Preventive and Periodontal Dental Plan

University of Minnesota – Student Dental Plan

Delta Dental PPO™ & Delta Dental Premier®

Plan Benefit Highlights

Network(s)Preventative/Periodontics Plan
Plan Year Maximum
Per person Maximum
N/A
Deductible
Per person per plan year
No deductible for diagnostic and preventive services and 
non-surgical periodontics
N/A
Covered ServicesDental Benefit Plan Coverage
Diagnostic & Preventive Services
Exams
Cleanings
X-rays
Sealants
100%
Periodontics
Nonsurgical periodontics
80%