Dental & vision
What does dental cover?
Dental and vision come together in one package election.
At a glance
Annual plan maximum
$3,000† per person
Deductible
$50† person / $150† family
Preventive share
You pay 0%†
One election, two administrators
Delta Dental of Minnesota administers dental coverage. VSP administers vision coverage. You elect the package together.
Your share and plan maximums
| Benefit | Delta PPO | Delta Premier | Nonparticipating |
|---|---|---|---|
| Deductible (person / family) | $50† / $150† | $50† / $150† | $50† / $150† |
| Annual plan maximum | $3,000† | $3,000† | $3,000† |
| TMJ lifetime maximum | $1,500† | $1,500† | $1,500† |
| Orthodontics lifetime maximum | $3,000† | $2,500† | $2,500† |
| Diagnostic / preventive: you pay, no deductible | 0%† | 0%† | 0%† |
| Listed basic / major services: you pay after deductible | 20%† | 20%† | 20%† |
| Orthodontics: you pay, no deductible | 50%† | 50%† | 50%† |
Before treatment
- 1
Confirm whether the dentist is Delta PPO, Delta Premier or nonparticipating.
- 2
Review deductibles, maximums and your share with Delta Dental.
- 3
Keep documents for any reimbursement claim.
Do this
Check your dentist’s network before scheduling care.
More detail
What is covered
The table includes diagnostic and preventive services; basic services; oral surgery; endodontics; periodontics; major restorative services; prosthetic repairs, adjustments and prosthetics; orthodontics; and a TMJ lifetime maximum.