Underwritten by Delta Dental Insurance Company
Benefits & coverage
Annual Max Benefit
Rountine exams (two per benefit year)
Cleanings (two per benefit year)
X-rays (bitewings -2 per benefit year)
Fluoride treatments (once per benefit year to age 16)
Space maintainers (to age 16)
Sealants (to age 16)
X-rays (full mouth-1 per 5 years)
Emergency exams and palliative (pain relief) treatment
Fillings (silver (amalgam) and tooth colored (composite) on front teeth)
Oral surgery (simple extractions)
Recementation of bridges, crowns, onlays
Oral surgery (surgical extractions including general anesthesia, IV sedation)
Oral surgery (all other)
Endodontics (root canals and pulpal therapy)
Non-surgical Periodontic (gum) maintenance
Surgical Periodontic (gum) maintenance
Crowns, onlays, and other ceramic restorations to permanent teeth
Denture (repair, reline, rebase and adjustments)
Bridge and crown repair
Major Services Waiting Period
Dental Limitations & Exclusions
EXCLUSIONS THAT APPLY TO DIAGNOSTIC SERVICES:
EXCLUSIONS THAT APPLY TO PREVENTIVE SERVICES:
EXCLUSIONS THAT APPLY TO RESTORATIVE SERVICES:
EXCLUSIONS THAT APPLY TO ENDODONTIC SERVICES:
EXCLUSIONS THAT APPLY TO PERIODONTIC SERVICES:
EXCLUSIONS THAT APPLY TO PROSTHODONTIC SERVICES:
EXCLUSIONS THAT APPLY TO ORAL SURGERY:
GENERAL EXCLUSIONS THAT APPLY TO ALL PROCEDURES:
Coverage is NOT provided for:
Frequently Asked Dental Questions
Delta Dental of Illinois plans include coverage for dental treatments in three different levels of benefits, which may be subject to waiting periods or frequency limitations. All levels of benefits are guaranteed issue.
Choose the plan level with the coverage that’s right for you.
Delta Dental of Illinois plans are available to people age 18 and older, their spouses/domestic partners, and their dependent unmarried children up to age 26. Disabled dependent children can remain on the policy after age 26.
AFEUSA is a membership organization that provides lifestyle-related benefits to its members. AFEUSA strives to bring the member the most current information on business, technology, and related processes to help the member grow the confidence needed to succeed. The association’s benefits are not insurance and do not provide coverage, they only provide discounts and services and are not affiliated with Delta Dental of Illinois.
Yes, but by staying within the network the chosen dentist cannot charge members the difference between their usual fee and the allowed plan fee (this difference is known as balance billing and can be avoided by staying in-network).
Delta Dental of Illinois provides dental coverage to more than 2 million members nationwide and has the largest national dental networks with 3 out of 4 of all dentists participating in a Delta Dental network nationwide.
The annual maximum benefit is the maximum benefit payable by the policy for all covered procedures completed in the plan year. The maximum varies depending on which plan is chosen.
Deductibles vary by plan level selected and are on a per person basis. A covered person must pay any their deductible amount before covered benefits are payable under the plan chosen.
As long as you go to an in-network dental provider, the plan can be billed and pay network dentists directly so no need to file a claim.
If a covered procedure is started before the benefit waiting period for that procedure ends, that procedure is not covered under the policy. The benefit waiting periods for covered procedures are listed in the Benefits section of the plan brochure.
The percentage of covered expense is the percentage that the plan will pay for a covered procedure. The percentage applicable may vary by covered procedure and is shown in the Benefits section of the plan brochure.
Short Term Medical Insurance
Limited Fixed Indemnity Plans