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Employer’s Dental Services (EDS)
EDS is a prepaid dental service available to employees. The advantages of the plan are:
• No deductibles
• No claim forms
• No yearly maximums
• Prescription discount through
Arizona Prescription Program
**See Schedule of Benefits booklet for actual costs of specific services
DENTAL BENEFITS
Delta Dental
• No waiting period for basic, preventive or major services
• Ortho discount available for children and adults
• VSP Vision discount available through EDS
• Must select a PCD (Primary Care Dentist) in-network only
• All general services at listed co pays
Delta Dental
EDS Dental
DENTAL INSURANCE COSTS
Low Option
PPO / Premier Dentist Network
High Option
PPO / Premier Dentist Network
PPO Dentist
Premier Dentist
Non-Network
Dentist
PPO Dentist
Premier Dentist
Non-Network
Dentist
Annual Maximum
$1,000
$1,500
Deductible
$50/$150
$50/$150
Waived for Preventive
Yes
Yes
Preventive
100%
80%
80%
100%
100%
100%
Check Up Plus Included
Check Up Plus Included
Basic
80%
60%
60%
80%
80%
80%
Major
50%
40%
40%
50%
50%
50%
Patient is not
responsible for
total billed
charges
Dentist can balance
bill over the PPO
allowed amount up to
the Premier allowed
amount
Paid at PPO
allowed amount +
balance billed up to
what non-network
dentist charges
Patient is not
responsible for
total billed
charges
Dentist can balance
bill over the PPO
allowed amount up to
the Premier allowed
amount
Paid at PPO
allowed amount +
balance billed up to
what non-network
dentist charges
Orthodontia - Child Only
Deductible
No Coverage
No Deductible
Covered at 50%
Maximum
No Coverage
$1,000
Waiting Periods
New Entrants
New Entrants
Preventive
None
None
Basic
None
None
Major
6 months
6 months
Orthodontia
N/A
12 months
Coverage
Low Option
High Option
Employee Monthly
Cost
Employee Cost
Per Check
Employee Monthly
Cost
Employee Cost
Per Check
Employee Only
$26.34
$13.17
$35.50
$17.75
Employee + 1
$54.40
$27.20
$73.31
$36.66
Family
$84.24
$42.12
$113.53
$56.77
Coverage
Employee Monthly Cost
Employee Cost Per Check
Employee Only
$7.53
$3.77
Coverage
Employee Monthly Cost
Employee Cost Per Check
Employee Only
$13.34
$6.67
Employee + 1
$22.66
$11.33
Family
$31.75
$15.88
Coverage
Low Option
High Option
Employee Monthly
Cost
Employe Cost
Per Check
Employee Monthly
Cost
Employe Cost
Per Check
E ployee Only
$26.34
$13.17
$35.50
$17.75
Employee + 1
$54.40
$27.20
$73.31
$36.66
Family
$84.24
$42.12
$113.53
$56.77
Coverage
Employee Monthly Cost
Employee Cost Per Check
Coverage
Employee Monthly Cost
Employee Cost Per Check
E ployee Only
$13.34
$6.67
Employee + 1
$22.66
$11.33
Family
$31.75
$15.88