Overview

If you enroll in State Group Health Insurance, you may elect Uniform Dental. You may choose health insurance, with or without dental.

Effective January 1, 2020: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental. This means that all benefits eligible employees will have access to diagnostic, preventive and basic dental services in 2020.

Delta Dental is the plan administrator for the dental insurance plans.

Eligibility

You may enroll in Uniform Dental if you enroll in State Group Health Insurance. If you elect family State Group Health Insurance with dental, you will be enrolled in family Uniform Dental Insurance. If you elect single State Group Health Insurance with dental, you will be enrolled in single Uniform Dental Insurance. 

Effective January 1, 2020: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental.

Coverage

Both plans provide coverage for diagnostic, preventive and basic services. Below is the schedule of benefits for Uniform Dental and Preventive Dental.

2020 Schedule of Benefits (Uniform and Preventive Dental Insurance plans) Coverage
Deductible None
Annual Benefit Maximum $1,000 per member
Diagnostic and Preventive Services

Routine evaluations, dental cleanings, sealants, bitewing and panoramic X-rays, fluoride treatments, pulp vitality tests, fillings and periodontal maintenance

100%
Non-Surgical Extractions (above gumline) 90%
Major/Restorative Services

Crowns, bridges, dentures, root canal therapy (endodontics)

Not covered
Orthodontics (Under Age 19)

Coverage

Lifetime Maximum

Waiting Period

 

50%

$1,500

None

Dental services covered by Uniform Dental are not subject to the health insurance deductible. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions.

Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. If you want coverage for major dental services, you may enroll in a supplemental dental plan. You do not need to enroll in Uniform Dental or Preventive Dental to enroll in a supplemental dental plan.

Note: ID cards for Uniform Dental are separate from the ID cards for Supplemental Dental. If you enroll in both, bring both ID cards with you to your appointment. After enrolling Delta Dental mails ID card. You may also login and print an ID card online at www.deltadentalwi.com/state-of-wi.

Provider Network

Delta Dental has two provider networks available: Delta Dental PPO and Delta Dental Premier. 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 844-337-8383. Or visit Delta Dental at deltadentalwi.com/state-of-wi. Or contact your dentist directly.

Benefit Premiums

See the Premiums page.

Forms & Resources

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.

Updated: 06/19/2020