Employee
- High Plan
- $5.21
- Low Plan
- $1.81
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Dental Benefits
PlayCore offers two dental plans through Delta Dental of TN. The High Plan adds major services and orthodontia benefits.
Dental Benefits
Premiums
Employee + spouse
- High Plan
- $9.35
- Low Plan
- $2.44
Employee + child(ren)
- High Plan
- $11.80
- Low Plan
- $3.93
Family
- High Plan
- $18.61
- Low Plan
- $5.70
Covered Services
Annual deductible (Individual/Family)
- High Plan
- $50 / $150
- Low Plan
- $0
Annual maximum (per person)
- High Plan
- $1,500
- Low Plan
- $750
Diagnostic and preventive care
- High Plan
- $0
- Low Plan
- $0
Basic services
- High Plan
- 10%
- Low Plan
- 20%
Major services
- High Plan
- 40%
- Low Plan
- N/A
Orthodontia
- High Plan
- 50% up to a lifetime maximum benefit of $2,000 per individual; deductible waived
- Low Plan
- N/A
Important Notes
- Orthodontia is covered under the High Plan only - 50% coinsurance up to a $2,000 lifetime maximum per individual, with the deductible waived.
- You have the flexibility to receive care from any dental provider, but your out-of-pocket cost will be lower when you use a participating Delta Dental provider.