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Human Resources > Benefits > Dental Benefits

Dental Benefits

 

Plan Info

Enrollment

Use Delta Dental

HSA

Dental Plan Highlights

Two coverage options are available:

"High Plan" (Comprehensive)

"Low Plan" (Basic)

  • Enrollment is allowed only as a new hire, through qualifying events, or open enrollment
  • Coverage is continuous unless actively changed

Basic Plan

  • Preventative services covered at 100% (not subject to deductible)
  • Basic dental services covered at 80%
  • Annual maximum benefit of $1000

Comprehensive Plan

  • Preventative services covered at 100% (not subject to deductible)
  • Basic dental services covered at 80%
  • Other basic dental services covered at 50%
  • Major dental services covered at 50%
  • Orthodontic services covered at 50%
  • Annual maximum benefit of $1500

 

      2-Step Enrollment

      Two steps to enroll in the Delta Dental Plan of your choice:

       

      1. Complete the Medical/Dental/Vision enrollment form

      2. Complete the Salary Reduction Agreement form
      - if you intend to contribute your own money to your HSA

      Provider Look-Up

      Delta Dental LogoFind a Dentist
      Or by telephone:

      800-237-6060

       

      Delta Dental Online

      Delta Dental logoDeltaDentalVa.com
      Website registration is required

      • Track claims
      • Next cleaning eligability
      • View Explanations of Benefits
      • In-network provider look-up
      • Manage plan ID cards
      • Your Cost Estimator

       

      Health Savings Account Highlights

      • The Health Savings Account is held by PNC Bank.
      • Allows employees to set aside money on a tax-exempt basis to pay for qualifying medical, dental and vision expenses
      • For 2020, the employer will be contributing $1,000 for single accounts and $2,000 for family accounts.
      • You can change employee contributions at any time throughout the year.

       

      Plan Documents and Links

      Link to NRAO WebpageCurrent Year Dental Premiums


      Summary Plan Description

      "High Plan" (Comprehensive)

      "Low Plan" (Basic)

      Enrollment Forms and Links

      Medical/Dental/Vision enrollment form


      Salary Reduction Agreement - HSA

      Claim Forms

      Dental Claim and Predetermination Form

      HSA Documents and Links

      HSA FAQ

      Link to NRAO WebpageCurrent Year Employer Contributions and IRS Limits

      IRS LogoIRS Defined Qualifying Expenses

      Dental Benefits

      Questions?

      Delta Dental website Delta Dental VA

      800-237-6060

      Delta Dental of Virginia
      4818 Starkey Road
      Roanoke, VA 24018

      Group ID: 700083


      Health Advocate
      1-866-695-8622
      M-F 8:00am - 7:00pm EST


      Dental Plan/HSA Forms

       


      Links