Dental Benefits

Routine preventive care such as regular dental checkups can help lower your risk of stroke and heart disease. Air Medical Group Holdings’ dental coverage will provide you and your family affordable options for overall health. Coverage is available from Delta Dental.

Network Dentists

Your Plan’s in-network dentists have agreed to charge lower fees, which helps keep money in your pocket. If you choose to use a dentist who doesn’t participate in your Plan’s network, your out-of-pocket costs will be higher, and you are subject to any charges beyond the Reasonable and Customary (R&C). To find a network dentist, visit Delta Dental at www.deltadentalins.com.

Dental Premiums

Premium contributions for Dental will be deducted from your paycheck on a pre-tax basis. Your tier of coverage will determine your biweekly premium.

DELTA DENTAL PPO
BIWEEKLY CONTRIBUTIONS
Employee Only$13.61
Employee + Spouse$28.57
Employee + Child(ren)$25.16
Employee + Family$49.66

Dental Plan Summary

Dental Plan benefits are available to you on a voluntary basis. The chart below gives a summary of the 2017 dental coverage provided by Delta Dental. All out-of-network services are subject to Reasonable and Customary (R&C) limitations.

DELTA DENTAL PPO
IN-NETWORK & OUT-OF-NETWORK
CALENDAR YEAR DEDUCTIBLE
Individual$50
Family$150
CALENDAR YEAR MAXIMUM
Per Person$2,000
COVERED SERVICES
Preventive Services

Oral Evaluation, Bitewings, Prophylaxis, Flouride Treatments, Sealants, Consultations, Space Maintainers

No copay/coinsurance
Preventive Services

Amalgam or Composite Resin Restoration,
Filling, Oral Surgery, Endodontic, Periodontal

20%*
Major Services

Prosthodontics, Crowns, Inlays, Onlays, Dental Implants

50%*
Orthodontics

Dependent Child(ren) Only to age 19

50%
Orthodontics Lifetime Maximum$2,000

Please note: There is a 12-month waiting period before orthodontic services are covered.