Close Icon Dismiss modal Close Icon Dismiss modal External Icon Link to an external resource Gear Icon Display options X Icon X Icon Plus Icon Minus Icon Arrow Right Arrow Left Arrow Up Arrow Down Calendar Edit Refresh First Last Question Info Block PDF PDF Document Word Word Document Excel Excel Document Powerpoint Powerpoint Document Active Checkbox Checked checkbox Active Radio Selected radio button Checkmark Error Warning Visibile Hidden

Benefit summaries for Small & Large Group plans in Alaska


Small Group dental plans

Go to Small Group overview page to review plans.

Large Group dental plans

Go to Large Group overview page to review plans.



2023 Alaska Small Group dental plans (1-50)

Amounts are what members pay (in-network per person for ages 19+)

2023 Alaska Large Group dental plans (50 +)

Amounts are what members pay (in-network per person for ages 19+)

Premier plans

PPO plans

Voluntary plans

Ortho plans

 

2022 Alaska Small Group dental plans (1-50)

Amounts are what members pay (in-network per person for ages 19+)

2022 ALASKA
Plan Deductible Annual Max Exams and cleanings
Premier Plans
Delta Dental Premier®, 1000, 80*/80/50,50 $50 $1,000 20%
Delta Dental Premier®, 1000, 100*/80/50,50 $50 $1,000 0%
Delta Dental Premier®, 1500, 100*/80/50,50 $50 $1,500 0%
Delta Dental Premier®, 2000, 100*/80/50,50 $50 $2,000 0%
Delta Dental Premier®, 2500, 100*/80/50,50 $50 $2,000 0%
Delta Dental Premier®, 3000, 100*/80/50,50 $50 $2,000 0%
Delta Dental Premier® Preventive Mandated Plan $25 $500 0% after deductible
Delta Dental Premier® Radiant Smiles Plan $50 Not covered Not covered
Premier Preventive First Plans
Delta Dental Premier®, +1000, 100*/80/50,50,PF1 $50 $2,000 0%
Delta Dental Premier®, +1500, 100*/80/50,50,PF1 $50 $2,000 0%
Delta Dental Premier®, +2000, 100*/80/50,50,PF1 $50 $2,000 0%
Delta Dental Premier®, +2500, 100*/80/50,50,PF1 $50 $2,500 0%
Delta Dental Premier®, +3000, 100*/80/50,50,PF1 $50 $3,000 0%
Premier Voluntary Plans
Delta Dental Premier®, Voluntary, 1000, 100*/80/50,50 $50 $1,000 0%
Delta Dental Premier®, Voluntary, 1500, 100*/80/50,50 $50 $1,500 0%
PPO Plans
Delta Dental PPOSM, 1000, 100*/90/50, 50 $50 $1,000 0%
Delta Dental PPOSM, 1500, 100*/90/50, 50 $50 $1,500 0%
Delta Dental PPOSM, 2000, 100*/90/50, 50 $50 $2,500 0%
PPO Preventive First Plans1
Delta Dental PPOSM, 2500, 100*/90/50, 50 $50 $1,000 0%
Delta Dental PPOSM, 3000, 100*/90/50, 50 $50 $1,500 0%
PPO Voluntary Plans
Delta Dental PPOSM, Voluntary, 1000,100*/90/50, 50 $50 $1,000 0%
Delta Dental PPOSM, Voluntary, 1500,100*/90/50, 50 $50 $1,500 0%
PPO Preventive First Voluntary Plans1
Delta Dental PPOSM, PF Voluntary, 2000,100/80/50, 50 $50 $2,000 0%
Delta Dental PPOSM, PF Voluntary, 2500,100/80/50, 50 $50 $2,500 0%
Delta Dental PPOSM, PF Voluntary, 3000,100/80/50, 50 $50 $3,000 0%
Delta Dental PPOSM, PF Voluntary, 2000,100*/80/50, 50 $50 $2,000 0%
Delta Dental PPOSM, PF Voluntary, 2500,100*/80/50, 50 $50 $2,500 0%
Delta Dental PPOSM, PF Voluntary, 3000,100*/80/50, 50 $50 $3,000 0%
*Deductible waived for diagnostic and preventive services.
1(Only Class 2 and Class 3 services apply to the annual maximum).
 
Plan Lifetime max Eligible employees Dependent children
Orthodontia riders
Adult & Child Ortho 1000 $1000 50% 50%
Adult & Child Ortho 1500 $1500 50% 50%
Adult Ortho 1000 $1000 50% Not covered
Adult Ortho 1500 $1500 50% Not covered
Child Ortho 1000 $1000 Not covered 50%1
Child Ortho 1500 $1500 Not covered 50%1
1Treatment must be started prior to the child's 17th birthday.

Questions?

We’re here to help. Contact our Sales & Account service team.

You may also find your Membership Accounting contact via access your Employer Dashboard

......