Dental Benefits

Delta Dental of Washington provides Seattle University’s dental coverage. Delta Dental is a Preferred Provider Organization (PPO) plan that will cover your dental claims both in and out of network. You will receive the highest level of benefit if you use in-network providers. You may elect dental coverage independent of your medical/vision coverage. You can find a list of providers at www.deltadentalwa.com

Benefit  In Network  Out of Network
Calendar Year Deductible
$50 per person
$150 per family
Annual Benefit Maximum
$1,500 per person
Preventive Care Routine exams, x-rays, topical fluoride and space maintainers
100% of the allowed amount
(deductible waived)
80% of the allowed amount (deductible waived)
Basic Care Fillings, simple extractions, oral surgery, periodontic & endodontics (root canal therapy)
80% of the allowed amount after deductible
70% of the allowed amount after deductible
Major Care Inlays, onlays, crowns, bridges & dentures
50% of the allowed amount after deductible
40% of the allowed amount after deductible
Orthodontia
(Children only)
50% up to a maximum lifetime benefit of $1,500

This is a brief outline of the benefits provided. Refer to the Certificate of Coverage for a comprehensive description of plan benefits. Under all circumstances, the Certificate of Coverage will take precedence over information contained on this website.  You can access the certificate here: 2014 Delta Dental Certificate of Coverage

 

Last modified on Wednesday, August 06, 2014