Dental

Rendr offers you the choice of three dental plans through Delta Dental:

Dental HMO: You pay a fixed cost for covered services; out-of-network visits are not covered. When you enroll, you select a dentist to manage your care.

PPO: Your choice of dentists can determine the cost savings you receive. In-network providers are paid directly by Delta Dental and agree to accept negotiated fees as “payment in full” for services rendered. When you use out-of- network providers, Delta Dental will pay the applicable percentage of the allowed amount, and you are responsible for paying the bill’s balance.

The following table shows the bi-weekly premiums you will pay for dental coverage for the 2024-2025 plan year. Premiums will be deducted from your paycheck on a pre-tax basis.

	Dental HMO
Benefits	Network
Calendar Year Max Benefit	N/A
Calendar Year Deductible (Individual/Family) (waived for preventive services)	N/A
Preventive Care	You pay a copay for each covered procedure (e.g., an office visit copay is $5). See the Certificate of Benefits on PrimePay for details.
Basic Care
Major Care
Orthodontia (Child and Adult)

Note: Certain procedures may be subject to annual calendar year and dependent age limits. Detailed plan information is available in the Dental Summary.

Videos

Resources

DHMO Plan Benefit Summary

Resources at Your Fingertips

Core Plan Benefit Summary

Benefit Information

Buy Up Plan Benefit Summary

PPO Certificate of Coverage

	Current Core Plan			New Buy-up Plan
Benefits	PPO Network	Premier Network	Out of Network	PPO Network	Premier Network	Out of Network
Individual Deductible	$50	$50	$50	$50	$50	$50
Family Deductible	$150	$150	$150	$150	$150	$150
Waived for Preventive	Yes			Yes
Deductible – Calendar Year or Lifetime	Calendar Year			Calendar Year
Annual Maximum	$1,500			$2,500
Preventive – Type 1	100%	100%	100%	100%	100%	100%
Basic – Type 2	80%	80%	80%	80%	80%	80%
Major – Type 3	50%	50%	50%	50%	50%	50%
Ortho – Type 4	50%	50%	50%	50%	50%	50%
Ortho Age Limit	Adult & Child(ren)			Adult & Child(ren)
Ortho Maximum	$1,500			$2,500
Endodontics	80%	80%	80%	80%	80%	80%
Periodontics – Non- Surgical	80%	80%	80%	80%	80%	80%
Periodontics – Surgical	80%	80%	80%	80%	80%	80%
Oral Surgery	80%	80%	80%	80%	80%	80%

Cost for Dental Coverage
Bi-Weekly Premiums	HMO	PPO Core Plan	PPO Buy-Up Plan
Employee Only	$1.09	$9.31	$11.45
Employee + Spouse	$1.90	$18.48	$22.83
Employee + Child(ren)	$2.34	$23.07	$28.56
Family	$3.37	$35.08	$43.29

Find a Dentist

Visit Delta Dental’s website at www.deltadental.com or call 800-932-0783.