Benefits
Dental
Insurance- Delta Dental
Saint
Louis University offers three plans with Delta Dental. Option
1, Flex Option, (9142-1000) provides the highest level of
benefits as well as coverage in the PPO network, and out of
the PPO network. The Flex option also includes adult and child
orthodontia. Option 2, Basic Plus, (9143-5000) provides
a lower level of benefits, and requires that you see a Delta
PPO dentist to receive these benefits. The Basic Plus option
offers orthodontia for children. The Basic plan, Option 3,
(9143-1000) offers a lower level of benefits than Option 2,
and does not include orthodontia. For the Basic plan, you must
use a Delta PPO dentists to receive benefits.
Click
here to see the schedule
of benefits for each plan.
Dental
Plan Rates Effective January 1, 2008
| Biweekly |
Option 1
Flex Option
|
Option 2
Basic Plus Option
|
Option 3
Basic Option
|
| Employee Only |
11.61 |
7.58 |
5.37 |
| Two Person |
22.72 |
14.38 |
10.51 |
| Family |
38.88 |
24.46 |
18.80 |
| Monthly |
Option 1
Flex Option
|
Option 2
Basic Plus Option
|
Option 3
Basic Option
|
| Employee Only |
25.14 |
16.41 |
11.63 |
| Two Person |
49.21 |
31.15 |
22.76 |
| Family |
84.24 |
52.98 |
40.72 |
Please see the Summary Plan Description
for a complete description of the dental benefits available
through Delta Dental. Delta Dental's FAQs
provide helpful information as well.
Please
note that not all services are in the same categories for
all Plan Options. For example, bitewing and periapical x-rays
as required are in coverage Section A. Preventative Services
for the Flex Option, and coverage Section B. Basic Services
for the Basic and Basic Plus Options. These levels of coverage
have different percentages of coverage associated with each
category.
To
seach for a dentist in the PPO network, visit www.deltadentalmo.com,
and click "Subscribers" and "Dentist Search."
Please note, if you have Option 2 or Option 3, you will only
receive dental benefits when you visit a Delta PPO network dentist.
Click
here for an Enrollment/Change
form.