[ DENTAL PLAN ]
COVERAGE TOSMILE ABOUT
Worthington Steel offers two Delta Dental plan options: the Value Plan and Premium Plan. You may choose dentists in the Delta Dental Premier and PPO networks.
ID Cards
You don’t need your ID card to receive services — just tell your dentist that you have the Delta Dental PPO Plan.
Compare Your Costs
| BENEFIT | VALUE PLAN | PREMIUM PLAN |
|---|---|---|
| ANNUAL MAX COVERED BY PLAN | $1,000 per person | $2,000 per person |
| INDIVIDUAL/FAMILY DEDUCTIBLE Embedded deductible |
$50/$150 | $25/$75 |
| PREVENTIVE CARE Examples: exams, cleanings, bitewing X-rays |
No deductible, paid at 100% | No deductible, paid at 100% |
| RESTORATIVE CARE Examples: fillings, crown repair |
Paid at 80% | Paid at 80% |
| ORAL SURGERY | Paid at 80% | Paid at 80% |
| MAJOR CARE Examples: crowns, bridges, dentures, root canal, gum disease treatment, implants |
No coverage | Paid at 50% |
| ORTHODONTIA | No coverage | No deductible, paid at 50% ($1,500 lifetime maximum per member; no age limit) |
A comprehensive list of services by category (Preventive, Restorative, and Major) is available by contacting Delta Dental.
Monthly Employee Contributions
| VALUE PLAN | PREMIUM PLAN | |
|---|---|---|
| EMPLOYEE ONLY | $18.50 | $31.99 |
| EMPLOYEE + CHILD(REN) | $50.60 | $78.85 |
| EMPLOYEE + SPOUSE | $34.66 | $60.84 |
| EMPLOYEE + FAMILY | $75.55 | $119.69 |
Value Plan
This plan covers:
- Preventive services — periodic exams and cleanings
- Restorative procedures —fillings and extractions
Premium Plan
This plan covers:
- Preventive services — periodic exams and cleanings
- Restorative procedures — fillings and extractions
- Major procedures — root canals and crowns
- Orthodontia is also covered.
- 800-524-0149
- deltadentaloh.com/worthington-steel