Dental premiums, copays and deductibles
Compare dental plan costs
2025 dental plan rates per pay period
| UHC Solstice - DHMO | Delta Dental - PPO | |||
|---|---|---|---|---|
| Coverage level | Employee | Employer | Employee | Employer |
| Employee only | $1.64 | $2.29 | $14.30 | $2.29 |
| Employee, plus spouse | $3.29 | $4.58 | $30.33 | $4.58 |
| Employee, plus one child | $3.08 | $4.58 | $23.34 | $4.58 |
| Family | $5.46 | $6.32 | $48.26 | $6.32 |
2025 plan year deductibles and copays
| UHC Solstice | Delta Dental | |
|---|---|---|
| Plan year deductibles | None | $50, $100 or $150 |
| Annual combined basic and major service | No dollar limit | $2,000 per person |
| Orthodontia lifetime | No dollar limit | $1,500 per person |
| Preventive Care Class I | UHC Solstice | Delta Dental |
|---|---|---|
| Oral exam | $0 | $0 Deductible waived1 |
| Emergency exam | $35 after-hours office visit | $0 Deductible waived1 |
| Prophylaxis - cleaning | $0 | $0 Deductible waived1 |
| Fluoride treatment | Without varnish: $0 | With varnish: $20 | $0 to age 18 deductible waived |
| X-rays | $0 | $0 Deductible waived |
| Other services | UHC Solstice | Delta Dental |
|---|---|---|
| Sealants | $0 | 20% to age 19 |
| Fillings | Amalgam: $16 | Resin: $37 | 20% |
| Extractions | Simple: $35 | Surgical: $105 | 20% |
| Periodontal gingivectomy | $119 for one-three teeth | $180 for four or more teeth | 20% |
| Oral surgery | $25 - $270 | 20% |
| Crowns | $195 - $290, plus lab and material | 50% |
| Dentures | $485 - $502 | 50% |
| Fixed bridgework | $290, plus lab and material per unit | 50% |
| Crown or Bridge repair | $80 - $95 | 50% |
| Implant body | $795 | 50%2 |
| Orthodontia | $1,375 - $2,875 | See lifetime |
| TMJ exam and services | $150 - $250 | Not covered |
| External bleaching | $30 - $240 | Not covered |
1Routine visits, exams and cleanings, and fluoride treatments are covered two times per plan year at 100%. Emergency exams are covered once per plan year at 100%. Bitewing and periapical X-rays are covered once per plan year at 100%.
2Subject to both the benefit year allowance and the lifetime maximum limit, $1,000 per tooth. Subject to all provisions, terms and conditions of the plan description.