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Human Resources
Dental Insurance
Eligibility:
All regular full-time University employees and those part-time employees who are regularly scheduled to work at least 30 hours per week.
Who Pays:
University/Employee
Effective Date:
Faculty and Salaried employees: upon employment.
Hourly Rated employees: upon completion of a 90-day orientation period.
Description:
Delta Dental of Michigan provides eligible Andrews University faculty and staff with dental coverage through the DentalPremier plan. The plan covers services such as bridgework, cleaning, crowns, dentures, emergency treatment, fillings, oral exams, orthodontics, root canals, treatment of gum disease, and x-rays.
Summary of Dental Plan Benefits
If you want to find a preferred provider for your dental needs, visit the Delta Dental website at www.deltadental.com.
This Summary of Dental Plan Benefits should be read in conjunction with your Dental Care Certificate. Your Dental Care Certificate will provide you with additional information about your Delta Dental plan, including information about plan exclusions and limitations. In the event that you seek treatment from a dentist that does not participate in any of Delta Dental's programs, you may be responsible for more than the percentage indicated below.
Control Plan - Delta Dental Plan of Michigan
Benefit Year - July 1 through June 30
Covered Services
| Plan Pays | You Pay | |
| Class I Benefits | ||
| Diagnostic and Preventitive Services - Used to diagnose and/or prevent dental abnormalties or disease (includes exams, cleanings and fluoride treatments) | 100% | 0% |
| Emergency Palliative Treatment - Used to temporarily relieve pain | 100% | 0% |
| Radiographs - X-rays | 100% | 0% |
| Sealants - Used to prevent decay of pits and fissures of permanent back teeth | 100% | 0% |
| Class II Benefits | ||
| Oral Surgery Services - Extractions and dental surgery, including preoperative and postoperative care | 75% | 25% |
| Endodontic Services - Used to treat teeth with diseased or damaged nerves (for example, root canals) | 75% | 25% |
| Periodontic Services - Use to treat diseases of the gums and supporting structures of the teeth | 75% | 25% |
| Relines and Repairs - Relines and repairs to bridges and dentures | 75% | 25% |
| Minor Restorative Services - Used to repair teeth damaged by disease or injury (for example, fillings) | 75% | 25% |
| Major Restorative Services - Used when teeth can't be restored with another filling material (for example, crowns) | 75% | 25% |
| Class III Benefits | ||
| Prosthodontic Services - Used to replace missing natural teeth (for example, bridges and dentures) | 75% | 25% |
| Class IV Benefits | ||
| Orthodontic Services (to age 24) - Used to correct malposed teeth and/or facial bones (for example, braces) | 50% | 50% |
If you're planning on traveling outside the United States, you can receive emergency dental treatment through a worldwide dental network of English speaking dentists called Europ Assistance. And, English speaking customer service is available 24-hours a day, seven days a week to help you find a Europ Assistance dentist. Contact your Benefits representative to obtain the Europ Assistance brochure before you travel. Europ Assistance is offered through our exclusive agreement with Delta Dental Plan of Minnesota and this coverage will not be available to you if this agreement terminates.
Maximum Payment - $1,000 per person total per benefit year on Class I, Class II, and Class III Benefits. Delta Dental's payment for Class IV Benefits will not eceed a lifetime maximum of $1,760 per eligible person.
A Fast and Free Way to Check Your Dental Benefits
In Delta Dental's ongoing effort to give you and your family superior service, they have created the Subscriber Toolkit - a very secure online site available to you 24/7 to help you understand and review key elements of your dental benefits.
The Subscriber Toolkit gives our covered subscribers and their spouses easy access to pertinent information about their benefits. Privacy of your online benefit information is assured through highly secure encryption technology.
This is an easy-to-use, free service (no software purchase or download involved) that lets you:
- Verify eligibility of subscriber and dependents
- Review up-to-date benefits information (such as how much of your yearly benefit has been used to date, how much is still available to use, and levels of coverage for specific dental services, etc.)
- Pull up a specific claim and see what has been approved and when it was paid.
- Print your own subscriber ID cards and claim forms
- Review oral health information, privacy policies, and more
<< Return to Regular Benefits Overview
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