Dental Benefits

What you need to know

You can choose from two plans that cover all your dental needs, from routine exams and cleanings to major services like bridgework and crowns. Although you may see any dentist you like, when you visit a network dentist, you’ll pay less and you won’t have to file a claim.

Find a participating dentist

The Delta Dental website makes it simple to locate a participating dentist in your area.

Plan Features

Choose from two plans: Delta Dental Basic or Delta Dental Plus

Both plans feature:

  • A nationwide network of Delta Dental dentists
  • Discounted rates for using participating Delta Dental network dentists
  • Preventive services at no cost to you
  • Coverage for restorative services
  • An oral health enhancement option that provides two additional cleanings a year for people with periodontal disease
  • Fluoride treatment for children under the age of 19

The key difference is that Delta Dental Plus covers more services and pays a higher annual maximum benefit, so it costs more per paycheck.

You can also choose to waive dental coverage.

Know before you go

Before you sit down for a procedure that will cost more than $300, contact Delta Dental to request a predetermination of benefits. That way, you’ll know how much the plan will cover and how much you’ll need to pay.

How the Plans Compare

Amounts shown are what you pay for the Plan Features below.

Annual Deductible (what you pay)
Delta Dental
Individual: $50
Family: $100
Delta Dental Plus
Individual: $50
Family: $100
Preventive Services (no deductible) includes things like x-rays and routine exams and services
Delta Dental
0% of MAA*
Delta Dental Plus
0% of MAA*
Restorative Services such as extractions and root canals
Delta Dental
20% of MAA* after deductible
Delta Dental Plus
20% of MAA* after deductible
Major Services such as dentures, bridges, and crowns
Delta Dental
Not covered
Delta Dental Plus
50% of MAA*
Othodontic Services
Delta Dental
Not covered
Delta Dental Plus
50% of MAA*
Lifetime maximum benefit per person: $1,700
Temporomandibular Joint (TMJ) Disorder Treatment Services
Delta Dental
Not covered
Delta Dental Plus
50% of MAA*
Lifetime maximum benefit per person: $1,700
Individual Maximum Calendar Year Benefit (excludes orthodontic and TMJ benefits)
Delta Dental
$1,000
Delta Dental Plus
$1,700

If You Use an Out-of-Network Dentist

  • You may pay more for services because non-participating dentists have not negotiated fee discounts with Delta Dental.
  • You may need to pay the dentist yourself and then submit a claim to be reimbursed by Delta Dental.
  • If you need to submit a dental claim yourself, ask your dentist for a standard American Dental Association claim form.

For complete details about covered expenses, exclusions, and limitations, visit HRConnect to review the summary plan description (SPD) for your dental plan.

Connect with…

HRConnect
Monday–Friday,
7:30 a.m. to 5 p.m. ET
844-543-2147
203-200-3838 (fax)
Website
Choose the YNHH_PRD option

Delta Dental of Connecticut
800-452-9310
(answers to your questions: Monday–Friday, 8 a.m. to 6 p.m. ET)
800-335-8265
(find participating dentists)
Website

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