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2024 SBP Dental

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Dental

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Copyright © 2022 Delta Dental. All rights reserved. HL_PPO #133904.21 (rev. 3/22) In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. Network dentists are paid contracted fees. You are responsible for any applicable deductibles, coinsurance, amounts over annual or lifetime maximums and charges for non-covered services. Out-of-network dentists may bill the difference between their usual fee and Delta Dental’s maximum contract allowance. Applies only to procedures covered under your plan. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. Group- and state-specific exceptions may apply. If you are currently undergoing active orthodontic treatment, you may be eligible to continue treatment under Delta Dental PPO. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Delta Dental makes the vision corrective services program and hearing health care services program available to you to provide access to the preferred pricing for LASIK surgery and for hearing aids and other hearing health services.West Virginia: Learn about our commitment to providing access to a quality dentist network at deltadentalins.com/about/legal/index-enrollee.html.Save with PPOVisit a dentist in the PPO1 network to maximize your savings.2 These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill.3 Find a PPO dentist at deltadentalins.com.Set up an online accountGet information about your plan, check benefits and eligibility information, find a network dentist and more. Sign up for an online account at deltadentalins.com.Check in without an ID cardYou don’t need a Delta Dental ID card when you visit the dentist. Just provide your name, birth date and enrollee ID or Social Security number. If your family members are covered under your plan, they’ll need your information. Prefer to have an ID card? Simply log in to your account to view or print your card. Coordinate dual coverage If you’re covered under two plans, ask your dental oce to include information about both plans with your claim — we’ll handle the rest.Understand transition of careGenerally, multi-stage procedures are covered under your current plan only if treatment began after your plan’s eective date of coverage.4 Log in to our online account to find this date.Get LASIK and hearing aid discountsWith access to QualSight and Amplifon Hearing Health Care5, you can save as much as 50% on LASIK procedures and more than 60% on hearing aids. To take advantage of these discounts, call QualSight at 855-248-2020 and Amplifon at 888-779-1429.Save with a PPO dentistPPONON–PPOKeep Smiling Delta Dental PPO™

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Specialty Building Products(Base Plan)04159Effective Date: 1/1/2023Basic Services Major Services Prosthodontics OrthodonticsNone None None NoneCovered Under Major ServicesCovered Under Basic Services80%80%50%50%80% 80%Endodontics (root canals) Periodontics (gum treatment)Covered Under Basic ServicesOral Surgery Dependent children to age 19$800 Lifetime$800 Lifetime50% 50%Orthodontic Benefits Orthodontic MaximumsPlan Benefit Highlights for: Group No: EligibilityFor eligibility details, refer to the plan's Evidence/Certificate of Coverage (on file with your benefits administrator, plan sponsor or employer).Deductibles $50 per person / $100 per family each calendar yearSeparate $50 Orthodontics lifetime deductible per personDeductibles waived for Diagnostic & Preventive (D & P)?YesMaximums$1,200 per person each calendar yearD & P counts toward maximum? NoWaiting Period(s) Benefits and Covered Services*Delta Dental PPONon-Delta Dental PPO dentists**dentists**Diagnostic & Preventive Services (D & P) 100% 100%Exams, cleanings, x-rays and sealants Basic Services 80% 80%Fillings Major Services 50% 50%Crowns, inlays, onlays and cast restorations Prosthodontics50% 50%Bridges, dentures and implants* Limitations or waiting periods may apply for some benefits; some services may be excluded from your plan. Reimbursement is based on Delta Dental maximum contract allowances and not necessarily each dentist’s submitted fees. ** Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and Premier contracted fees for non-Delta Dental dentists.Delta Dental of PennsylvaniaCustomer ServiceClaims Addressdeltadentalins.comThis benefit information is not intended or designed to replace or serve as the plan’s Evidence of Coverage or Summary Plan Description. If you have specific questions regarding the benefits, limitations or exclusions for your plan, please consult your company’s benefits representative.One Delta Drive800-932-0783P.O. Box 2105Mechanicsburg, PA 17055Mechanicsburg, PA 17055-6999Revised 10/7/2022

