Dental Comparison Chart
Delta Dental PPO plus Premier Networks
Plan | DPPO HIGH 004623-9901 |
DPPO LOW 004623-9902 |
---|---|---|
Annual Deductible Individual/Multiple | $25/$100 | $50/$150 |
Calendar year max | $1500 | $750 |
Preventative & Diagnostic | 100% | 100% |
Basic Restorative | 80% | 80% |
Major Restorative | 60% | 30% |
OrthodontiaChildren under 19 | 100% of plan max | N/A |
Orthodontia Lifetime Max | $1500 | N/A |