Overview

The supplemental dental plans are administered by Delta Dental. You may enroll in one supplemental dental plan (Select or Select Plus). The primary differences between the 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.

Note: Neither plan covers preventive or basic services, such as cleanings and fillings. If coverage for preventive and/or basic services is needed, consider enrolling in Uniform Dental or Preventive Dental (available January 1, 2020).

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

Supplemental Dental plan options are:

  • PPO – Select
  • PPO Plus Premier – Select Plus

Provider Network

Delta Dental has two provider networks: Delta Dental PPO and Delta Dental Premier. If you enroll in the Select plan, you should use a provider in Delta Dental’s PPO network. If you enroll in the Select Plus plan, you should use a provider in Delta Dental’s PPO and/or Premier network. To receive coverage for dental services, you must choose a dentist within one of Delta Dental’s networks. Delta Dental’s PPO network provides the deepest discounts for services. There are no dental benefits for out-of-network providers.

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

You have 30 days from your date of employment or your newly benefits-eligible job to enroll in a supplemental dental plan. Coverage begins on the first of the month on or following your eligibility date. If you do not enroll in a supplemental dental plan within your initial 30-day enrollment period or want to add/remove dependents from your plan, your next opportunity to do so is during the Annual Benefits Enrollment period. Otherwise, if/when you have a qualifying life event. See Life Events for more information.

Once enrolled in a supplemental dental plan, you 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 premiums, see the Premiums page.

Forms & Resources


last updated: 09/30/2019

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.