Mainland U.S. residents
Take care of your oral health with a choice of two national dental plans from Delta Dental, both using the PPO Plus Premier network. Find full details on MyBenefits.
In-Network Highlights
| CORE OPTION | ENHANCED OPTION | |
|---|---|---|
|
In-Network |
||
|
Annual Deductible |
$50 Individual / $150 Family |
$50 Individual / $150 Family |
|
Annual Plan Maximum per individual |
$1,000 |
$2,000; roll over up to $600 to following year (see below for details) |
|
Preventive Care includes two preventive visits per year (or four if receiving periodontal therapy) |
You pay nothing |
You pay nothing |
|
Basic Restorative Care |
You pay 20%, after deductible |
You pay 20%, after deductible |
|
Major Restorative Care |
Not covered, you pay 100% |
You pay 50%, after deductible |
|
Orthodontia Care |
Not covered, you pay 100% |
You pay 50%, after deductible |
|
Orthodontia Lifetime Maximum per individual |
N/A |
$2,000 |
Colleague Contributions: To better understand and compare costs, view full-time colleague contributions for 2025 here.
Roll Over Benefits with Enhanced Option
For those enrolled in the Enhanced plan option, up to $600 of unused annual plan maximum dollars in 2025 can be rolled over into 2026 if you had at least one exam/cleaning, and all paid claims (preventative, basic and major restorative) did not exceed $800, in the current (2025) year. Your cumulative rollover max is capped at $1,500. Rollover max dollars cannot be applied to orthodontia.
Hawaii residents
Coverage Highlights
Hawaii residents can choose between Delta Dental of Massachusetts and HMSA for dental coverage. The Delta Dental of Massachusetts plans are the same ones offered to our continental U.S. colleagues and require you to enroll if you want one of these plans. If you choose not to take action and enroll in HMSA medical coverage, you’ll receive HMSA dental at no additional cost and enrollment is automatic.
| DELTA DENTAL OF MASSACHUSETTS | HMSA DENTAL SERVICES | ||
|---|---|---|---|
|
Core Option |
Enhanced Option |
||
|
Annual Deductible |
$50 Individual / $150 Family |
$50 Individual / $150 Family |
N/A |
|
Annual Plan Maximum per individual |
$1,000 |
$2,000; roll over up to $600 to following year |
$1,500; roll over up to $500 to following year |
|
Preventive Care |
You pay nothing |
You pay nothing |
You pay nothing |
|
Basic Restorative Care |
You pay 20%, after deductible |
You pay 20%, after deductible |
You pay 30% |
|
Major Restorative Care |
Not covered, you pay 100% |
You pay 50%, after deductible |
You pay 50% (12 month waiting period) |
|
Orthodontia Care |
Not covered, you pay 100% |
You pay 50%, after deductible |
Not covered, you pay 100% |
|
Orthodontia Lifetime Maximum per individual |
N/A |
$2,000 |
N/A |
Colleague Contributions: To better understand and compare costs, view full-time colleague contributions for 2025 here.
Roll Over Benefits with Enhanced Option
For those enrolled in the Enhanced plan option, up to $600 of unused annual plan maximum dollars in 2025 can be rolled over into 2026 if you had at least one exam/cleaning, and all paid claims (preventative, basic, and major restorative) did not exceed $800, in the current (2025) year. Your cumulative rollover is $1,500. Rollover max dollars cannot be applied to orthodontia.
Puerto Rico residents
Dental coverage is available through Delta Dental of Puerto Rico. Check out the in-network highlights below and find full plan details on the MyBenefits site.
Dental coverage is available through Delta Dental of Puerto Rico.
| DELTA DENTAL OF PUERTO RICO DENTAL PLAN | |
|---|---|
|
Diagnostic & Preventive Services |
You pay nothing |
|
Basic Restorative Services |
You pay nothing |
|
Oral Surgery & Resins Restoration — Posterior Teeth |
You pay 30% |
|
Crowns & Prosthodontics |
You pay 50% |
|
Orthodontic Services |
You pay 50% |
|
Calendar Year Maximum per individual |
$1,000 |
|
Calendar Year Maximum for Periodontal per individual |
$1,000 |
|
Orthodontia Lifetime Maximum per individual |
$1,500 |
Colleague Contributions: To better understand and compare costs, view full-time colleague contributions for 2025 here.
