plan details

dental plans

Delta Dental Premier PPO

The PPO plan gives you access to the largest network of dentists in the State of Illinois and the option of seeing a Delta Dental provider anywhere in the country. The plan features benefits for services both in and out-of-network. If you visit an in-network dentist, you will receive a larger annual maximum benefit.

Plan Cost

6 Month

12 Month

Student

$347.38

$446.96

Student + Spouse

$689.32

$928.85

Student + Children

$744.81

$1185.45

Student + Family

$1,326.91

$1,788.37

A payment processing fee is included in the total plan cost.

Highlights of the PPO plan include:

  • No waiting periods.
  • Ability to select the dentist of your choice..
  • Preventive and Diagnostic services covered at 100%.
  • Annual maximum benefit of $1,500 per-person.
  • Additional Preventative visits with the Enhanced Benefits Program.
 

6-month PPO Plan Summary ($750 max benefit)

12-month PPO Plan Summary ($1,500 max benefit)

Plan Cost

6 Month

12 Month

Student

$89.78

$176.13

Student + Spouse

$172.56

$338.54

Student + Children

$191.58

$375.87

Student + Family

$248.28

$487.11

A payment processing fee is included in the total plan cost.

Highlights of the DeltaCare DHMO include:

  • No waiting periods
  • Preventive and Diagnostic services covered at 100%.
  • No deductibles or annual maximums.
  • Coverage for orthodontic services.
  • Easy to understand copayment schedule with fixed costs.
 

DHMO Plan Co-payment Schedule 

Please note:  Your Primary Care Dentist must be located in Illinois.

DELTAVISION PLAN

The DeltaVision plan provides students with access to Eyemed’s national network of vision providers.  In-network benefits can be used at local providers and popular retail chains. Students can take advantage of online ordering options through Contacts Direct and Glasses.com

Plan Cost

6 Month

12 Month

Student

$46.33

$86.08

Student + Spouse

$85.58

$163.08

Student + Children

$95.22

$182.00

Student + Family

$135.28

$260.60

A payment processing fee is included in the total plan cost.

Highlights of the plan include:

Please note:  An ID card is not required to use your benefits.