PLAN OPTION ONE | DELTA DENTAL HIGH PLAN
Calendar Year maximum: $1250; Has lifetime orthodontic benefit of $1000 up to age 19; Coverage is 100% for Diagnostic and Preventative services (see plan summary for details); Coverage is 80% for restorative, oral surgery, periodontics, endodontics, prosthetic maintenance, and emergency dental care (see plan summary for details); Coverage is 50% for Prosthodontics and Major restorative (see plan summary for details)