Dental

What you need to know

The Plans’ Standard Dental Care Benefits for non-Medicare and Medicare-eligible retirees and covered dependents are optional and require an additional monthly premium to the Fund to receive coverage.

Highlights

In partnership with Delta Dental of Wisconsin, a preferred-provider dental organization, you’ll pay lower, negotiated rates for dental services as long as you see a dental provider that is in-network. However, you may visit any provider you wish and receive some dental coverage, but you will pay more to receive services from an out-of-network provider.

The Plan covers basic and major restorative services as well as routine cleaning twice per calendar year for you and your covered dependents. There is no deductible.

What You Pay for Services

Exams
Cleanings
Fillings
Orthodontic Services*
In-Network
$0
$0
20% coinsurance
20% coinsurance
Out-of-Network
20% coinsurance
20% coinsurance
30% coinsurance
20% coinsurance
*There is a $3,000 lifetime maximum payment per person for orthodontic services both in-network and out-of-network for Medicare-eligible retirees. Remaining dental services have an unlimited maximum payment.

To find an in-network dental provider, visit Delta Dental of Wisconsin or call 800-236-3712.

Contacts

Dental

Delta Dental of Wisconsin

800-236-3712
Website

Related Pages