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Dental
Regular visits to your dentists can protect more than your smile; they can help protect your health. Recent studies
have linked gum disease to damage elsewhere in the body and dentists are able to screen for oral symptoms of
many other diseases including cancer, diabetes, and heart disease.
College of Marin provides you with a comprehensive coverage through Delta Dental Insurance Company.
Delta Dental PPO (SISC)
Faculty and SEIU
In-Network
Premier & Out-Of-Network
Calendar Year Deductible
Individual/Family
None
None
Annual Plan Maximum
$2,200
$2,000
Diagnostic and Preventive
Oral Exam
X-rays
Teeth Cleaning
Fluoride Treatment
Sealants
Plan pays 70-100%
Plan pays 70-100%
Basic Services
Anesthesia
Periodontics (gum disease)
Endodontics (root canal)
Simple & surgical
extractions
Plan pays 70-100%
Plan pays 70-100%
Major Services
Single crowns
Inlays, onlays, veneers
Plan pays 70-100%
Plan pays 70-100%
Prosthodontic Services
Bridges & dentures
Repair & maintenance of
bridgework
Dental Implants (
limited
)
Plan pays 50%
Plan pays 50%
Orthodontic Services
Plan pays 75%
$2,000
Covered
Orthodontia (
child only
)
Lifetime Maximum
Dependent Children
The information in this booklet is a general outline of the benefits offered under College of Marin benefits program. This booklet may not include all relevant limitations and conditions.
Specific details and limitations are provided in the plan documents, which may include a Summary of Plan Description (SPD), Evidence of Coverage (EOC), and/or insurance policies. The
plan documents contain relevant plan provisions. If the information in this booklet differs from the plan documents, the plan documents will prevail.