2023 Benefits Guide

Dental Plans

Your oral health plays an important role in your overall wellbeing. Find full details on MyBenefits.

Mainland U.S. residents

Delta Dental is the Dental Plan administrator and offers a choice of two plans, both using the PPO Plus Premier network.

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

Roll Over Benefits with Enhanced Option

Up to $600 of unused annual plan maximum dollars in 2023 can be rolled over into 2024 if you had at least one exam/cleaning, and all paid claims (preventive, basic and major restorative) did not exceed $800, in the current (2023) year. In future years, the cumulative rollover max will be 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

100%

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

Roll Over Benefits with Enhanced Option

Up to $600 of unused annual plan maximum dollars in 2023 can be rolled over into 2024 if you had at least one exam/cleaning, and all paid claims (preventive, basic and major restorative) did not exceed $800, in the current (2023) year. In future years, the cumulative rollover max will be capped at $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. Note: Not available for CRG colleagues.

Dental coverage is available through Delta Dental of Puerto Rico. Note: Not available for CRG colleagues.

  DELTA DENTAL OF PUERTO RICO DENTAL PLAN

Diagnostic & Preventive Services

You pay $0

Basic Restorative Services

You pay $0

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

You must enroll on MyBenefits to have coverage.

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