Good dental health is just as important as your annual physical. According to the American Academy of Periodontology, dental diseases (if left unattended) can contribute to health issues like heart disease, stroke, pre-term birth, and diabetes. In fact, gum health is as good an indicator of heart disease as high cholesterol is! Dental plans protect you from major dental expenses, and usually cover everything from preventive care, like exams and cleanings, to major care like root canals and dentures.

Importance of Preventive Care

Employees have a choice between two plans, a PPO plan offered through Aetna and a DMO plan through Delta Dental of New Jersey.

Aetna Logo1 The Aetna dental plan is a PPO plan option that does not require members to designate a dental facility. 
Delta dental To find a provider, members should use the “Find a Dentist” tool at www.deltadentalnj.com. They should select the “PPO network” when finding a provider. Any PPO provider will be covered under the plan.

  • Annual Maximum

    The maximum dollar amount the dental plan will pay toward the cost of your dental care.

    In-network:

    $5,000 per person/year

    Out-of-network:

    $5,000 per person/year

  • Deductible

    The amount you must pay out of pocket before the dental plan shares costs with you. Deductible may not apply to all services.

    In-network:

    $50/Individual, $150/Family

    Out-of-network:

    $50/Individual, $150/Family

  • Preventive Services

    A category of dental service that typically includes exams, routine cleanings, and some x-rays.

    In-network:

    Plan pays 100%

    Out-of-network:

    Plan pays 100%

  • Basic Services

    A category of dental service that typically includes fillings, root canals, periodontics, endodontics.

    In-network:

    You pay 20% (after deductible)
    Plan pays 80%

    Out-of-network:

    You pay 20% (after deductible)
    Plan pays 80%

  • Major Services

    A category of dental service that typically includes anesthesia, dentures, implant services.

    In-network:

    You pay 20% (after deductible)
    Plan pays 80%

    Out-of-network:

    You pay 20% (after deductible)
    Plan pays 80%

  • Orthodontia Services

    In-network:

    You pay 50% (after deductible)
    Plan pays 50% up to $3,000

    Available for dependent children to age 19

    Out-of-network:

    You pay 50% (after deductible)
    Plan pays 50% up to $3,000

    Available for dependent children to age 19

Aetna PPO Dental Plan

Provider: Aetna

Phone: 800-872-3862

Website: http://www.aetna.com/

Delta Dental

Provider: Delta

Phone: 800-452-9310

Website: www.deltadentalnj.com

Aetna PPO Dental Plan DPPO Fixed Copay 6

Annual Maximum

In-network: $5,000 per person/year
Out-of-network: $5,000 per person/year

Annual Maximum

N/A

Deductible

In-network: $50/Individual, $150/Family
Out-of-network: $50/Individual, $150/Family

Deductible

N/A

Preventive Services

In-network: Plan pays 100%
Out-of-network: Plan pays 100%

Preventive Services

N/A

Basic Services

In-network: You pay 20% (after deductible)
Plan pays 80%
Out-of-network: You pay 20% (after deductible)
Plan pays 80%

Basic Services

N/A

Major Services

In-network: You pay 20% (after deductible)
Plan pays 80%
Out-of-network: You pay 20% (after deductible)
Plan pays 80%

Major Services

N/A

Orthodontia Services

In-network: You pay 50% (after deductible)
Plan pays 50% up to $3,000

Available for dependent children to age 19
Out-of-network: You pay 50% (after deductible)
Plan pays 50% up to $3,000

Available for dependent children to age 19

Orthodontia Services

N/A

Preventative and Diagnostic Services

N/A

Preventative and Diagnostic Services

Most Preventative and Diagnostic services are covered at a $0 copay.

Orthodontia

N/A

Orthodontia

Orthodontia coverage (Child Only) is included.

Other Benefits

N/A

Other Benefits

See full schedule for detailed plan information.

  • Preventative and Diagnostic Services

    Most Preventative and Diagnostic services are covered at a $0 copay.

  • Orthodontia

    Orthodontia coverage (Child Only) is included.

  • Other Benefits

    See full schedule for detailed plan information.

DPPO Fixed Copay 6

Provider: DPPO Fixed Copay 6

Phone: 800-722-3524

Website: https://www.deltadentalnj.com/

DPPO Fixed Copay 6 Aetna PPO Dental Plan

Annual Maximum

N/A

Annual Maximum

In-network: $5,000 per person/year
Out-of-network: $5,000 per person/year

Deductible

N/A

Deductible

In-network: $50/Individual, $150/Family
Out-of-network: $50/Individual, $150/Family

Preventive Services

N/A

Preventive Services

In-network: Plan pays 100%
Out-of-network: Plan pays 100%

Basic Services

N/A

Basic Services

In-network: You pay 20% (after deductible)
Plan pays 80%
Out-of-network: You pay 20% (after deductible)
Plan pays 80%

Major Services

N/A

Major Services

In-network: You pay 20% (after deductible)
Plan pays 80%
Out-of-network: You pay 20% (after deductible)
Plan pays 80%

Orthodontia Services

N/A

Orthodontia Services

In-network: You pay 50% (after deductible)
Plan pays 50% up to $3,000

Available for dependent children to age 19
Out-of-network: You pay 50% (after deductible)
Plan pays 50% up to $3,000

Available for dependent children to age 19

Preventative and Diagnostic Services

Most Preventative and Diagnostic services are covered at a $0 copay.

Preventative and Diagnostic Services

N/A

Orthodontia

Orthodontia coverage (Child Only) is included.

Orthodontia

N/A

Other Benefits

See full schedule for detailed plan information.

Other Benefits

N/A