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Retiree Health Plan BenefitTabs

DELTA ADAPTABLE 1

Dental Benefits
Under the Delta AdapTable Plan, you may go to any licensed dentist; however, dentists participating with Delta AdapTable may offer you a more competitive rate than a dentist who is not a participating Delta AdapTable provider.

Annual Deductible

Annual Maximum

$50 per person
3 per family

$1,000 per person

DELTA CARE PMI 1

Dental Benefits
Only services performed by your selected Delta Care PMI panel dentist are covered under this Plan.

Annual Deductible

Annual Maximum

None
Co-pays vary by procedure

None

1. If you are covered by Medicare and belong to an HMO, you can select either program at no charge. Your HMO may also have a low- or no-cost dental plan available.