Shiloh offers two comprehensive dental plans to fit your needs.
Your coverage is provided through Delta Dental of Ohio which offers you an extensive network of dental providers. Remember, using an in-network PPO dentist can save you money. If you use an out-of-network dentist, Delta Dental will send payment for the claim to you, and you will be responsible for paying the dentist.
To access the Delta Dental Consumer Toolkit to find a dentist, review your benefits, download or print your ID card and much more, go to www.deltadentaloh.com/shiloh or call 800-524-0149.
Low Plan = $1,000 annual maximum benefit
High Plan = $2,000 annual maximum benefit
Be sure to get your Preventive Care Services twice per year!
Watch the Delta Dental Presentation
Employee Contributions
| Tiers | LOW PLAN | HIGH PLAN |
| Employee | $8.94 | $11.44 |
| Employee + Spouse | $17.37 | $22.25 |
| Employee + Child | $20.74 | $30.58 |
| Employee + Children | $20.74 | $30.58 |
| Employee + Family | $32.56 | $46.70 |
Non-Union and VC-Steel Union rates only.
Low Plan –$1,000 annual maximum benefit
| Delta Dental PPO Dentist Plan Pays |
Delta Dental Premier Dentist Plan Pays | Nonparticipating Dentist Plan Pays* |
|
| Diagnostic & Preventive | |||
| Diagnostic and Preventive Services – exams, cleanings, fluoride, and space maintainers | 100% | 100% | 100% |
| Brush Biopsy – to detect oral cancer | 100% | 100% | 100% |
| Bitewing Radiographs – bitewing X-rays |
100% | 100% | 100% |
| Basic Services | |||
| Emergency Palliative Treatment – to temporarily relieve pain |
80% | 80% | 80% |
| Sealants – to prevent decay of permanent teeth | 80% | 80% | 80% |
| All Other Radiographs – other X-rays |
80% | 80% | 80% |
| Minor Restorative Services – fillings and crown repair | 80% | 80% | 80% |
| Simple Extractions – non-surgical removal of teeth |
80% | 80% | 80% |
| Other Basic Services – misc. services |
80% | 80% | 80% |
| Endodontic Services – root canals | 80% | 80% | 80% |
| Periodontic Services – to treat gum disease |
80% | 80% | 80% |
| Other Oral Surgery – dental surgery | 80% | 80% | 80% |
| Major Services | |||
| Major Restorative Services – crowns | 50% | 50% | 50% |
| Relines and Repairs – to bridges, implants, and dentures |
50% | 50% | 50% |
| Prosthodontic Services – bridges, implants, and dentures |
50% | 50% | 50% |
*When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental’s Nonparticipating Dentist Fee that will be paid for those services. The Nonparticipating Dentist Fee may be less then what the dentist charge and you are responsible for the difference.
Looking for more?
CLICK HERE to download the full Low Plan dental summary
High Plan – $2,000 annual maximum benefit
| Delta Dental PPO Dentist Plan Pays |
Delta Dental Premier Dentist Plan Pays | Nonparticipating Dentist Plan Pays* |
|
| Diagnostic & Preventive | |||
| Diagnostic and Preventive Services – exams, cleanings, fluoride, and space maintainers | 100% | 100% | 100% |
| Brush Biopsy – to detect oral cancer | 100% | 100% | 100% |
| Radiographs – X-rays | 100% | 100% | 100% |
| Basic Services | |||
| Emergency Palliative Treatment – to temporarily relieve pain |
80% | 80% | 80% |
| Sealants – to prevent decay of permanent teeth | 80% | 80% | 80% |
| Minor Restorative Services – fillings and crown repair | 80% | 80% | 80% |
| Endodontic Services – root canals | 80% | 80% | 80% |
| Periodontic Services – to treat gum disease |
80% | 80% | 80% |
| Oral Surgery Services – extractions and dental surgery |
80% | 80% | 80% |
| Other Basic Services – misc. services |
80% | 80% | 80% |
| Major Services | |||
| Major Restorative Services – crowns | 50% | 50% | 50% |
| Relines and Repairs – to bridges, implants, and dentures | 50% | 50% | 50% |
| Prosthodontic Services – bridges, implants, and dentures | 50% | 50% | 50% |
| Orthodontic Services | |||
| Orthodontic Services – braces | 50% | 50% | 50% |
| Orthodontic Age Limit | No Age Limit | No Age Limit | No Age Limit |
*When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental’s Nonparticipating Dentist Fee that will be paid for those services. The Nonparticipating Dentist Fee may be less then what the dentist charge and you are responsible for the difference.
Looking for more?
CLICK HERE to download the full High Plan dental summary