Dental Plan Comparison

 

Milwaukee County Employee Dental Plan

 

 

Benefit Comparison At-a-Glance

Benefit

Milwaukee County Conventional Plan

(Delta Dental)

Care-Plus (DMO)

Network of providers

Services may be performed by the dentist of your choice

Services must be performed at a Dental Associates, Ltd. Dental Center

Annual Maximum Benefit

$2,500 per person

$3,000 per person

Annual Deductible
Diagnostic and Preventive:

$25 per person
(Maximum of 3 deductibles per family per year)

$25 per person
(Maximum of 3 deductibles per family per year)

 

- Dental exams and cleanings

100% of approved charges (1)

100% of approved charges

- Bitewing x-rays

100% of approved charges (1)

100% of approved charges

- Full mouth x-rays

100% of approved charges (2)

100% of approved charges

Minor Restorations
(regular fillings: acrylics, amalgams, & composites)

80% of approved charges

100% of approved charges

Major Restorations (crowns, inlays, onlays)

50% of approved charges

80% of approved charges3

Prosthetics
(dentures, bridges)

50% of approved charges

80% of approved charges3

Simple Extractions

80% of approved charges

100% of approved charges

Endodontics
(root canal treatment)

80% of approved charges

100% of approved charges

Periodontics

80% of approved charges

100% of approved charges

Orthodontics

50% of approved charges with a $2500 life time maximum benefit

75% of approved charges (includes coverage for adults if
approved by the plan).

Emergency Treatment

80% of approved charges

100% of approved charges at
network provider. All other
providers limited to a $50.00 benefit maximum

Ancillary Services

80% of approved charges

100% of approved charges

Oral Surgery

80% of approved charges

100% of approved charges
(surgeon fee only)

Notes: This at-a-glance guide is intended as a summary only. For specific terms, provisions, conditions, limitations, or
exclusions, please refer to your Summary Plan Description.
(1) limited to one service per 6 months
(2) limited to 1 service per 36 months
(3) Precious metal (Noble/High Noble) costs are extra and are the responsibility of the patient/insured

*Note: Dental plans are only for active employees and their dependents.

 

Milwaukee County Conventional Plan SPD


Milwaukee County is an equal opportunity/affirmative action employer that is actively seeking qualified applicants for various positions throughout County government. Milwaukee County does not discriminate based on age, ancestry/national origin, arrest/conviction record, color, creed, disability, marital status, military membership, race, sex or sexual orientation.

If special accommodations are needed, please contact 414-278-4143.