Benefits - Dental

Dental Services and Information for County of San Luis Obispo Employees and their beneficiaries

Dental Insurance

Benefits Overview

Did you know that regular dental checkups keep your smile bright and help keep your whole body healthy? Our dental coverage provides cleanings, exams and x-rays. The County offers two dental plans for you to choose from. All employees are required to enroll in a dental plan.  A comparison of the two plans is below. See plan documents for more details.

 

 Aetna DMO

Delta Dental DPPO

In-Network Only

In-Network

Out-Of-Network

Calendar Year Deductible

$0

$25 / per person (combined with in-network)

$25 / per person (combined with in-network)

Annual Plan Maximum

None

$1,500

$1,000

Waiting Period

None

None

None

Diagnostic and Preventive

Diagnostic pays: 100% Preventive various copays apply

Plan pays: 100%

Diagnostic and Preventive to do count toward annual max

Plan pays: 100%

Basic Services

 Fillings

Plan pays: 100%

Plan pays: 90% after deductible

Plan pays: 80% after deductible

 Root Canals

Various copays apply

Plan pays: 90% after deductible

Plan pays: 80% after deductible

 Periodontics

Various copays apply

Plan pays: 90% after deductible

Plan pays: 80% after deductible

Major Services

Various copays apply

Plan pays: 50% after deductible

Plan pays: 50% after deductible

Orthodontic Services

 Orthodontia

Patient pays:

Screening $30.00

Diagnostic Records $150.00

Treatment $1,545.00

Retention $275

Plan pays: 50% up to $1,500 Lifetime Maximum (Calendar deductible does not apply)

Plan pays: 50% up to $1,500 Lifetime Maximum (Calendar deductible does not apply)

 Lifetime Maximum

None (limited to one full course of treatment)

$1,500 Child or Adult

$1,500 Child or Adult (combined with in-network)

PREMIUMS

 

Aetna Dental DMO Premium

Delta Dental PPO Premium

Dependents

Semi-Monthly

Monthly

Semi-Monthly

Monthly

Employee

$15.94

$31.88

$23.73

$47.46

Employee + 1

$26.36

$52.72

$40.34

$80.67

Family

$38.94

$77.88

$61.69

$123.37

             

 

Aetna Dental

If you select the Aetna plan you will be required to utilize one of their in-network dentists. The Aetna Dental plan has a limited network of providers and it is recommended that you complete a provider search before enrolling in this plan.

Delta Dental

With nearly 80% of practicing dentists in Delta’s networks, there is a good chance you already see a Delta Dental provider. To maximize your savings, it is important to be aware of the Delta network the dentist belongs to. Delta has three different networks of providers: PPO, Premier, and Non-Delta dentists. While you can visit any licensed dentist and still receive a benefit, you will save the most by visiting a Delta PPO or Premier dentist.

Dental ID Cards

You will not receive ID cards from the dental carriers. The group number information is listed below with the contact information and is what you will need to confirm your eligibility with your provider for yourself and your dependents.

Contact Information

1-877-238-6200

www.aetna.com