| Cost |
Pay one premium for the plan year (Oct. 1 through Sept. 30)
$233 individual
$583 family
Diagnostic and preventive services covered at 100% when using a Delta Dental PPO Value Provider (In network)
No copayments for regular checkups and cleanings.
Discounted rates for other services within the network (e.g., basic and major restorative services such as fillings, crowns, root canals) |
Fee-for-service
Students receive 10% off regular fees
Discounted $175 preventive care package (available to students and dependents) includes:
- one exam
- one set of x-rays (bitewings)
- one cleaning, including fluoride treatment |
Fee-for-service
Please consult the HSDM practices for rates and fees. |