Dental
CENTURY 21 Affiliated provides group dental insurance through Delta Dental. This dental plan covers both PPO and Premier dentists, however, you will find the best coverage through a PPO network dentist. Orthodontic services are available for dependents on your plan who are 18 years of age or younger. For more information on the dental insurance and in-network providers, visit www.deltadentalwi.com .
Delta Premier/Out of Network
Employee Monthly Premiums
Benefits
Delta PPO Network
Deductible - Ind/Family
$50 / $150
$75 / $225
Ded. Applied for Preventive
No
Yes
Individual Annual Max
$1,500 per person
$1,000 per person
Employee Only $35.02
Preventive
100%
80%
Employee/Spouse $70.06
Basic Restorative (fillings)
80%
50%
Endo/Perio/ Oral Surgery
Employee/Child(ren) $74.92
80%
50%
Major Restorative (Crowns)
50%
40%
Family $121.58
Orthodontic (avail. dependents 18 & younger only)
70%
50%
Orthodontic Lifetime Max
$1,500
$1,000
Waiting Periods
No
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