Notice
We will be closed on Thursday, June 19, in observance of Juneteenth. This federal holiday marks June 19, 1865, when slavery officially ended in the United States. To learn more about this important historical day, please visit this resources page.
From Friday May 23rd through Friday, August 29, 2025: Customer Service hours will be 8:00 AM – 6:30 PM EST Monday through Thursday and 8:00 AM - 1:00 PM EST on Friday.
To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at 800-452-9310.
Premium plan benefit summary
Delta Dental Unlimited Program for UPFFA CT Locals (endorsed and administrated by the IAFF Health & Wellness Trust)
Plan Highlights
- Unlimited calendar year maximum for all networks
- 100% coverage for most services if seeing a PPO Dentist
- Implant and Orthodontic coverage
| Service | In-Network If a Delta Dental PPO™ Dentist is Used |
In-Network If a Delta Dental Premier® Dentist is Used |
Out-of-Network If a Non-Participating Dentist is Used |
|---|---|---|---|
| Calendar year maximum (per person) | Unlimited | Unlimited | Unlimited |
| Annual deductible (waived on Preventive & Diagnostic) | |||
| Per person | None | $200 | $200 |
| Family maximum | None | $600 | $600 |
| Preventive | |||
| Exams | 100% | 80% | 80% |
| Bitewing X-rays | 100% | 80% | 80% |
| Full mouth X-rays (a series of individual X-rays or a panoramic X-ray) | 100% | 80% | 80% |
| Diagnostic | |||
| Cleanings | 100% | 70% | 70% |
| Fluoride (to age 19) | 100% | 70% | 70% |
| Sealants | 100% | 50% | 50% |
| Space maintainers | 100% | 50% | 50% |
| Basic | |||
| Fillings (composite fillings on all teeth) | 100% | 50% | 50% |
| Simple extractions | 100% | 50% | 50% |
| Cone Beam Radiographs | 100% | 50% | 50% |
| Repair of Dentures | 100% | 50% | 50% |
| Oral Surgery | 100% | 50% | 50% |
| Anesthesia/IV Sedation | 100% | 50% | 50% |
| Major Services | |||
| Endodontics – The care of teeth with damaged nerves, such as root canal treatment | 100% | 50% | 50% |
| Crowns – Repair of teeth with crowns when they cannot be restored with other filling materials | 90% | 50% | 50% |
| Periodontics – The treatment of disease of the gums and supporting bone, such as scaling and root planing | 90% | 50% | 50% |
| General services (Consultation) | 60% | 50% | 50% |
| Oral surgery – Surgical extractions and other dental surgery | 50% | 50% | 50% |
| Bridgework; bridges | 50% | 50% | 50% |
| Implants | |||
| Treatment | 50% | 50% | 50% |
| Annual TMJ maximum (per person) | $2,000 | $2,000 | $2,000 |
| TMJ | |||
| Treatment | 50% | 50% | 50% |
| Annual TMJ maximum (per person) | $1,000 | $1,000 | $1,000 |
| Lifetime TMJ maximum (per person) | $5,000 | $5,000 | $5,000 |
| Orthodontics | |||
| Treatment (Adult & Child) | 50% | 50% | 50% |
| Lifetime Orthodontics maximum (per person) | $1,000 | $1,000 | $1,000 |
