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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
Dental Premiums
 Current Year Dental Premiums
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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 Health Savings Account (HSA) Salary Reduction Agreement form if you would like to contribute pre-tax dollars to your HSA to help pay for eligible expenses.
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Provider Look-Up
 Find a Dentist
Or by telephone:
800-237-6060
Delta Dental Online
DeltaDentalVa.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
Claim Forms
Dental Claim and Predetermination Form
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Health Savings Account Highlights
- The Health Savings Account is attached to your Anthem plan. The bank depository institution is currently PNC Bank. The custodian is WealthCare Saver.
- Allows employees to set aside money on a tax-exempt basis to pay for qualifying medical, dental and vision expenses
- For 2022, the employer will be contributing $500 for single accounts and $1,000 for family accounts.
- You can change employee contributions at any time throughout the year.
Current Year Employer Contributions and IRS Limits
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