Imagine! offers employees access to affordable dental care through the Delta Dental of Colorado Plan. You have two plan options with Delta; an Exclusive Panel Option (EPO), which includes Delta PPO dentists only and no out-of-network benefits, or the Delta Preferred Provider network (PPO) plan which allows you to use PPO dentists, the expanded Delta Premier network, and non-participating dentists. Finding a Delta Dental Provider is easy. Simply call +1 (303) 741-9305 (or +1 (800) 610-0201) and follow the prompts. You can also go online at www.deltadentalco.com. Below is an overview of the two plans.
Plan Highlights
| Delta Dental EPO | Delta Dental PPO |
| EPO | NON-EPO | DELTA PREFERRED/PREMIER | NON-PARTICIPATING |
Annual Deductible
(per person) | $50 | N/A | $50 | $50 |
Annual Maximum Benefit
(per person) | $1,000 | N/A | $1,000 | $1,000 |
| In-Network | Out-Of-Network | In-Network | Out-Of-Network |
TYPE I - DIAGNOSTIC & PREVENTIVE | | |
Oral Exams and Cleanings
Fluoride Sealants
Space Maintainers
Bitewing X-Rays/Full Mouth X-Rays
Fluoride
Space Maintainers | 100% | 0% | 80% | 80% |
TYPE II - BASIC SERVICES | | | |
Fillings
Simple Extractions
Endodontics/Periodontics | 80% | 0% | 60% | 60% |
TYPE III - MAJOR SERVICES* | | | |
Oral Surgery
Crowns
Implants
Bridge/Denture Repair | 50% | 0% | 40% | 40% |
ORTHODONTIC LIFETIME MAXIMUM
(per dependent child to age 26) | $1,000 | N/A | $1,000 | $1,000 |
ORTHODONTIC SERVICES* | 50% | 0% | 50% | 50% |
*Waiting periods may apply. |
Contribution Rates
Dental (Employee Cost Per Month) |
| EPO Plan | PPO Plan |
Employee Only | $23.68 | $40.29 |
Employee + Spouse | $44.08 | $79.59 |
Employee + Child(ren) | $62.23 | $82.96 |
Employee + Family | $94.61 | $123.29 |