Overview

Masonite offers dental coverage for you and your eligible family members. Our dental insurance plan, provided through Delta Dental, is designed to help you maintain a healthy smile through regular preventive care and to fix any problems as soon as they occur.

Dental PPO

This plan gives you the freedom to go to any dentist you choose. However, keep in mind, you will almost always save money and receive the highest quality of care from a Delta Dental in-network provider.

Delta Dental in-network dentists have agreed to provide care at a lower cost, which results in lower out-of-pocket expense for you. If you choose an out-of-network dentist, your benefit coverage is the same as in-network. However, you’ll be reimbursed based on the Reasonable & Customary fees in your area rather than receiving the special rates in-network dentists have agreed to charge. You may also be balanced billed.

Key features

Free in-network preventive and diagnostic care
Affordable coverage that helps you manage the cost of dental treatment
Wide network of providers that have agreed to negotiated rates, which helps you save money

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Find a network dentist

You'll generally pay less when you use a dentist in the Delta Dental network.

Contact Us

Website
Delta Dental

Phone
1.800.826.0111

Policy/Group Number: 9401

Documents

Delta Dental Member Perks

Delta Dental Summary

Coverage details

	In-Network or Out-of-Network
Individual/family deductible	$50/$150
Annual maximum benefit (includes cost of preventive & diagnostic care)	$2,000
Preventive & diagnostic care (routine exams, cleanings, fluoride treatments, sealants, X-rays)	You pay $0
Basic care (extractions, fillings, root canals, oral surgery, gum disease treatment)	You pay 20% after deductible
Major care (crowns, bridges, dentures, implants)	You pay 50% after deductible
Orthodontia (for adults and children)	You pay 50%
Orthodontia lifetime maximum benefit	$2,000

Limitations or waiting periods may apply for some benefits; some services may be excluded from your plan.
Reimbursement is based on Delta Dental maximum contract allowances and not necessarily each dentist’s submitted fees.
Reimbursement based on PPO contracted fees for PPO dentists, Delta Dental Premier® contracted fees for Premier dentists, and Premier contracted fees for non-Delta Dental dentists.

YOUR DENTAL COVERAGE

COVERAGE*	DENTAL A	DENTAL B
COVERAGE*	You Pay In- and Out-of-Network
Preventive and diagnostic care Routine exams, cleanings, flouride treatments, sealants, x-rays	$0	$0
Annual per person maximum benefit	$2,000	$500
Annual deductible Employee only Employee + dependents	$70 $210	$70 $210
Basic care Extractions, fillings, root canals, oral surgery, gum disease treatment	20% after deductible	50% after deductible
Major care crowns, bridges, dentures	20% after deductible	50% after deductible
Orthodontia For children and adults	50% after deductible	No coverage
Orthodontia lifetime maximum benefit	$2,000	NA

^* Limitations or waiting periods may apply for some benefits, and some services may be excluded from plan.

Use your dental benefits wisely

Here's how to make the most of your dental benefits:

Choose a provider – Each time you need dental care, you have a choice of providers. Selecting a participating dentist in the Delta Dental network will ensure you receive the highest benefits from your plan. To find a provider, visit the Delta Dental website.
If your service will exceed $300, submit for a pretreatment estimate. You should always submit a request for a pretreatment estimate for procedures and services your dentist believes will exceed $300 (procedures such as crowns, inlays, bridges, and periodontics). For more information about pretreatment estimates, call Delta Dental at 1.800.826.0111 or visit the Delta Dental website.
Check your claim status and other information on the Delta Dental website. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.