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Dental Plan
The comprehensive Delta Dental plan is designed to promote dental health by
paying the full cost of most routine check-ups, cleanings, and diagnostic
x-rays, as well as a substantial portion of the cost of other dental services
after a deductible has been satisfied. Most dentists in this area are affiliated
with the Delta network whose dentists guarantee not to charge you more than
"reasonable and customary" rates for this area. If you go to a dentist who is
not affiliated with Delta Dental, your charges may be higher, but your
reimbursement is still based on the "reasonable and customary" limits. Below is
a summary of the plan.
Delta Dental of New Jersey
Group #6507
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Annual deductible |
$50 a year for each covered family member (maximum $150 per family).
Deductible does not apply to preventive care. |
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Preventive care (exams, cleanings, and x-rays) |
Plan pays 100%. Limited to two per person per year. |
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Basic restorative care (extractions, fillings, root canals, periodontal) |
Plan pays 80% after deductible is satisfied. |
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Major restorative (crowns, dentures, bridges) |
Plan pays 50% after deductible is satisfied. |
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Annual maximum plan payments |
$1,200 per person, excluding orthodontia. |
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Orthodontia |
Plan pays 50% up to a maximum lifetime payment of $1,500 per person. |
Claim forms: Participating dentists obtain claim forms from Delta and
therefore will have forms available in their offices. Non-participating dentists
may use generic forms that must be mailed to:
Delta Dental of NJ, PO Box 222,
Parsippany NJ 07054
Claims 1-800-346-5377
Web site:
http://www.deltadentalnj.com
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