Basic Plan
A lower-cost dental plan without orthodontia coverage.
2025 dental plans
You can enroll in the dental plan of your choice as a new hire, during Annual Enrollment, or if you have a qualifying life event. Review the 2025 Benefits Guide to see your paycheck deductions. To enroll, log in to the Paychex Enrollment Portal.
Premium Plan
A dental plan with higher benefits, including coverage for orthodontia.
Key features at a glance
Our dental coverage provides:
Free in-network preventive and diagnostic care
to help keep your teeth healthy.
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, along with the flexibility to see out-of-network providers if necessary.
Find a network dentist
You may choose to see any in- or out-of-network dentist you’d like, but you’ll generally pay less when you stay in network. Visit the Delta Dental of Iowa website to find an in-network provider near you.
Coverage details
| Basic Plan | Premium Plan | |||
|---|---|---|---|---|
| In-Network | Out-of-Network | In-Network | Out-of-Network | |
| Annual Deductible (waived for preventive care) | $30 | $30 | $30 | $30 |
| Calendar year maximum benefit | $1,000 | $1,000 | $1,500 | $1,500 |
| Preventive/diagnostic services | Covered at 100% | Covered at 100% | Covered at 100% | Covered at 100% |
| Basic services | Deductible + 10% | Deductible + 20% | Deductible + 10% | Deductible + 20% |
| Major services | Deductible + 50% | Deductible + 50% | Deductible + 50% | Deductible + 50% |
| Orthodontia lifetime maximum | N/A | N/A | $1,500 | $1,500 |
| Orthodontia | Not covered | Not covered | Deductible + 50% | Deductible + 50% |
| To Go Bank | The “To Go Bank” allows you and your family members to roll over all unused portions of your dental maximum to the next year, with a few limitations:
| |||
Use your dental benefits wisely
Here’s how to make the most of your dental benefits:
Choose a network provider.
Each time you need dental care, you have a choice of providers. Selecting a Delta Dental of Iowa participating dentist will ensure you receive the highest benefits from your plan. To find a provider, go to the Delta Dental of Iowa website.
Present your plan identification.
Give your provider’s office the information they need to bill your insurance. The group number is 33499 and your member number is your Social Security number.
Submit for a pretreatment estimate.
You should 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, call Delta Dental of Iowa at 800-544-0718 or visit the Delta Dental of Iowa website.
Check your claim status.
You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more on the Delta Dental of Iowa website.