Page 13 - Waterjet Holdings- OE Guide 2015
P. 13
2015 Benefits Guide
Dental Coverage
Dental coverage is offered through Delta Dental. Our dental plan makes
dental care more affordable for employees and their families. Remember to
choose an in-network dentist to ensure you’re receiving the deepest level of
discounted services.
With this coverage you’ll have broad access to PPO and Premier providers. Find an In-Network
With an expansive selection of network providers you have a better Provider
chance of avoiding additional out-of-pocket exposure or “balance billing”. 1. Visit www.deltadental.com
Balance billing is the practice of non-network providers billing the patient
for amounts that exceed the reimbursement amount under a patient’s 2. Click on the Dentist tab from
the homepage
dental plan. The patient is responsible for the additional amounts charged.
Therefore, it is important to use a PPO or Premier provider to avoid 3. Click on “Find a Dentist” on
excessive out-of-pocket exposure. the right-hand side of the
page
PPO Premier Out-of-Network 4. Click the “Delta Dental PPO
Calendar Year Deductible Network”
Individual $0 $50 $50
Family $0 $150 $150 5. Complete your additional
Calendar Year Maximum search criteria information
Individual Beneit $2,000 per person Select a provider in-network to
Dental Services receive the deepest level of
Preventive 100% 100% 100% discount on your services.
Basic 80% 80% 80%
Major 50% 50% Ded/50%
Orthodontia
Coinsurance 50% 50% 50%
Lifetime Maximum $1,500 $1,500 $1,500
Orthodontia services are available for adults and dependent children to
age 26.
Monthly Dental Contributions
Employee $13.10
Employee + Spouse $27.51
Employee + Child(ren) $23.58
Family $41.91
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Dental Coverage
Dental coverage is offered through Delta Dental. Our dental plan makes
dental care more affordable for employees and their families. Remember to
choose an in-network dentist to ensure you’re receiving the deepest level of
discounted services.
With this coverage you’ll have broad access to PPO and Premier providers. Find an In-Network
With an expansive selection of network providers you have a better Provider
chance of avoiding additional out-of-pocket exposure or “balance billing”. 1. Visit www.deltadental.com
Balance billing is the practice of non-network providers billing the patient
for amounts that exceed the reimbursement amount under a patient’s 2. Click on the Dentist tab from
the homepage
dental plan. The patient is responsible for the additional amounts charged.
Therefore, it is important to use a PPO or Premier provider to avoid 3. Click on “Find a Dentist” on
excessive out-of-pocket exposure. the right-hand side of the
page
PPO Premier Out-of-Network 4. Click the “Delta Dental PPO
Calendar Year Deductible Network”
Individual $0 $50 $50
Family $0 $150 $150 5. Complete your additional
Calendar Year Maximum search criteria information
Individual Beneit $2,000 per person Select a provider in-network to
Dental Services receive the deepest level of
Preventive 100% 100% 100% discount on your services.
Basic 80% 80% 80%
Major 50% 50% Ded/50%
Orthodontia
Coinsurance 50% 50% 50%
Lifetime Maximum $1,500 $1,500 $1,500
Orthodontia services are available for adults and dependent children to
age 26.
Monthly Dental Contributions
Employee $13.10
Employee + Spouse $27.51
Employee + Child(ren) $23.58
Family $41.91
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