Dental
Both of our dental plans ensure that preventive services such as oral exams, cleanings and X-rays are covered in full. Learn more about our dental plan options to keep that healthy smile.
Dental Plans
ORNL offers two dental options, Delta Dental Basic Plan and Delta Dental Enhanced Plan. Under both plans, two preventive care visits each calendar year for cleanings and X-rays are covered in full.
Dental Plan Coverage Details
| Services | Basic Dental Plan | Enhanced Dental Plan |
|---|---|---|
| Annual Deductible per PersonInfo Applies to basic and major services | $50 | No deductible |
| Annual Maximum per PersonInfo | $1,500 | $3,000 |
| Preventive and Diagnostic ServicesInfo | Covered 100% | Covered 100% |
| Orthodontic Services | Covers 50% up to the $1,500 lifetime maximum for dependents up to age 26 |
Covers 50% up to the $3,000 lifetime maximum for all covered members |
Note: Members with certain high-risk medical conditions, such as diabetes, heart conditions, or high-risk pregnancies may be eligible for additional cleanings or fluoride treatments.
Using a Delta Dental Network Dentist
You may choose any dentist. Your out-of-pocket costs are likely to be lowest if you choose a dentist in the Delta Dental Preferred Provider Organization (PPO) network. PPO dentists agree to accept payment according to the PPO Dentist Schedule, and, in most cases, this results in a reduction of their fees. Delta Dental may also pay a higher percentage for covered services if you go to a PPO dentist.
If you go to a non-PPO dentist who participates in Delta Dental Premier, the fee reduction is not the same as with the PPO dentists. However, Premier dentists agree to accept Delta Dental’s maximum Approved Fee as payment in full for covered services. If you go to a nonparticipating dentist, you will be responsible for any difference between Delta Dental’s allowed fee and the Dentist’s Submitted Fee, in addition to any copay.
Note: Delta Dental time-based services, such as cleanings and X-rays, carry over from any previous Delta Dental plan. Charges for services that exceed the limitations are not covered under the plan.
Out-of-Network
If you go to a nonparticipating dentist, you will be responsible for any difference between Delta Dental’s allowed fee and the Dentist’s Submitted Fee, in addition to any copay.
- Visit deltadentaloh.com
- Click “Find a Dentist” under the “Using Your Benefits” tab
- Be sure to select the Delta Dental PPO plan to search in your network
- For help, call Delta Dental at 800-524-0149