Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.
Please note that Delta Dental does not issue ID cards. Gongsters can receive dental services without presenting an ID card.
Delta Dental PPO
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,500
Preventive Care
$0
Basic Services
10%
Major Procedures
40%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,500 per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$75/225
Annual Plan Maximum
$2,500
Preventive Care
$0
Basic Services
20%
Major Procedures
50%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,500 per individual; deductible waived
Out-of-network coverage is the same as In-network coverage for employees in Texas.
Monthly Plan Cost
Employee Only: $0.00
Employee and Spouse: $23.00
Employee and Child(ren): $28.00
Employee and Family: $40.00