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2021 dental plan comparison

ValueAdvantageDeltaCare USA
Provider Network

Delta Dental PPO

Delta Dental PPO

DeltaCare USA

Deductible

$25

($75 for out-of-network care)

$25

($75 for out-of-network care)

None

Annual Maximum Benefit

$750 per person

($500 for out-of-network care)

$2,000 per person

($1,500 for out-of-network care)

None

Preventive

100% coverage for exams, cleanings and x-rays

The amount the plan pays for cleanings does not apply to the annual maxiumum benefits.

100% coverage for exams, cleanings and x-rays

The amount the plan pays for cleanings does not apply to the annual maxiumum benefits.

100% coverage for exams, cleanings and x-rays

Certain preventive services may be subject to a copay. No copay for in-network fluoride treatment for children up to age 19

Basic

80% coverage for fillings, root canals and extractions

80% coverage for fillings, root canals and extractions

You pay a fixed copay depending on the service.

A complete schedule is available on the Delta Dental site

Major

40% coverage for crowns, bridges, dentures and implants

50% coverage for crowns, bridges, dentures and implants

You pay a fixed copay depending on the service.

A complete schedule is available on the Delta Dental site

Orthodontia

N/A

50% coverage up to $2,000 per child up to the age of 26 (lifetime) for network care; ($1,500 for out-of-network care)

You pay a fixed copay for standard course of treament:

Children under 19: $1,700

Children 19 and over and adults: $1,900

Retention (removal of applicances and placement of retainers): $275

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