Notice
Change Healthcare announced a breach of HIPAA privacy and is reaching out to individuals whose personal information may have been compromised. Although this incident does not involve Delta Dental of New Jersey or Connecticut, Change Healthcare is a vendor we used and we are providing this information to help our members who might be affected.
Tata Consultancy Services Plan Comparison
Delta Dental vs. Current Plan Comparison
| Delta Dental | Current Plan | |
|---|---|---|
| Service | (Low, High, Platinum Plans) In-Network |
(Low, High, Platinum Plans) In-Network |
| Annual Maximum (per person)
|
$1,500, $2,500, $5,000 |
$1,500, $2,500, $5,000 |
| Annual Deductible (waived for Preventive & Diagnostic) | ||
| Per person | $50 | $50 |
| Family aggregate |
$150 |
$150 |
| Preventive & Diagnostic | ||
| Cleaning and exam frequency: Delta Dental - two per calendar year with no interval limitations; Cigna - one every six months, Bitewing X-Rays, Fluoride Treatment (Frequency limitations apply) |
100%/100%/100% |
100%/100%/100% |
| Basic Services | ||
| Fillings, Simple Extractions, Root Canals (Endodontics), Oral Surgery, Sealants, Space Maintainers, Repair of dentures |
80%/80%/80% |
80%/80%/80% |
| Major Services | ||
| Crowns & Gold Restorations, Bridgework, Full & Partial Dentures, Periodontics (Surgical), Implants |
50%/50%/50% |
50%/50%/50% |
| Orthodontics (Child to Age 19) | ||
| Co-insurance | 50%/50%/50% | 50%/50%/50% |
| Lifetime maximum |
$1,000/$2,000/$5,000 |
$1,000/$2,000/$5,000 |
| Don't leave unused benefits on the table with CarryOverMaxSM |  |
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| Delta Dental's Carryover MaxSM benefit lets members carry over up to 25% of their unused annual maximum into the following year (and beyond) to increase future benefits. |
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| Special Health Care Needs Benefit |
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Members with qualifying special health care needs (physical, mental, developmental, emotional, and other impairments or limiting conditions) are eligible for additional dental examinations/consultations, up to four cleanings per benefit period instead of the usual two, and treatment delivery modifications (including anesthesia). |
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| Integrated Health |
|
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| Members diagnosed with qualifying medical conditions are eligible for extra benefits (please refer to plan documents for details). |
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| Oral Health Enhancement | |
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| Members who have previously treated for periodontal (gum) disease are eligible for up to four cleanings and/or periodontal maintenance procedures per benefit period instead of the usual two. |
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| Missing Tooth Inclusion | |
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| While other plans consider missing teeth to be a pre-existing condition, we don’t. You’re covered in full on day one regardless of whether you lost a tooth before or after joining Delta Dental. |
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| Hearing Savings Program | |
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| Through Delta Dental's partnership with Amplifon, members save on hearing exams, hearing aids, and more. |
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| Cone beam Imaging | |
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| This computed tomography (CT) scan provides a three-dimensional view of your mouth structure that gives more detail than traditional x-rays. (One per calendar year). |
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| Athletic Mouth Guards |
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| For children, we cover one every two years. |
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| Teledentistry |
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| Get 24/7 virtual access to a dentist for emergency and after-hours care if your regular dentist is unavailable |
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*Please be advised: If you use an out-of-network provider, you may be balanced billed by the provider.
Special Health Care Needs Benefit
Helping to break down barriers to care with an enhanced benefit
Special Healthcare Benefit
Missing Tooth Inclusion
While other plans consider missing teeth to be a pre-existing condition, we don’t.
Missing Tooth Inclusion
Hearing Savings Program
Access huge savings on hearing aids and services with this enhancement
Hearing Savings Program
Delta Dental of New Jersey is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
