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Dental

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Dental Plan Eligibility

  • Employees, Legislators, and Retirees under age 65 on the State Benefit Plan must have dental coverage.
  • Retirees over age 65 and eligible dependents-Dental coverage is an optional benefit.

Dental Plan Details

     Deductible for B & C Services and Implants-
  • $50 per member
  • $150 per family
Deductible is waived for Type A services including Diagnostic & Preventive
Examples of Covered Services*      
Type A Services
Sealants- children to age 16
Fluoride- children to age 19
Diagnostic & Preventive
X-Rays
Cleanings
Exams

Plan pays up to a combined total $1,800 worth of A, B, and C services per member per year.  
Member pays 100% after that.

20% Co-insurance on type B Services
50% Co-insurance on type C Services

Type B Services
Endodontics (root canals)
Oral Surgery
Periodontics (gum treatment)
Restorative (all fillings) 
Type C Services
Crowns
Prosthodontics  (inlays, onlays, bridges, and dentures)
Implants    
Implants     50% coinsurance
$1,500 Lifetime Limit.  Member Pays 100% after that.

 

(866) 496-2370
www.deltadentalins.com/ stateofmontana

Delta Dental is the company that the State of Montana contracts with to provide our dental benefits.

Curious how you can improve the health of your mouth? Want tips to keep your teeth and gums healthy for a lifetime?
Check out the oral health quizzes or watch a video that shows you how to take care of braces. Subscribe to Grin! the free dental e-newsletter sent four times a year.

Delta Dental's SmileWay wellness site helps you make your smile the best it can be.