Dental Plan Availability & Comparison

Dental: Plan Availability

Yes: Plan is available
No: Not available
Base Plan: Base Plan for this county

County HP Dental and Dental Choice Delta Dental PPO Delta Dental Premier
Aitkin Yes Yes Yes - Base Plan
Anoka Yes Yes - Base Plan Yes
Becker Yes Yes Yes - Base Plan
Beltrami Partial Yes Yes - Base Plan
Benton Yes Yes Yes - Base Plan
Big Stone Yes No Yes - Base Plan
Blue Earth Yes Yes Yes - Base Plan
Brown Yes Yes Yes - Base Plan
Carlton* Yes Yes - Base Plan Yes - Base Plan
Carver Yes Yes - Base Plan Yes
Cass Yes Yes Yes - Base Plan
Chippewa Yes Yes Yes - Base Plan
Chisago Yes Yes - Base Plan Yes
Clay Yes Yes Yes - Base Plan
Clearwater Yes Yes Yes - Base Plan
Cook Partial No Yes - Base Plan
Cottonwood Yes Yes Yes - Base Plan
Crow Wing Yes Yes Yes - Base Plan
Dakota Yes Yes - Base Plan Yes
Dodge Yes No Yes - Base Plan
Douglas Yes Yes Yes - Base Plan
Faribault Yes Yes Yes - Base Plan
Fillmore Yes Yes Yes - Base Plan
Freeborn Yes Yes Yes - Base Plan
Goodhue Yes Yes Yes - Base Plan
Grant Yes No Yes - Base Plan
Hennepin Yes Yes - Base Plan Yes
Houston Yes Yes Yes - Base Plan
Hubbard Yes Yes Yes - Base Plan
Isanti Yes Yes - Base Plan Yes
Itasca Yes Yes Yes - Base Plan
Jackson Yes Yes Yes - Base Plan
Kanabec Yes Yes - Base Plan Yes
Kandiyohi Yes Yes Yes - Base Plan
Kittson Partial Yes Yes - Base Plan
Koochiching Yes Yes Yes - Base Plan
Lac Qui Parle Yes Yes Yes - Base Plan
Lake Partial Yes - Base Plan Yes
Lake of the Woods Partial No Yes - Base Plan
Le Sueur Yes Yes Yes - Base Plan
Lincoln Yes No Yes - Base Plan
Lyon Yes Yes Yes - Base Plan
Mahnomen Yes Yes Yes - Base Plan
Marshall Yes No Yes - Base Plan
Martin Yes Yes Yes - Base Plan
McLeod Yes Yes - Base Plan Yes
Meeker Yes Yes Yes - Base Plan
Mille Lacs Yes Yes Yes - Base Plan
Morrison Yes Yes Yes - Base Plan
Mower Yes Yes Yes - Base Plan
Murray Yes No Yes - Base Plan
Nicollet Yes Yes Yes - Base Plan
Nobles Yes Yes Yes - Base Plan
Norman Yes No Yes - Base Plan
Olmstead Yes Yes Yes - Base Plan
Otter Tail Yes Yes Yes - Base Plan
Pennington Yes Yes Yes - Base Plan
Pine Yes Yes Yes - Base Plan
Pipestone Yes Yes Yes - Base Plan
Polk Yes Yes Yes - Base Plan
Pope Yes Yes Yes - Base Plan
Ramsey Yes Yes - Base Plan Yes
Red Lake Yes No Yes - Base Plan
Redwood Yes Yes Yes - Base Plan
Renville Yes Yes Yes - Base Plan
Rice Yes Yes Yes - Base Plan
Rock Yes Yes Yes - Base Plan
Roseau Yes No Yes - Base Plan
Scott Yes Yes - Base Plan Yes
Sherburne Yes Yes - Base Plan Yes
Sibley Yes Yes Yes - Base Plan
St. Louis Partial Yes - Base Plan Yes
Stearns Yes Yes Yes - Base Plan
Steele Yes Yes Yes - Base Plan
Stevens Yes Yes Yes - Base Plan
Swift Yes No Yes - Base Plan
Todd Yes Yes Yes - Base Plan
Traverse Yes Yes Yes - Base Plan
Wabasha Yes Yes Yes - Base Plan
Wadena Yes Yes Yes - Base Plan
Waseca Yes No Yes - Base Plan
Washington Yes Yes - Base Plan Yes
Watonwan Yes Yes Yes - Base Plan
Wilkin Yes Yes Yes - Base Plan
Winona Yes Yes Yes - Base Plan
Wright Yes Yes - Base Plan Yes
Yellow Medicine Yes Yes Yes - Base Plan

*Carlton Northern area: Delta Dental PPO. Carlton Southern area: Delta Dental Premier.


Dental: Plan Comparison

For all of the dental plans, the annual maximum is $1,800 for all benefits per person per contract year.

Plan Emergency Services Diagnostic and
Preventive Care
Basic Resorative Care Major Resorative Care Orthodontics
DELTA DENTAL PREMIER
In-network
Emergency dental services provided same as eligible dental services 100% coverage 80% coverage 50% coverage 80% coverage
DELTA DENTAL PREMIER
Out-of-network
After $125 annual deductible, emergency dental services provided same as eligible out-of-network services 50% coverage After $125 annual deductible, 50% coverage No coverage 50% coverage
DELTA DENTAL PPO
In-network coverage only
In-network services provided same as any service; out-of-network services apply $50 deductible then same as any in-network service 100% coverage 80% coverage 50% coverage 80% coverage
UNIVERSITY CHOICE
Open access*
Emergency dental services provided same as eligible dental services 100% coverage After $50 annual deductible, 80% coverage After $50 annual deductible, 50% coverage 80% coverage
UPLAN HEALTHPARTNERS DENTAL CHOICE
In-network
Emergency dental services provided same as eligible dental services 100% coverage 80% coverage 50% coverage 80% coverage
UPLAN HEALTHPARTNERS DENTAL CHOICE
Out-of network
After $125 annual deductible, emergency dental services provided same as eligible out-of-network services 50% coverage After $125 annual deductible, 50% coverage No coverage 50% coverage
UPLAN HEALTHPARTNERS DENTAL
In-network coverage only
In-network services provided same as any service; out-of-network services apply $50 deductible then same as any in-network service 100% coverage 80% coverage 50% coverage 80% coverage

* University Choice: When you use Delta network dentists, the deductible will be waived and your out-of-pocket cost will be reduced.

 

What is Covered Under Each Type of Service?

Diagnostic and Preventive Care

  • Oral examinations and dental cleanings
  • X-rays
  • Special periodontics care
  • Topical fluoride to age 19
  • Space maintainers

Basic Restorative Care

  • Fillings (customary restorative materials)
    • Coverage on back teeth based on composite (white) fillings: Delta Dental Premier, University Choice, and HealthPartners Dental Choice
    • Coverage on back teeth based on amalgam (silver) fillings: Delta Dental PPO and HealthPartners Dental
    • Coverage on front teeth based on composite (white) fillings: All Plans
  • Sealants to age 19
  • Extractions and other oral surgery
  • Periodontics (gum disease therapy)
  • Endodontics (root canal therapy)
  • Restorative crowns
  • Inlays & onlays, repair of crown

Major Restorative Care

  • Fixed or removable bridgework
  • Implants as alternative treatment
  • Full or partial dentures
  • Denture relines or rebases

Orthodontics Coverage

  • Limited to dependents up to age 19
  • Separate $2,800 lifetime maximum per covered dependent that does not start over if you change plans