If you enroll in State Group Health Insurance, you may elect the Uniform Dental Benefit. 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 of Wisconsin is the plan administrator for Uniform Dental and Preventive Dental.
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.
Both plans provide coverage for diagnostic, preventive and basic services. Below is the schedule of benefits for Uniform Dental and Preventive Dental.
|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 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.
Delta Dental has two provider networks available: Delta Dental PPO and Delta Dental Premier. Members 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. Or visit Delta Dental at deltadentalwi.com/state-of-wi. Or contact your dentist directly.
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.