Overview

Eligible employees have two supplemental dental plans available to them through Delta Dental and may enroll in one of them. The primary differences between the two plans are the provider networks, premium cost, annual maximums and whether orthodontia is covered (Select Plus Plan only). Both plans provide coverage for major services, such as crowns and implants, but do not cover preventive or basic services, such as cleanings and fillings. If coverage for preventive and/or basic services is needed, consider enrolling in Uniform Dental.

For more information, review the Plan Brochure and Dental Comparison Chart located in the Forms & Resources section below.

Eligibility

Eligibility for this plan:

For detailed information regarding who can be covered in this plan, see the Dependent Eligibility Grid under Forms & Resources in the left-hand navigation menu.

Plans

Delta Dental plan options:

  • PPO – Select
  • PPO Plus Premier – Select Plus

Provider Network

Delta Dental has two provider networks: Delta Dental PPO and Delta Dental Premier. Employees enrolled in the Select plan should visit a provider in Delta Dental’s PPO network. Employees enrolled in the Select Plus plan should visit a provider in Delta Dental’s PPO and/or Premier network. To receive coverage for dental services, members must choose a dentist within one of Delta Dental’s networks based on the plan they are enrolled in. Delta Dental’s PPO network provides the richest discounts to services. There is no benefit for out-of-network providers.

See the Delta Dental Network Reference sheet for more information on the two provider networks.

Not sure if your dentist is in one of the networks? Call Delta Dental at 800-236-3712, visit Delta Dental at deltadentalwi.com/state-of-wi or contact your dentist directly.

Enrollment

Employees have 30 days from their date of employment or their newly benefits-eligible job to enroll their self and eligible family members in a supplemental dental plan through Delta Dental. Coverage will begin on the first of the month on or following the employee’s eligibility date.

If employees do not enroll in a supplemental dental plan or did not include dependents on their plan during their initial 30-day enrollment period, they may enroll during the Annual Benefits Enrollment period or if they have a qualifying life event. See Life Events for more information.

Once enrolled in a supplemental dental plan, employees must remain enrolled for the calendar year.

Note: ID cards for Supplemental Dental are separate from the ID cards for Uniform Dental. If you enroll in both, Supplemental Dental and Uniform Dental, bring both ID cards with you to your appointment.

Benefit Premiums

For Supplemental Dental (Delta Dental) premiums, see the Premiums page.

Forms & Resources


last updated: 03/29/2019

Every effort has been made to ensure this information is current and correct. Information on this page does not guarantee enrollment, benefits and/or the ability to make changes to your benefits.