 /month |
$99.72/month |
$91.91/month |
Single: $41.99 Single+1: $87.93 Full Family: $133.85 |