Atlantic Packaging offers a dental program through Delta Dental. The chart below is a brief outline of the plan. Please refer to the summary plan description for complete plan details.
While the coverage is the same in- and out-of-network, you will pay less out of pocket if you visit an in-network provider with Delta Dental.
Visit www.deltadentalnc.com to find a dentist in their network.
Cost of Coverage
|Employee & Spouse||$67.37||$15.55|
|Employee & Child(ren)||$65.02||$15.00|
|Employee & Family||$118.42||$27.33|
|Delta Dental||In-Network Benefits||Out-of-Network Benefits|
|Waived for Preventive Care?||Yes||Yes|
|Per Covered Person||$1,500||$1,500|
|Diagnostic & Preventive* |
oral examination, cleaning, all x-rays, topical application of fluoride solution for dependent children up to age 19, space maintainers, sealants for children up to age 16
extractions, fillings, oral surgery, lab services required for procedures, general anesthesia, endodontic and periodontal care
crowns, inlays/onlays, bridges, dentures, implants
(covered dependent children up to age 19)
*Preventive Incentive – Diagnostic and Preventive Services do not count toward the annual maximum