2024 Retiree Dental
Henrico County offers three coverage options through Delta Dental. Each option is listed below, and more information can be found in the Delta Dental brochure.
- Delta Dental PPO plus Premier – High Plan Option
- Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings twice a year at 100%.
- Basic dental care (fillings, periodontic care) is covered at 50% to 80% depending on which network is used.
- Major dental care (crowns and bridges) is covered at 50%.
- This plan also covers orthodontics at 50% with a lifetime maximum of $1500.
- The annual calendar year maximum is $1500 per patient, which does not include the cost of preventive care.
- Delta Dental PPO plus Premier – Low Option Plan
- Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings at 75%.
- Basic dental care (fillings, periodontic care) and major dental care (crowns and bridges) are covered at 50%.
- This plan does not include orthodontics.
- The annual calendar year maximum is $1500 per patient, which does not include the cost of preventive care.
- Delta Dental PPO – EPO Plan Design
This plan provides many covered services at no cost and offers low copayments on certain procedures. A major benefit to this plan is that you know the cost of services before you receive treatment.- Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings twice a year at 100%.
- Basic and restorative dental care.
- Orthodontics are covered under this plan.
- There is a $3,000 calendar year maximum and no annual deductible with this plan.
The DeltaCare Plan transitioned to the Delta Dental PPO – EPO Plan Design effective January 1, 2021. Those enrolled in the DeltaCare plan were automatically moved into the Delta Dental PPO – EPO Plan. This plan follows the same copay structure as the DeltaCare Plan; however, enrollees no longer must select a dentist and it utilizes a larger PPO network.
Dental Forms
- Dental Enrollment/Change Form
- Retiree Dental Automatic Draft Form
- Note: Please send directly to [email protected] or fax to 804-501-4426.
- Dental Claim Form
- Qualifying Event to Change Your Benefits
Dental Resources
- Dental Rates
- 2024 Dental Side-by-side Comparison and Examples
- New: Delta Dental Partnership with Amplifon Heating Health Care
- DeltaDental login
- Delta Dental Member Services: 1-800-237-6060
- Delta Dental Mobile App
- Oral Health Resources
- Right 4 Kids
- Virtual Visits – TeleDentistry
- Find a Dentist: