Delta 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-
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| 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. 20% Co-insurance on type B Services |
| Type B Services Endodontics (root canals) Oral Surgery Periodontics (gum treatment) Restorative (all fillings) |
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| Type C Services Crowns Prosthodontics (inlays, onlays, bridges, and dentures) Implants |
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| Implants | 50% coinsurance $1,500 Lifetime Limit. Member Pays 100% after that. |
Dental Resources
(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 avideo 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.