Your Choices
Make your smile sparkle with one of the dental options Ocean Spray offers:
- Premium Plan
- Value Plan
Which plan should you choose?
It depends on how much dental work you expect to have. Both plans offer free preventive care and coverage for basic treatment. The Premium Plan also provides coverage for orthodontia and major dental treatment. The Premium Plan also costs more per month.
Benefit Spotlight
You want to keep your teeth and gums in top shape. Getting regular check-ups will help spot any issues before they become big problems.
- Free in-network preventive care
- Basic dental treatment covered at 80%
- Orthodontia coverage (Premium Plan only)
- Affordable premiums for dental coverage
| Employee Contribution | ||
| Monthly Cost | ||
| Premium | Value | |
| Team Member | $23.54 | $5.04 |
| Team Member + Spouse | $49.43 | $10.48 |
| Team Member + Child(ren) | $51.79 | $11.09 |
| Family | $76.37 | $16.35 |
| Semi-Monthly Cost | ||
| Team Member | $11.82 | $2.52 |
| Team Member + Spouse | $24.97 | $5.24 |
| Team Member + Child(ren) | $25.90 | $5.55 |
| Family | $38.19 | $8.18 |
| Bi-Weekly Cost | ||
| Team Member | $10.91 | $2.33 |
| Team Member + Spouse | $23.04 | $4.84 |
| Team Member + Child(ren) | $23.90 | $5.12 |
| Family | $35.25 | $7.55 |
| Weekly Cost | ||
| Team Member | $5.46 | $1.16 |
| Team Member + Spouse | $11.52 | $2.42 |
| Team Member + Child(ren) | $11.95 | $2.56 |
| Family | $17.62 | $3.77 |
Don’t Forget
Visit a Delta Dental PPO network dentist for care for the best value. If you need to use out-of-network providers, your cost will be much higher. The Delta Dental mobile app makes it easy for you to manage your dental health, anytime/anywhere.
Dental Plan Comparison
Here is a summary of the in-network benefits your dental plans offer. The percentages shown are what you will pay.
| Dental Plan Summary | Premium Plan | Value Plan |
|---|---|---|
| Annual Deductible Individual/Family | $50/$100 | $25 per person |
| Preventive & Diagnostic Care | 100% | 100% |
| Basic Treatment & Crowns | 20% after deductible | 20% after deductible; does not cover crowns |
| Major Treatment | 50% after deductible | N/A |
| Orthodontia | 50% | N/A |
| Separate Lifetime Orthodontia Maximum | $1,500 per person | N/A |
| Annual Maximum Benefit (excludes orthodontia) | $1,500 per person | $1,000 per person. No rollover option. |
Rollover Maximum
With Delta Dental’s Rollover Max feature, you can carry over part of your unused annual dental benefit to increase your available benefit dollars for future years. This helps you save your benefit allowance during healthy years and build up extra coverage for larger procedures down the road — like crowns, bridges, or root canals.
How it works:
- Receive at least one cleaning or oral exam during the plan year to qualify.
- Keep your total claims under your plan’s threshold amount (varies by annual max).
- If eligible, a portion of your unused annual maximum will automatically roll over to the next plan year — no action needed.
- Your regular annual maximum is used first; rollover dollars apply only after the standard max is met.
Important notes:
- Rollover Max doesn’t apply to lifetime maximums (e.g., orthodontics).
- If you disenroll from the plan, you will forfeit any accumulated rollover balance.
- Major restorative coverage must be included in your plan to be eligible.
Want to check your rollover balance?
Log in at deltadentalma.com and go to: Claims Status → Deductibles and Maximums to view your “Rollover Maximum Available.”
Contacts
| Benefits | Contact | Phone | Website |
|---|---|---|---|
| Dental | Delta Dental of Massachusetts | 1-800-872-0500 | Visit Website |
