Dental Plan Options

Please visit the USG Dental Options Page to view:

  • Dental plan options
  • Price comparison charts
  • How to search for a Delta Dental Provider
  • Benefits Summaries and Plan Documents

2016 Dental Plan Benefit Comparison Chart

  • Type
    Delta Dental Base Plan
    Delta Dental High Plan
  • Annual Deductible
    $50 per individual / $150 for Family
    $50 for individual / $150 for Family
  • Annual Plan Benefit Maximum
    per person
    $1,000 per person*
    $1,500 per person*
  • Diagnostic/Preventive
    services*
    100%
    100%
  • Basic Benefits Services
    80%
    80%
  • Major Services**
    50%
    80%
  • Orthodontia
    (child and adult)
    No Coverage
    80%
  • Lifetime Orthodontia
    Maximum
    N/A
    $1,000

* Preventive and diagnostic services don’t count toward the annual maximum.
** Benefit limits on full replacement of existing dentures or crowns apply.

2016 Monthly Premiums

  • Type
    Delta Dental Base Plan
    Delta Dental High Plan
  • Employee Only
    $31.60
    $39.04
  • Employee + Child(ren)
    $60.00
    $74.16
  • Employee + Spouse
    $63.18
    $78.04
  • Family
    $101.06
    $124.90

Delta Dental Customer Service: 1-800-471-4214
www.deltadentalins.com/usg
Group Number: GA16711-11082

©