Delta Dental of Ohio is SERS’ dental plan provider.
The Delta Dental plan gives you access to two large networks of participating dentists: Delta Dental PPO and Delta Dental Premier.
Your costs will be lower if your dentist is in the PPO network. Visit www.deltadentaloh.com/sersohio.
To sign up for dental coverage, you have to be eligible for, but you do not have to be enrolled in, SERS’ health care coverage.
You must enroll in dental coverage in order to enroll your spouse and/or children.
You can enroll:
The 2024-2025 enrollment period ends December 31, 2025, regardless of your effective date of coverage. Once enrolled in the dental plan, you must remain enrolled through December 31, 2025, and pay the monthly premiums.
You will receive ID cards from Delta Dental of Ohio about 5 days prior to the effective date of your coverage.
If your ID cards do not arrive by the effective date and you need medical services, please contact our office.
PREMIUMS |
||||
|---|---|---|---|---|
Benefit recipient |
$30.37 |
|||
Benefit recipient and one dependent* |
$60.74 |
|||
Benefit recipient and two or more dependents* |
$91.35 |
*A dependent can be a spouse or a child
DELTA DENTAL COVERAGE
Plan Documentation Prevails |
PPO DENTIST |
PREMIER DENTIST |
NON-PARTICIPATING DENTIST |
|
DIAGNOSTIC AND PREVENTIVE (no deductible) |
||||
Exams, cleanings, fluoride, emergency pain relief, sealants, brush biopsy, bitewing and full-mouth X-rays |
100% |
80% |
80% |
|
BASIC SERVICES ($50 deductible applies) |
||||
Minor restorative services, including fillings, periodontics, other X-rays, and other basic services |
80% |
60% |
60% |
|
MAJOR SERVICES ($50 deductible applies) |
||||
Repair to individual crowns, molar root canals, oral surgery services, crowns and veneers; relines and repairs to bridges, dentures, and implants; prosthodontic services for bridges, implants, and dentures |
50% |
40% |
40% |
* When you receive services from a nonparticipating dentist, the percentages listed indicate the portion Delta Dental will pay for those services. The nonparticipating dentist fee paid by Delta may be less than what your dentist charges, and you are responsible for the difference.
$1,500 per person per calendar year
Network dentists have agreed to accept Delta’s negotiated prices for various services. The percentages on the chart below show how much the plan pays. When a service is not covered at 100%, you pay the remaining portion.
Network dentists cannot charge you more than Delta’s negotiated prices. A non-participating dentist who charges more than the payment schedule can bill you the difference.
To locate a network dentist near you:
Vision coverage is offered through VSP Vision Care, which is the nation’s largest eye care plan provider.
The VSP plan also provides savings on hearing aids through TruHearing. Visit truhearing.com/vsp or call 1-833-414-5674 for more information.
To sign up for vision coverage, you have to be eligible for, but you do not have to be enrolled in, SERS’ health care coverage.
You must enroll in vision coverage in order to enroll your spouse and/or children.
You can enroll:
The 2024-2025 enrollment period ends December 31, 2025, regardless of your effective date of coverage. Once enrolled in the vision plan, you must remain enrolled through December 31, 2025, and pay the monthly premiums.
VSP does not issue ID cards. VSP providers confirm benefit information when you make an appointment.
PREMIUMS |
||||
|---|---|---|---|---|
Benefit recipient |
$6.17 |
|||
Benefit recipient and one dependent* |
$12.34 |
|||
Benefit recipient and two ore more dependents* |
$14.49 |
* A dependent can be a spouse or a child
Coverage with VSP Doctors and Affiliate Providers* Coverage Effective January 1, 2024
SERVICES |
DESCRIPTION |
CO-PAY |
FREQUENCY |
|
|---|---|---|---|---|
WellVision Exam |
Focuses on your eyes and overall wellness |
$10 |
Every calendar year |
|
Prescription Glasses |
$25 |
See frame and lenses |
||
Frame |
|
Included in prescription glasses |
Every other calendar year |
|
Lenses |
Single vision, lined bifocal, and lined trifocal lenses |
Included in prescription glasses |
Every calendar year |
|
Lens Options |
|
|
Every calendar year |
|
Contacts (instead of glasses) |
|
Up to $60 |
Every calendar year |
* Coverage with a retail chain affiliate may be different. Once your coverage is effective, visit vsp.com for details. Coverage information is subject to change. In the event of a conflict of information, the terms of the VSP contract will prevail.
