A healthy smile can make all the difference.
Whether you are getting a dental checkup, cleaning, or experiencing an emergency dental situation, Lennox’s dental plan, through Delta Dental, is there to help you and your covered dependents get the care you need.
Eligibility
Benefit Features
- Regular preventive care is always covered at 100%.
- Use Delta Dental’s cost estimator tool to keep out-of-pocket costs at a minimum.
- In-network dentists from Delta Dental’s PPO Network will offer you the highest level of benefits at the lowest cost (note, the terms DPO and PPO are used interchangeably and both terms mean the same).
- Delta Dental Virtual Consult connects plan members with a licensed dentist via real-time video appointments – at no additional cost.
Good dental care not only protects your smile, but it can also help you stay healthy.
Your dental plan will cover services provided by any licensed provider but using a Delta Dental network provider will keep your costs lower.
Remember, using an in-network provider will always save you the most money.
If you use an in-network dental provider, you’ll pay the dentist’s negotiated fees. Negotiated fees are the discounted amount that participating dentists have agreed to accept as payment in full, subject to any copays, deductibles, cost-sharing, and benefit maximum. Negotiated fees are subject to change.
If you use an out-of-network dental provider, you will be responsible for paying any charges above the Reasonable and Customary (R&C) fees. R&C fees are based on the lowest of 1) the dentist’s actual charge, 2) the dentist’s usual charge for the same or similar services, or 3) the charge of most dentists in the same geographic area for the same or similar services as determined by Delta Dental.
Your dental plan will cover services provided by any licensed provider but using a Delta Dental network provider will keep your costs lower.
| Provider | Benefit |
| Delta Dental PPO Provider | Offers the best discount. |
| Delta Dental Premier Provider | Offers set fees. Members will save but not as much as with a PPO provider. |
| Out-of-Network Provider | Members will pay whatever the dentist charges for their practice and will have to submit their own claims. This is the least cost effective. |
Remember, using an in-network provider will always save you the most money.
If you use an in-network dental provider, you’ll pay the dentist’s negotiated fees. Negotiated fees are the discounted amount that participating dentists have agreed to accept as payment in full, subject to any copays, deductibles, cost-sharing, and benefit maximum. Negotiated fees are subject to change.
If you use an out-of-network dental provider, you will be responsible for paying any charges above the Reasonable and Customary (R&C) fees. R&C fees are based on the lowest of 1) the dentist’s actual charge, 2) the dentist’s usual charge for the same or similar services, or 3) the charge of most dentists in the same geographic area for the same or similar services as determined by Delta Dental.
| Delta Dental | |
| What You Pay After the Deductible (unless otherwise noted) | |
| Annual Deductible | $50 per person ($150 per family) |
| Annual Maximum Benefit | $1,500 per person |
| Preventive Care (routine exams, cleanings, X-rays) |
$0, no deductible |
| Basic Services Restorative, non-surgical periodontics, and endodontics |
20% |
| Major Services (dentures, bridges, crowns, implants – limits apply) |
50% |
| Orthodontia (covered dependent children only) Subject to a separate $50 lifetime deductible Subject to a lifetime maximum of $1,500 |
50% |
Keep in Mind
Routine dental care helps spot any issues before they become bigger problems.
Get the App
Download the Delta Dental app to access member tools, find a provider, and review your claim details.
App Store | Google Play
App Store | Google Play
Additional Information
Delta Dental – Dental Benefit Summary
Delta Dental – Evidence of Coverage
Delta Dental – New Members Getting Started
Delta Dental – Go PPO! Why Stay in-Network
Delta Dental – Benefits Tools On The Go
Delta Dental – Extra Member Perks
Delta Dental – Healthy Smile = Healthy Body
Delta Dental – Preparing For Orthodontic Treatment
Delta Dental – What Are Dental Implants
Delta Dental – Evidence of Coverage
Delta Dental – New Members Getting Started
Delta Dental – Go PPO! Why Stay in-Network
Delta Dental – Benefits Tools On The Go
Delta Dental – Extra Member Perks
Delta Dental – Healthy Smile = Healthy Body
Delta Dental – Preparing For Orthodontic Treatment
Delta Dental – What Are Dental Implants
Video
Delta Dental Benefits Overview
Make flossing fun for kids! Use these tips to help keep their smiles clean and healthy.