Core Pipe offers a comprehensive dental plan from Delta Dental of Illinois . The plan provides benefits for most types of basic and major dental care after you meet the deductible.
You and your eligible dependents can enroll in the Delta Dental PPO dental plan.
In the PPO, you are free to use any dentist at any time, but using an In-Network Delta
Dental PPO provider you will receive the greatest discount and your annual maximum will go further. The Premier Network also uses In-Network dentists, but you will receive a lesser discount than the PPO Network. You will maximize your benefit by receiving care from a Delta PPO network dentist. Network providers offer discounted fees to Delta Dental, and you share in the savings.
Out of Network dentists can result in balance billing from your provider.
Delta Dental PPO | |||
Plan Features | Delta Dental PPO Network | Delta Dental Premier Network Dentist (You Pay) | Out-of-Network* |
Annual Maximum | $1,000 per person | ||
Deductible | $50 Single / $150 Family | ||
Preventive (Exams, Bitewing X-rays, Cleanings, Fluoride, Space Maintainers, Sealants) | 0% Deductible waived | 0% Deductible waived | 0% Deductible waived |
Basic Services (Periodontics, Fillings, Simple Extractions, Endodontics, Oral Surgery) | 20% Deductible applies | 20% Deductible applies | 20% Deductible applies |
Major Services (Crowns, Bridges, Dentures) | 50% Deductible applies | 50% Deductible applies | 50% Deductible applies |
Orthodontia (to age 19) | 50% | 50% | 50% |
Orthodontia Lifetime Maximum | $1,500 per person | ||
Dental | PPO |
Employee | $2.30 |
Employee + Spouse | $5.10 |
Employee + Child(ren) | $6.15 |
Family | $9.20 |
Finding a dental care provider is easy:
〉 Go to www.deltadentalil.com or call 800-236-3712
