Essential [1]
This Delta Dental plan grants access to providersProviderAn individual or facility that provides health care services such as a doctor, nurse, chiropractor, hospital, rehabilitation center, etc. [2] only within the Delta Preferred Provider Option (PPO) networkPreferred Provider Organization (PPO)A health care plan that has a contractual agreement with providers to offer health care services at discounted, negotiated fees within a network. The PPO plans may require some cost-sharing with deductibles, copays and/or coinsurance. [3]. Your PPO networkNetworkThe facilities, providers and suppliers with whom your health insurer or plan has contracted to provide health care services [4] is available in Colorado and throughout the United States.
Essential Plan members must see a PPO providerPreferred Provider Organization (PPO)A health care plan that has a contractual agreement with providers to offer health care services at discounted, negotiated fees within a network. The PPO plans may require some cost-sharing with deductibles, copays and/or coinsurance. [3]. Coverage will not be offered for providersProviderAn individual or facility that provides health care services such as a doctor, nurse, chiropractor, hospital, rehabilitation center, etc. [2] outside of the network.NetworkThe facilities, providers and suppliers with whom your health insurer or plan has contracted to provide health care services [4] Once you meet the $25 per person plan deductibleDeductibleAn amount that you are required to pay before the plan will begin to reimburse for covered services. [5], you’ll be responsible for a percentage of your covered care costs, known as coinsurance.CoinsuranceThe portion of expenses that you have to pay for certain covered services, calculated as a percentage. For example, if the coinsurance rate is 20%, then you are responsible for paying 20% of the bill, and the insurance company will pay 80%. [6]
Plan Details
- CU Health Plan - Essential Dental Benefits Coverage Summary [7] (1 page)
- CU Health Plan - Essential Dental Full Benefits Booklet [8](20 pages)
- Right Start 4 Kids Program [9] (1 page)
Find a dentist [10]
Features & Considerations | |
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Plan Type | PPO Provider Network |
Plan-Year Benefit | $2,000 per person |
Deductible (Children under 13 excluded) | $25 per person |
Preventative & Diagnostic Services | 0% coinsurance & non deductible |
Basic Services | 30% coinsurance payment |
Major Services | 50% coinsurance payment |
Orthodontics (for children under age 19) | 50% coinsurance payment |
Orthdontics for adults (19 and older) | Not covered |