Alert

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Attention Delta Dental providers: Protect your practice and patient data with multi-factor authentication. As of October 20, 2025, all users will need their password and an additional way to confirm their identity to log in to their Delta Dental of Connecticut account. See how MFA works.
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Customer Service Hours: Customer Service will be closing at 1:00 PM ET on Friday, August 29th and will be closed on Monday, September 2nd in observance of Labor Day. Labor Day is a time to recognize the hard work and dedication of workers across the nation. We hope you enjoy a well-deserved break and have a relaxing holiday. 
To view benefit information and claim status at any time, please sign into your account or use our Interactive Voice Response System 24/7 at 1-800-452-9310.

Delta Dental PPO plus Premier™

Group #4616

Effective 1/1/25, for Delta Dental Basic and Delta Dental Plus plans, preventative services will no longer apply towards annual benefit maximum.

 

Service Delta Dental PPO Plus Premier™
Basic plan
Delta Dental PPO Plus Premier™ 
Plus plan 
Calendar year maximum (per person) $1,000 $1,700 
Calendar year deductible (waived on Preventive & Diagnostic)  
    Per person $50 $50 
    Family aggregate $100 $100 
Preventive & Diagnostic     
    Exams, Cleanings, Bitewing X-Rays (2 per calendar year) 100% 100% 
    Fluoride treatment (2 per calendar year for children to age 19) 100% 100%
    Sealants (to age 16) 100% 100% 
Basic Services (after deductible)    
    Extractions, Root canals (Endodontics)          80% 80%
    Periodontal, Oral surgery 80% 80%
    Repair of dentures            80% 80% 
    Fillings - Composite/Resin (anterior & posterior teeth) 80% 80%
Crowns & Prosthodontics (after deductible)     
    Crowns, gold restorations (payable every 8 years) Not a benefit 50% 
    Bridgework, full and partial dentures (payable every 8 years) Not a benefit 50% 
    Implants Not a benefit 50% 
Orthodontics (Adult and Dependent Children)    
    Co-insurance              Not a benefit 50% 
    Lifetime maximum (per person) N/A $1,700 
TMJ    
    Co-insurance              Not a benefit 50% 
    Lifetime maximum (per person) N/A $1,700 

Delta Dental’s Oral Health Enhancement Option enables you to receive up to four dental cleanings and/or periodontal maintenance procedures in any combination per benefit period if you have been treated for periodontal (gum) disease in the past. For the additional dental cleanings and/or periodontal maintenance procedures to be covered, you must have had periodontal surgery or periodontal scaling and planing in the past. Details on how to qualify can be found in your benefit booklet.

Your dentist's network will impact how much you pay. Dentists that help participate in the Delta Dental PPO will have the lowest costs and will save you the most out of pocket expense. Dentists that participate in Delta Dental Premier, are participating Delta Dental dentists, but you will pay a greater portion of the cost if utilized. If you receive services from a non-participating, out of network dentists, you will pay the most out of pocket and are responsible for your coinsurance amount plus the difference between Delta Dental's approved fee and the dentist submitted fee for the claim.