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Supporting You and Your Child Dental Benefits
Maternity Support Program Fertility Solutions The dental plan administered by Delta Dental gives you the lexibility
to receive dental care in or out-of-network, although it usually will
When you’re pregnant or thinking of growing your Fertility Solutions guides you through the fertility cost you less when you visit a Delta Dental PPO dentist. For more
family, your health suddenly seems to matter more landscape with tools and support to help them make details see the dental plan summary plan description posted on
than ever before. Through our medical plans, you complex treatment decisions. We provide education, www.danbeneitsplus.com.
can take care of your body and your baby through counseling, fertility management and access to a
the Maternity Support Program. national Centers of Excellence (COEs) of network of
premier infertility treatment clinics. Standard Plan Enhanced Plan
This program doesn’t replace your OBGYN. While (without Ortho) (with Ortho)
visiting your regular doctor as scheduled, use the • Nurse case management: You are educated on Employee Contributions Per Pay Period
Maternity Support Program to: available treatment paths and connected to high-
quality providers. Important: Anyone who that Employee $6.00 $10.00
• Have questions answered by dedicated
maternity nurses wishes to use the fertility beneits available Employee + Spouse $12.00 $20.00
through the plan must irst contact a Nurse
• Receive pregnancy and childbirth reading Case Manager to be eligible. Employee + Child(ren) $13.00 $23.00
materials • Centers of Excellence: Industry-accredited and Family $18.00 $32.00
• Get a pregnancy consultation focused on staffed by leading reproductive endocrinologists, Carrier Delta Dental Delta Dental
wellness and screen for health risks or trained fertility specialists, our COEs help
families choose the best treatment option based Network PPO/Premier Out-of-Network PPO/Premier Out-of-Network
• Talk to someone about special health care on evidence-based practices. $50/$150 $50/$150
needs or high risk pregnancies Deductible
To contact a Fertility Solutions Nurse, please call Annual Max $1,000 $2,000
This program supports your growing family 800.765.6717.
throughout your pregnancy, during delivery and Preventive 100% 100% 100% 100%
after you’ve brought your new baby home. Enroll Annual Cleanings 2 3
any time during your pregnancy. Neonatal Resource Service (NRS)
The Optum™ Neonatal Resource Services (NRS) program Basic 80% 80% 100% 80%
can help parents get the education and support they Major 50% 50% 60% 50%
Enroll Today need to avoid infant readmissions and post-discharge
Call toll-free 800.765.6717 complications. Our specialized team of NICU nurse Ortho (Adult and Child) Not Covered Not Covered 50% to $2,000
Monday – Friday 7 a.m. – 6 p.m. EST case managers, social workers and medical directors
collaborate to provide clinical care and psychological
For more information visit: services to the baby and the parents. In addition, we use A Note About Dental Coverage
cx.optum.com/optumpregnancy established protocols to manage the NICU inpatient stay Your annual maximum illustrated here is the most your plan will pay toward
in order to help reduce the overall cost associated with your dental services in a given year. This annual maximum applies to each
NICU infants. person covered on the plan.
The orthodontia limit of $2,000 in the Enhanced Plan is a lifetime maximum.
Unlike your annual maximum, this lifetime orthodontia maximum is the
most your plan will pay for orthodontia services per member per lifetime. It
does not “reset” each year like your annual maximum.
10 2019 Benefits Enrollment Dentsu Aegis Network 11
Maternity Support Program Fertility Solutions The dental plan administered by Delta Dental gives you the lexibility
to receive dental care in or out-of-network, although it usually will
When you’re pregnant or thinking of growing your Fertility Solutions guides you through the fertility cost you less when you visit a Delta Dental PPO dentist. For more
family, your health suddenly seems to matter more landscape with tools and support to help them make details see the dental plan summary plan description posted on
than ever before. Through our medical plans, you complex treatment decisions. We provide education, www.danbeneitsplus.com.
can take care of your body and your baby through counseling, fertility management and access to a
the Maternity Support Program. national Centers of Excellence (COEs) of network of
premier infertility treatment clinics. Standard Plan Enhanced Plan
This program doesn’t replace your OBGYN. While (without Ortho) (with Ortho)
visiting your regular doctor as scheduled, use the • Nurse case management: You are educated on Employee Contributions Per Pay Period
Maternity Support Program to: available treatment paths and connected to high-
quality providers. Important: Anyone who that Employee $6.00 $10.00
• Have questions answered by dedicated
maternity nurses wishes to use the fertility beneits available Employee + Spouse $12.00 $20.00
through the plan must irst contact a Nurse
• Receive pregnancy and childbirth reading Case Manager to be eligible. Employee + Child(ren) $13.00 $23.00
materials • Centers of Excellence: Industry-accredited and Family $18.00 $32.00
• Get a pregnancy consultation focused on staffed by leading reproductive endocrinologists, Carrier Delta Dental Delta Dental
wellness and screen for health risks or trained fertility specialists, our COEs help
families choose the best treatment option based Network PPO/Premier Out-of-Network PPO/Premier Out-of-Network
• Talk to someone about special health care on evidence-based practices. $50/$150 $50/$150
needs or high risk pregnancies Deductible
To contact a Fertility Solutions Nurse, please call Annual Max $1,000 $2,000
This program supports your growing family 800.765.6717.
throughout your pregnancy, during delivery and Preventive 100% 100% 100% 100%
after you’ve brought your new baby home. Enroll Annual Cleanings 2 3
any time during your pregnancy. Neonatal Resource Service (NRS)
The Optum™ Neonatal Resource Services (NRS) program Basic 80% 80% 100% 80%
can help parents get the education and support they Major 50% 50% 60% 50%
Enroll Today need to avoid infant readmissions and post-discharge
Call toll-free 800.765.6717 complications. Our specialized team of NICU nurse Ortho (Adult and Child) Not Covered Not Covered 50% to $2,000
Monday – Friday 7 a.m. – 6 p.m. EST case managers, social workers and medical directors
collaborate to provide clinical care and psychological
For more information visit: services to the baby and the parents. In addition, we use A Note About Dental Coverage
cx.optum.com/optumpregnancy established protocols to manage the NICU inpatient stay Your annual maximum illustrated here is the most your plan will pay toward
in order to help reduce the overall cost associated with your dental services in a given year. This annual maximum applies to each
NICU infants. person covered on the plan.
The orthodontia limit of $2,000 in the Enhanced Plan is a lifetime maximum.
Unlike your annual maximum, this lifetime orthodontia maximum is the
most your plan will pay for orthodontia services per member per lifetime. It
does not “reset” each year like your annual maximum.
10 2019 Benefits Enrollment Dentsu Aegis Network 11
