Page 12 - MCU Benefits Enrollments Guide
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Delta Dental Network


                          Remember Delta Dental offers you access to two networks, PPO and Premier.  While
               you can visit any dentist, with a Delta Dental PPO dentist (Average savings of 22% on submitted
               fee), you will receive the In-Network benefit level and you will not be billed for any balance. As
               a safety net, Delta Dental offers the Delta Dental Premier Network (Average savings of 8% on
               submitted fee) for additional benefits with no balance billing.

               Finding a Participating Dentist: To find a participating dentist, visit Delta Dental’s Web site at
               www.DeltaDentalNC.com and choose Delta Dental PPO or Delta Dental Premier. You can also
               call our Customer Service Department at (800)662-8856 or simply ask your dentist if he/she is a
               participating Delta Dental dentist.




             Employee Cost for Dental





                                       Employee Semi-Monthly Deductions
               Length of       Employee Only         Employee &         Employee &           Employee &
             Employment                                 Spouse            Child(ren)            Family
             0 Years to less
              than 2 Years          $11.03              $22.27             $28.92               $43.89

             2 Years to less
              than 5 Years           $7.88              $15.91             $20.66               $31.35

             5 Years to less
              than 10 Years          $4.73               $9.54             $12.39               $18.81

               10+ Years             $0.00               $0.00              $0.00               $0.00













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