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Copyright © 2022 Delta Dental. All rights reserved. HL_PPO #133904.21 (rev. 3/22) In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. Network dentists are paid contracted fees. You are responsible for any applicable deductibles, coinsurance, amounts over annual or lifetime maximums and charges for non-covered services. Out-of-network dentists may bill the difference between their usual fee and Delta Dental’s maximum contract allowance. Applies only to procedures covered under your plan. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. Group- and state-specific exceptions may apply. If you are currently undergoing active orthodontic treatment, you may be eligible to continue treatment under Delta Dental PPO. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Delta Dental makes the vision corrective services program and hearing health care services program available to you to provide access to the preferred pricing for LASIK surgery and for hearing aids and other hearing health services.West Virginia: Learn about our commitment to providing access to a quality dentist network at deltadentalins.com/about/legal/index-enrollee.html.Save with PPOVisit a dentist in the PPO1 network to maximize your savings.2 These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill.3 Find a PPO dentist at deltadentalins.com.Set up an online accountGet information about your plan, check benefits and eligibility information, find a network dentist and more. Sign up for an online account at deltadentalins.com.Check in without an ID cardYou don’t need a Delta Dental ID card when you visit the dentist. Just provide your name, birth date and enrollee ID or Social Security number. If your family members are covered under your plan, they’ll need your information. Prefer to have an ID card? Simply log in to your account to view or print your card. Coordinate dual coverage If you’re covered under two plans, ask your dental oce to include information about both plans with your claim — we’ll handle the rest.Understand transition of careGenerally, multi-stage procedures are covered under your current plan only if treatment began after your plan’s eective date of coverage.4 Log in to our online account to find this date.Get LASIK and hearing aid discountsWith access to QualSight and Amplifon Hearing Health Care5, you can save as much as 50% on LASIK procedures and more than 60% on hearing aids. To take advantage of these discounts, call QualSight at 855-248-2020 and Amplifon at 888-779-1429.Save with a PPO dentistPPONON–PPOKeep Smiling Delta Dental PPO™

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Specialty Building Products(Buy-Up Plan)04159Effective Date: 1/1/2023Basic Services Major Services Prosthodontics Orthodontics NoneNone None Nonedeltadentalins.comThis benefit information is not intended or designed to replace or serve as the plan’s Evidence of Coverage or Summary Plan Description. If you have specific questions regarding the benefits, limitations or exclusions for your plan, please consult your company’s benefits representative.One Delta Drive800-932-0783P.O. Box 2105Mechanicsburg, PA 17055Mechanicsburg, PA 17055-6999Delta Dental of PennsylvaniaCustomer ServiceClaims AddressOrthodontic Benefits 50% 50%Adults and dependent children to age 19Orthodontic Maximums$1,500 Lifetime$1,500 Lifetime* Limitations or waiting periods may apply for some benefits; some services may be excluded from your plan. Reimbursement is based on Delta Dental maximum contract allowances and not necessarily each dentist’s submitted fees. ** Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and Premier contracted fees for non-Delta Dental dentists.Prosthodontics50% 50%Bridges, dentures and implantsOral Surgery 80% 80%Covered Under Basic ServicesMajor Services 50% 50%Crowns, inlays, onlays and cast restorations Endodontics (root canals) 80% 80%Covered Under Basic ServicesPeriodontics (gum treatment)80% 80%Covered Under Basic ServicesDiagnostic & Preventive Services (D & P) 100% 100%Exams, cleanings, x-rays and sealantsBasic Services 80% 80%Fillings, space maintainers and denture repairs/reline/rebaseD & P counts toward maximum? NoWaiting Period(s) Benefits and Covered Services*Delta Dental PPONon-Delta Dental PPO dentists**dentists**Deductibles waived for Diagnostic & Preventive (D & P) and Orthdontics?YesMaximums$2,000 per person each calendar yearPlan Benefit Highlights for: Group No: EligibilityFor eligibility details, refer to the plan's Evidence/Certificate of Coverage (on file with your benefits administrator, plan sponsor or employer).Deductibles $50 per person / $150 per family each calendar yearSeparate $50 Orthodontics lifetime deductible per personRevised 10/7/2022

