2024 dental plans
- Basic Plus Plan
- Standard Plan
- Enhanced Plan
Key features
- Free in-network preventive and diagnostic care
- Affordable coverage that helps you manage the cost of dental treatment
- Wide network of providers that have agreed to negotiated rates, which helps you save money
- Rollover feature that applies part of your unused dental benefits to the following year and beyond (certain rules apply).
Finding in-network dentists is easy!
You’ll generally pay less when you stay in network. Visit the Delta Dental of North Carolina website to find an in-network dentist near you.
| In-network benefits* | Basic Plus Plan | Standard Plan | Enhanced Plan | |
|---|---|---|---|---|
| Individual/family deductible | $50/$150 | $50/$150 | $50/$150 | |
| Annual maximum benefit | $1,000 | $1,500 | $2,000 | |
| Services | ||||
| Preventive services | You pay $0 | You pay $0 | You pay $0 | |
| Basic services | You pay 30%, plan pays 70% | You pay 20%, plan pays 80% | You pay 20%, plan pays 80% | |
| Major services | You pay 50%, plan pays 50% | You pay 50%, plan pays 50% | You pay 50%, plan pays 50% | |
| Orthodontia | Not covered | Not covered | You pay 50% | |
| Orthodontia maximum lifetime | Not covered | Not covered | $2,500 | |
| Orthodontia eligibility | N/A | N/A | Any age | |
For complete cost and coverage, visit https://www.mercermarketplace365plus.com/calyx.
Use your dental benefits wisely
Here’s how to make the most of your dental benefits:
- Choose a provider – Using a participating dentist in the PPO Plus Premier network will ensure you receive the highest benefits from your plan. To find a provider, go to Delta Dental of North Carolina.
- If your service will exceed $300, request a pretreatment estimate. You should always submit a request for a pretreatment estimate for procedures and services your dentist believes will exceed $300 (procedures such as crowns, inlays, bridges, and periodontics). For more information, call (800) 662-8856 or visit the Delta Dental of North Carolina website.
- Check your claim status and other information at Delta Dental of North Carolina. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.