The Uniform and Preventive Dental plans provide coverage for diagnostic, preventive and basic services. You are eligible for either Uniform Dental or Preventive Dental, based on whether you enroll in State Group Health Insurance. Review the eligibility section of this page for additional information.
Delta Dental is the plan administrator for the dental insurance plans.
- Uniform Dental: You are eligible 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.
- Preventive Dental: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental.
Below is the schedule of benefits for Uniform Dental and Preventive Dental.
|Schedule of Benefits (Uniform and Preventive Dental Insurance plans)||Coverage|
|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
|Non-Surgical Extractions (above gumline)||90%|
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. After enrolling Delta Dental mails ID card. You may also login and print an ID card online at www.deltadentalwi.com/state-of-wi.
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.
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.