MyPriority Delta Dental

We've partnered with Delta Dental to offer affordable dental coverage that includes the nation's largest dental networks. MyPriority® Delta Dental is available at the time of enrollment or annual renewal as an add-on to MyPriority medical plans (except MyPriority Short-term).

  • Choose from two options: MyPriority Delta Dental Standard and MyPriority Delta Dental Enhanced (includes orthodontic coverage)
  • Preventive covered at 100% with no waiting period
  • Major dental services included
  • Access to Delta Dental PPO and Delta Dental Premier® networks
ServiceDelta Dental
Standard Plan
Delta Dental
Enhanced Plan
Annual deductible$50 per person on the plan
$150 per family
None
Exams, cleanings – limit two per year0%0%
Fluoride treatments – up to age 14 and limit one per year0%0%
Emergency treatment – to temporarily relieve pain20%20%
X-rays – limit one per 24 months20%20%
Sealants to prevent decay of permanent molars – to age nine on first molars and age 14 on second molars, limit one per lifetime20%20%
Oral surgery services, extractions and dental surgery – includes preoperative and postoperative care50%, after deductible25%
Minor restorative services (like fillings) – to repair teeth damaged by disease or injury50%, after deductible25%
Endodontics (like root canals) – to treat teeth with diseased or damaged nerves50%, after deductible50%
Periodontics – used to treat diseases of the gums and supporting structures of the teeth50%, after deductible50%
Bridges, dentures, implants, crowns50%, after deductible50%
Orthodontic diagnostic procedures – to age 19,
$1,500 per person per lifetime
Not covered50%
Annual benefit maximum
Maximums apply per individual for preventive, basic and major dental treatment. Maximums for orthodontic services are calculated separately$1,000 per person on the plan$1,500 per person on the plan

 

You are responsible for out-of-pocket costs related to your dental coverage, including:

  • Deductible and coinsurance amounts as detailed in your Summary of Dental Benefits
  • Amounts over the reasonable and customary charges
  • Amounts over benefit maximums
  • Services excluded by your Summary of Dental Benefits

Dental benefits are payable in any one plan year up to the maximums stated above and in your Summary of Dental Benefits. Maximums apply per individual for preventive, basic and major dental treatment (Classes I, II and III). Maximums for orthodontic services are calculated separately from Classes I, II and III.