Jefferson offers the choice of two dental plans, or you may waive dental coverage:
- Delta Dental Plan
- Aetna Dental Maintenance Organization (DMO)
The comparison chart below compares differences in the way the plans operate. Since you will receive greater coverage with a network provider, we urge you to visit the Delta and Aetna websites to locate providers before selecting a plan.
Your dental enrollment is separate from your health enrollment so you may select both, one plan or no coverage. You can have different coverage levels in the medical and dental plans, from single to family.
|Delta Dental PPO||Aetna DMO|
|Network||Delta Dental participating providers
offers greatest coverage
|Must use Aetna DMO network|
|Annual Deductible||$50 single/$150 family||None|
|Annual Maximum||$2,000 PPO participating provider
$1,700 Premier Plan non-participating provider
|Preventative and Diagnostic Care||100% no deductible||100%
50% space maintainers
|Basic and Restorative Services||80% after deductible||100%
|Major Services||50% after deductible||50%|
|Orthodontia||50% after seperate $50 deductible||50% of pre-negotiated fee|
|Claim Information||Provide your dentist with your
social security number and
your group identification number
which is 2564
|No claim forms|
For Delta dental you will have the lowest out-of-pocket costs if you use a provider who participates in the Delta network. Out-of-network providers can balance bill you, meaning that they can charge to their full rate above what the insurance plan pays.
For the Aetna DMO there is no coverage if you use a provider who is not in the Aetna DMO network. Aetna has other dental networks so when you select a provider please be sure they participate in the DMO network.