Dental Plan*
Young Life’s dental plan is administered through Delta Dental of Colorado. This is an employer-paid benefit for eligible employees and family members enrolled in the Young Life Benefits plan. Diagnostic and preventive services are covered at 100%, while other services are covered at 80% up to a maximum of $3,000 per covered member with a $50 deductible for individuals and a $150 combined deductible for families. Services received from providers not in the Delta Dental network are subject to the out-of-network maximums for allowable charges.
| Col1 | col2 | |
|---|---|---|
| Dental Benefits | (In-Network) | |
| Delta Dental | ||
| Individual Deductible | $50 | |
| Family Deductible | $150 | |
| Annual Maximum Type I-III (per person) | $3,000 | |
| Type I (Preventive) Services | 100% | |
| Type II (Minor Restorative) Services | 80% | |
| Type III (Major Restorative) Services | 80% | |
| Orthodontia Services | 80% ($3,000 max lifetime benefit) | |
| Deductibles reset every January 1 | ||
The content of this chart is for informational purposes only. If there is any conflict between the information in this chart and the official plan document, the official plan document will govern.
*Note: Special Forms and handling are provided for international claims, and in-network benefits are applied.
Delta Dental Booklet 2024
