Benefit summaries for Small & Large Group plans in Alaska

Small Group dental plans

2023 plan year materials
2022 plan year materials

Go to Small Group overview page to review plans.

Large Group dental plans

2023 plan year materials

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

Plan	Deductible	Annual Max	Exams and cleanings
Premier Plans
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® Radiant Smiles Plan	$50	N/A	0%
Delta Dental Premier® Preventive Mandated Plan	$25	N/A	0% after deductible
Premier Preventive First Plans
Delta Dental Premier® +1000 100/80/50 50 PF	$50	$1,000	0%
Delta Dental Premier® +1500 100/80/50 50 PF	$50	$1,500	0%
Delta Dental Premier® +2000 100/80/50 50 PF	$50	$2,000	0%
Delta Dental Premier® +2500 100/80/50 50 PF	$50	$2,500	0%
Delta Dental Premier® +3000 100/80/50 50 PF	$50	$3,000	0%
PPO Plans
PPO Plus 1	$25	$1,100	0%*
PPO Plus 2	$25	$1,600	0%*
PPO Plus 3	$25	$2,100	0%*
PPO Plus 4	$25	$2,600	0%*
PPO Plus 5	$25	$3,100	0%*
PPO Preventive First Plans
Delta Dental PPO^SM PF 1000 100/90/50 50	$50	$1,000	0%
Delta Dental PPO^SM PF 1500 100/90/50 50	$50	$1,500	0%
Delta Dental PPO^SM PF 2000 100/90/50 50	$50	$2,000	0%
Delta Dental PPO^SM +2500 100/90/50 50	$50	$2,500	0%
Delta Dental PPO^SM +3000 100/90/50 50	$50	$3,000	0%
PPO Preventive First Voluntary Plans
Delta Dental PPO^SM PF Voluntary 1000 100/90/50 50	$50	$1,000	0%
Delta Dental PPO^SM PF Voluntary 1500,100/90/50 50	$50	$1,500	0%
Delta Dental PPO^SM PF Voluntary 2000 100/90/50 50	$50	$2,000	0%

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 PPO^SM, 1000, 100*/90/50, 50	$50	$1,000	0%
Delta Dental PPO^SM, 1500, 100*/90/50, 50	$50	$1,500	0%
Delta Dental PPO^SM, 2000, 100*/90/50, 50	$50	$2,500	0%
PPO Preventive First Plans¹
Delta Dental PPO^SM, 2500, 100*/90/50, 50	$50	$1,000	0%
Delta Dental PPO^SM, 3000, 100*/90/50, 50	$50	$1,500	0%
PPO Voluntary Plans
Delta Dental PPO^SM, Voluntary, 1000,100*/90/50, 50	$50	$1,000	0%
Delta Dental PPO^SM, Voluntary, 1500,100*/90/50, 50	$50	$1,500	0%
PPO Preventive First Voluntary Plans¹
Delta Dental PPO^SM, PF Voluntary, 2000,100/80/50, 50	$50	$2,000	0%
Delta Dental PPO^SM, PF Voluntary, 2500,100/80/50, 50	$50	$2,500	0%
Delta Dental PPO^SM, PF Voluntary, 3000,100/80/50, 50	$50	$3,000	0%
Delta Dental PPO^SM, PF Voluntary, 2000,100*/80/50, 50	$50	$2,000	0%
Delta Dental PPO^SM, PF Voluntary, 2500,100*/80/50, 50	$50	$2,500	0%
Delta Dental PPO^SM, 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.

Benefit summaries for Small & Large Group plans in Alaska

Small Group dental plans

Large Group dental plans

2023 Alaska Small Group dental plans (1-50)

2023 Alaska Large Group dental plans (50 +)

Premier plans

PPO plans

Voluntary plans

Ortho plans

2022 Alaska Small Group dental plans (1-50)

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