Group Number
2531
Provided By
Delta Dental of New Mexico
Provider Website
https://www.deltadentalnm.com/
Customer Service
Dental Benefits
Dental insurance offers coverage for preventive care like routine exams, cleanings, and X-rays as well as basic and major services like fillings, extractions, root canals and crowns.
Keep in mind that your costs will generally be lower if you choose an in-network dentist. To find an in-network dentist, please visit www.deltadentalnm.com.
PPO Network |
Premier Network or OON |
|
|---|---|---|
Deductible (Individual/Family) |
$50 / $150 |
$50 / $150 |
Annual Maximum Benefit per Person |
$1,000 |
$1,000 |
Type I - Preventative Services |
Covered at 100% |
Covered at 80% |
Type II - Basic Services |
Covered at 80% |
Covered at 50% |
Type III - Major Services |
Covered at 50% |
Covered at 40% |
Type IV - Orthodontia Services (Child and Adult) |
Covered at 50% |
Covered at 50% |
Orthodontia Lifetime Maximum |
$1,000 |
$1,000 |
Per 26 Pay Period Cost |
|
|---|---|
Employee |
$6.74 |
Employee + Spouse |
$13.53 |
Employee + Child(ren) |
$11.79 |
Family |
$24.51 |
Group Number
2531
Provided By
Delta Dental of New Mexico
Provider Website
https://www.deltadentalnm.com/
Customer Service