2024 dental plan comparison
| Value | Advantage | DeltaCare USA | |
|---|---|---|---|
| Your weekly cost | Participant Only: $1.50 (Non-HI) / $0 (HI) Participant + Spouse/DP: $2.80 (Non-HI) / $0 (HI) Participant + Child(ren): $3.20 (Non-HI) / $0 (HI) Participant + Family: $5.10 (Non-HI) / $0 (HI) |
Participant Only: $3.10 Participant + Spouse/DP: $6.70 Participant + Child(ren): $7.70 Participant + Family: $11.20 |
Participant Only: $2.30 Participant + Spouse/DP: $4.80 Participant + Child(ren): $4.80 Participant + Family: $7.40 |
| Deductible | In-network: $25 per person Out-of-network: $75 per person |
In-network: $25 per person Out-of-network: $75 per person |
None |
| Annual maximum benefit | In-network: $750 per person Out-of-network: $500 per person |
In-network: $2,000 per person Out-of-network: $1,500 per person |
None |
| Preventive (Exams, cleaning, and X-rays) | 100% covered |
100% covered |
100% covered |
| Basic (Fillings, root canals, and extractions) | 80% covered |
80% covered |
Copay varies by service |
| Major (Crowns, bridges, dentures, and implants) | 40% covered |
50% covered |
Copay varies by service |
| Orthodontia | Not covered |
Children up to age 26 only In-network: 50% coverage, up to a lifetime benefit of $2,000 per child Out-of-network: 50% coverage, up to a lifetime maximum of $1,500 per child |
Children under 19: $1,700 copay Children 19 to 26 and adults: $1,900 copay Removal and retainers: $275 copay |