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Delta Dental

The Trust Fund provides dental care through an insured arrangement with Delta Dental. A separate booklet available at the Administrative Office describes this coverage. These benefits are available, regardless of Medical Plan choice.

Benefit Summary

DIAGNOSTIC & PREVENTIVE BENEFITS
Oral examinations, x-rays, prophylaxis, space maintainers, etc. Delta pays 100% of Usual, Customary and Reasonable fees
BASIC BENEFITS
Oral surgery, resorative, endodontic, periodontic, sealants, adjunctive general services Delta pays 75% of Usual, Customary and Reasonable fees
OTHER BENEFITS
Crowns, jackets, inlays, onlays, and cast restorations Delta pays 75% of Usual, Customary and Reasonable feesĀ 
PROSTHODONTIC BENEFITS
Construction or repair of fixed bridges, partial or complete dentures Delta pays 75% of Usual, Customary and Reasonable feesĀ 
DEDUCTIBLES & MAXIMUMS
Lifetime Deductible $50 per individual, $100 per family
Maximum benefit per calendar year $3,000

Helpful Links

Delta Dental Web site
Find a Participating Dentist
Check Eligibility, Benefits, & Claims Status

Plan Documents

Booklet

Plan Highlights
Claim Form

www.uastpa.com