Non-Union Caregivers
Dental Benefits Overview
Benefit Plan Description Key Features What’s New This Year?
Delta Dental Plan
Rate Sheet

Enrollment Form

Base Plan Summary

Buy-Up Plan Summary

EPO Summary

Preferred Provider Network (PPO), which allows you to have services performed either in or out of the Delta Dental’s network of dentists.

Base plan provides a wide network of dentists; covers 100% of preventive exams and cleaning, 50% of X-rays, and has a $1,000 of Annual Maximum of coverage from Delta Dental.

Buy-Up plan provides a wide network of dentists; covers 100% of preventative services and has a $1,500 of Annual Maximum of coverage from Delta Dental.

New EPO plan has an exclusive network of providers – it works like an HMO so that you do not need to choose a primary dentist and there is no Annual Maximum for general services. Preventive services are covered 100% in-network.

Base plan with Buy-Up plan option Large network of dentists and dental specialists. Caregivers are able to choose their own dental provider within the PPO network

Search the Delta Dental Provider directory to find providers; choose PPO for Base and Buy-Up plans, and EPO for the new EPO plan.

EPO Plan

Find an EPO dentist here: http://search.providers4you.com/epo

The Dental and Vision plans will no longer be linked. If you elect a dental plan, you will no longer automatically be enrolled in a vision plan. Likewise, if you elect a vision plan, you no longer are required to elect a dental plan.

The Delta Dental Base Plan now covers preventative exams at 100%!

The Delta Dental Buy Up Plan now covers adult orthodontics!

 

For Information Call:

Total Rewards Hotline

517-364-5333

[email protected]

© Copyright 2022 Sparrow Health System

This is a summary of the benefits provided by each insurance carrier and it is not intended to fully describe the details of each benefit plan. Should any questions arise, the contracts in effect will take precedence.