Dental
Elmet Technologies offers a comprehensive dental plan through Northeast Delta Dental with a generous $1,500 calendar year maximum. You are encouraged to visit in-network dentists to reduce your out-of-pocket costs and avoid getting balance billed. Please refer to the Benefits Summary for complete details about the Northeast Delta Dental dental plan.
To locate participating providers, access www.nedelta.com and select “Find a Dentist” to get started. You may select “Delta Dental PPO” or “Delta Dental Premier” as the dental network.
You can also call Northeast Delta Dental at (800) 832-5700.
Below is a benefit summary of your annual deductible and co-insurance costs.
| NORTHEAST DELTA DENTAL | Delta Dental PPO Network + Delta Dental Premier Network |
|---|---|
|
Deductible
|
$50 individual | $150 Family |
|
Type A - Preventive Services (Deductible Waived): Exams, cleanings, and bitewing x-rays
|
Plan pays 100% |
|
Type B - Basic Services (After Deductible): Fillings, simple & surgical extractions, and more
|
Plan pays 80% |
|
Type C - Major Services (After Deductible): Crowns, implants, dentures, and more
|
Plan pays 50% |
|
Type D - Orthodontia; Adults & Children (After Deductible):
|
Plan pays 50% |
|
Orthodontia Lifetime Maximum
|
$1,500 per person |
|
Annual Maximum (per person)
|
$1,500 per person |
Important Notes
-
No age limitations for coverage
-
Deductible (waived for preventive)
-
Members utilizing Northeast Delta Dental participating dentists will enjoy discounted dental fees in addition to protection from balance billing for charges above the dentist’s maximum allowable charges. Members utilizing non-participating dentists will have the same benefits but may be subject to balance billing.
-
Claims for any of your covered dependents should be submitted under your Subscriber ID
Claims Process
In-Network
- Participating Northeast Delta Dental dentists file the claim and accept payment from Northeast Delta Dental
- Employees should not need to pay at the time of service for participating providers
Out-of-Network
- For out-of-network dentists, employee pays at the time of service and files a claim for reimbursement
- The plan reimburses the lesser of the dentist's actual submitted charge or Delta Dental's allowance for non-participating dentists in the geographic area in which services were provided
