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
  Delta Dental
Standard Plan		 Delta Dental
Enhanced Plan
Annual deductible $50 per person on the plan, $150 per family None
Exams, cleanings – limit two per year 0% 0%
Fluoride treatments – up to age 14 and limit one per year 0% 0%
Emergency treatment – to temporarily relieve pain 20% 20%
X-rays – limit one per 24 months 20% 20%
Sealants to prevent decay of permanent molars – to age nine on first molars and age 14 on second molars, limit one per lifetime 20% 20%
Oral surgery services, extractions and dental surgery – includes preoperative and postoperative care 50%, after deductible1 25%2
Minor restorative services (like fillings) – to repair teeth damaged by disease or injury 50%, after deductible1 25%2
Endodontics (like root canals) – to treat teeth with diseased or damaged nerves 50%, after deductible1 50%2
Periodontics – used to treat diseases of the gums and supporting structures of the teeth 50%, after deductible1 50%2
Bridges, dentures, implants, crowns 50%, after deductible1 50%2
Orthodontic diagnostic procedures – to age 19,
$1,500 per person per lifetime 		Not covered 50%2
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

MyPriority Delta Dental disclaimers

 

You're 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.

1 There is a 12-month waiting period on oral surgery, minor restorative, periodontics, endodontics, relines and repairs, other basic, major restorative, prosthodontic and implant services. Waiting periods can be waived for all services if the enrollee was covered at least 12 months under an immediately preceding dental plan

2 There is a six-month waiting period on oral surgery, minor restorative, periodontics, endodontics, relines and repairs, other basic, major restorative, prosthodontic, implant and orthodontic services. Waiting periods can be waived for all services if the enrollee was covered at least 12 months under an immediately preceding dental plan.