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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.
Santa Barbara Unified School District provides you with a comprehensive coverage through Delta Dental.
Delta Dental PPO Plan – Group Number 7075-5400
In-Network
Out-Of-Network
Calendar Year Deductible
$0
$0
$0
$0
Annual Plan Maximum
$1,700 per member
$1,500 per member (combined with
in-network)
Waiting Period
None
None
Diagnostic and Preventive
Plan pays 70 - 100%
Plan pays 70 - 100% UCR
Basic Services:
Filings
Plan pays 70 - 100%
Plan pays 70 - 100% UCR
Endodontics
Plan pays 70 - 100%
Plan pays 70 - 100% UCR
Periodontics
Plan pays 70 - 100%
Plan pays 70 - 100% UCR
Major Services:
Crowns, inlays, onlays, and
cast restorations
Plan pays 70%-100%
Plan pays 70%-100%
Prosthodontics & implant:
Plan pays 50%
Plan pays 50%
Orthodontic Services
Orthodontia
Plan pays 50%
Plan pays 50%
Lifetime Maximum
$1,500 per member
$1,500 per member
Dependent Children
Covered
Covered
Dental Accident
100% (separate $1,000 max / person)
100% (separate $1,000 max / person)