If you enroll in health insurance under the State Group Health Insurance Program, you have the option to elect the Uniform Dental Benefit. Employees choose health insurance, with or without dental, during the enrollment process.
Delta Dental of Wisconsin is the plan administrator of the Uniform Dental Benefit.
The Uniform Dental Benefit is only available if you enroll in the State Group Health Insurance program. If you elect family health insurance with dental, you will be enrolled in family uniform dental insurance. Similarly, if you elect single health insurance with dental, you will be enrolled in single uniform dental insurance.
Below is the schedule of benefits covered by Uniform Dental. You must use a Delta Dental PPO or Premier provider.
Uniform Dental provides coverage for diagnostic, preventive and restorative services (such as fillings).
Uniform Dental does not include coverage for major dental services, such as crowns, root canals or implants. If you want coverage for major dental services, you may want to enroll in one of the supplemental dental plans with Delta Dental. You do not need to enroll in Uniform Dental in order to enroll in one of the supplemental dental plans.
|Uniform Dental Benefits||Coverage|
|Annual Benefit Maximum||$1,000 per member|
|Diagnostic and Preventive Services
Routine evaluations, dental cleanings, bitewing and panoramic X-rays, fluoride treatments, sealants, fillings
Local anesthesia, emergency pain relief
Crowns, bridges, dentures, root canal therapy (endodontics)
|Orthodontics (Under Age 19)
Dental services covered by Uniform Dental are not subject to the health insurance deductible. See the Uniform Dental Benefit (Certificate of Coverage) for a list of covered services and exclusions.
Note: ID cards for Uniform Dental are separate from the ID cards for Supplemental Dental. If you enroll in both, Uniform Dental and Supplemental Dental, bring both ID cards with you to your appointment.
Delta Dental has two provider networks available under the Uniform Dental benefit: Delta Dental PPO and Delta Dental Premier. To receive coverage for dental services, members must choose a dentist within one of Delta Dental’s networks. 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.
For Uniform Dental premiums, see the Premiums page.
Forms & Resources
last updated: 05/31/2019
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.