Dental Coverage

Northeast Delta Dental
 - Toll Free 1-800-832-5700
 - Web Site www.nedelta.com

The College provides two levels of dental coverage through Northeast Delta Dental.  These plans are called the Preferred Plan and the Preferred Plus Plan.  The two plans are identical with one exception.  The Plus program has an orthodontia benefit.

The following illustrates the monthly employee/college cost sharing for 2009 for each plan.

Preferred Plan

Option Employee
Contribution

SMC
Contribution

Total
Cost

Employee Only $4 $37 $41
Employee + 1 $8 $70 $78
Family $10 $122 $132

Preferred Plus Plan

Option Employee
Contribution		 SMC
Contribution		 Total
Cost
Employee Only $8 $33 $41
Employee + 1 $16 $65 $81
Family $20 $128 $148

The dental plan year is from January 1 to December 31 of each year. 

Delta Dental Plan Comparison

Outline of Covered Services Preferred Preferred Plus
Plan A DIAGNOSTIC
  • Evaluations - once in a 6-month period.
  • X-Rays (Complete series or panoramic film) once in
      a 3-year period, bitewing X-Rays once in a 12-month
      period, X-Rays of individual teeth as necessary


    • PREVENTIVE
  • Cleanings (regular/periodontal maintenance)
      FOUR during a consecutive 12-month period
  • Two fluoride treatments in a consecutive 12-month
      period to age 19
  • Space maintainers to age 16
  • Sealant application to permanent molars,
      replacement allowed every 3 years; to age 19
    		•  100% 100%
    Plan B RESTORATIVE
  • Amalgam fillings
  • Composite fillings (anterior teeth only)


    • ORAL SURGERY
  • Surgical and routine extractions


    • ENDODONTICS
  • Root canal therapy


    • PERIODONTICS
  • Treatment of gum disease


    • DENTURE REPAIR
  • Repair of removable dentures to its original
      condition


    • EMERGENCY PALLIATIVE TREATMENT    		 80% 80%
    Plan C PROSTHODONTICS
  • Removable and fixed partial dentures (bridge);
      complete dentures*
  • Rebase and reline (dentures)
  • Crowns
  • Onlays
  • Implants*

    • *Note: Teeth missing before the effective date of a Delta plan are not considered a pre-existing condition. Full contract benefits are provided.

    		50% 50%
    Plan D ORTHODONTICS
  • Correction of crooked teeth for adults and children
    		•  N/A 50%
    Contract Year Maximum for services covered under A, B and C (excluding orthodontics) $2,000 $2,000
    Lifetime Orthodontics Maximum (per person) N/A $2,000
    Contract Year Deductible (applies to Coverage B & C) $50 Per Person

    $150 Per Family

    		 $50 Per Person

    $150 Per Family

    This is an outline. Please refer to your Dental Plan Description booklet for complete information.

    Eligibility: An employee who is scheduled to work a minimum of 32 hours per week for a minimum of 40 weeks per year is considered eligible for benefits.

    Important Note:  Information regarding benefit enrollment, effective dates of coverage, and policy specifics are available at the Office of Human Resources.  The College reserves the right to amend, change, or terminate any benefit plan at any time.  The descriptions above are intended to provide a brief summary  of the benefit plans.  If there is any discrepancy between the language in this summary and the actual policy or contract held in the Office of Human Resources, the actual policy or contract governs.