Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Your dental benefits

Knowing how much you pay for your dental benefits makes you a smarter consumer. To help you understand your 2017 AlaskaCare dental benefits, we've created a handy summary chart for you to see the differences between the AlaskaCare Standard plan and AlaskaCare Economy plan.

AlaskaCare 2017 dental plan summaries

1 Deductible waived

Premiums are subject to change.

Note that although the Preventive plan offers limited coverage for non-preventive procedures, it will still save you money by restricting the cost for those services to Delta Dental's negotiated rates. This only applies when you see a provider in the Delta Dental Premier network.

AlaskaCare has provided the above benefit summaries. Moda Health/Delta Dental of Alaska are not responsible, in any way, for the accuracy of such information. For a more detailed description refer to your Member Handbook. If you have any questions about this information, please contact your AlaskaCare plan administrator at 800-821-2251.

Effective Jan. 1, 2017
  Standard Economy
Monthly plan premiums
Employee-only $34 $0
Employee and family $93 $0
Calendar year costs
Maximum per person $1500 $500
Deductible per person $25 $25
Deductible per family $75 $75
Service Benefit amount Benefit amount
Preventive
Exams and X-rays
Cleanings
Sealants, topical fluoride
Space maintainers
  100%1 100%
Basic
Restorative fillings
Oral surgery (extractions and certain minor surgical procedures)
Endodontics (treatment of teeth with diseased or damaged nerves)
Periodontics (treatment of diseases of the gums and supporting structures of the teeth)
  80% 10%
Major
Implants
Crowns and other cast restorations
Dentures and bridges (construction or repair of fixed bridges, partial and complete dentures)
  50% 10%
Orthodontics
Eligible employees and their covered dependents 50% coinsurance up to a $1,000 lifetime maximum N/A

To learn more about the enhanced dental plans, please visit AlaskaCare.gov. You can also call Delta Dental of Alaska for questions about your benefits at 855-718-1768.

 

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