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Copyright © 2022 Delta Dental. All rights reserved. HL_PPO #133904.21 (rev. 3/22) In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. Network dentists are paid contracted fees. You are responsible for any applicable deductibles, coinsurance, amounts over annual or lifetime maximums and charges for non-covered services. Out-of-network dentists may bill the difference between their usual fee and Delta Dental’s maximum contract allowance. Applies only to procedures covered under your plan. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. Group- and state-specific exceptions may apply. If you are currently undergoing active orthodontic treatment, you may be eligible to continue treatment under Delta Dental PPO. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Delta Dental makes the vision corrective services program and hearing health care services program available to you to provide access to the preferred pricing for LASIK surgery and for hearing aids and other hearing health services.West Virginia: Learn about our commitment to providing access to a quality dentist network at deltadentalins.com/about/legal/index-enrollee.html.Save with PPOVisit a dentist in the PPO1 network to maximize your savings.2 These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill.3 Find a PPO dentist at deltadentalins.com.Set up an online accountGet information about your plan, check benefits and eligibility information, find a network dentist and more. Sign up for an online account at deltadentalins.com.Check in without an ID cardYou don’t need a Delta Dental ID card when you visit the dentist. Just provide your name, birth date and enrollee ID or Social Security number. If your family members are covered under your plan, they’ll need your information. Prefer to have an ID card? Simply log in to your account to view or print your card. Coordinate dual coverage If you’re covered under two plans, ask your dental oce to include information about both plans with your claim — we’ll handle the rest.Understand transition of careGenerally, multi-stage procedures are covered under your current plan only if treatment began after your plan’s eective date of coverage.4 Log in to our online account to find this date.Get LASIK and hearing aid discountsWith access to QualSight and Amplifon Hearing Health Care5, you can save as much as 50% on LASIK procedures and more than 60% on hearing aids. To take advantage of these discounts, call QualSight at 855-248-2020 and Amplifon at 888-779-1429.Save with a PPO dentistPPONON–PPOKeep Smiling Delta Dental PPO™

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Specialty Building Products(Base Plan)04159Effective Date: 1/1/2023Basic Services Major Services Prosthodontics OrthodonticsNone None None NoneCovered Under Major ServicesCovered Under Basic Services80%80%50%50%80% 80%Endodontics (root canals) Periodontics (gum treatment)Covered Under Basic ServicesOral Surgery Dependent children to age 19$800 Lifetime$800 Lifetime50% 50%Orthodontic Benefits Orthodontic MaximumsPlan Benefit Highlights for: Group No: EligibilityFor eligibility details, refer to the plan's Evidence/Certificate of Coverage (on file with your benefits administrator, plan sponsor or employer).Deductibles $50 per person / $100 per family each calendar yearSeparate $50 Orthodontics lifetime deductible per personDeductibles waived for Diagnostic & Preventive (D & P)?YesMaximums$1,200 per person each calendar yearD & P counts toward maximum? NoWaiting Period(s) Benefits and Covered Services*Delta Dental PPONon-Delta Dental PPO dentists**dentists**Diagnostic & Preventive Services (D & P) 100% 100%Exams, cleanings, x-rays and sealants Basic Services 80% 80%Fillings Major Services 50% 50%Crowns, inlays, onlays and cast restorations Prosthodontics50% 50%Bridges, dentures and implants* Limitations or waiting periods may apply for some benefits; some services may be excluded from your plan. Reimbursement is based on Delta Dental maximum contract allowances and not necessarily each dentist’s submitted fees. ** Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and Premier contracted fees for non-Delta Dental dentists.Delta Dental of PennsylvaniaCustomer ServiceClaims Addressdeltadentalins.comThis benefit information is not intended or designed to replace or serve as the plan’s Evidence of Coverage or Summary Plan Description. If you have specific questions regarding the benefits, limitations or exclusions for your plan, please consult your company’s benefits representative.One Delta Drive800-932-0783P.O. Box 2105Mechanicsburg, PA 17055Mechanicsburg, PA 17055-6999Revised 10/7/2022

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Copyright © 2022 Delta Dental. All rights reserved. HL_PPO #133904.21 (rev. 3/22) In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. Network dentists are paid contracted fees. You are responsible for any applicable deductibles, coinsurance, amounts over annual or lifetime maximums and charges for non-covered services. Out-of-network dentists may bill the difference between their usual fee and Delta Dental’s maximum contract allowance. Applies only to procedures covered under your plan. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. Group- and state-specific exceptions may apply. If you are currently undergoing active orthodontic treatment, you may be eligible to continue treatment under Delta Dental PPO. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Delta Dental makes the vision corrective services program and hearing health care services program available to you to provide access to the preferred pricing for LASIK surgery and for hearing aids and other hearing health services.West Virginia: Learn about our commitment to providing access to a quality dentist network at deltadentalins.com/about/legal/index-enrollee.html.Save with PPOVisit a dentist in the PPO1 network to maximize your savings.2 These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill.3 Find a PPO dentist at deltadentalins.com.Set up an online accountGet information about your plan, check benefits and eligibility information, find a network dentist and more. Sign up for an online account at deltadentalins.com.Check in without an ID cardYou don’t need a Delta Dental ID card when you visit the dentist. Just provide your name, birth date and enrollee ID or Social Security number. If your family members are covered under your plan, they’ll need your information. Prefer to have an ID card? Simply log in to your account to view or print your card. Coordinate dual coverage If you’re covered under two plans, ask your dental oce to include information about both plans with your claim — we’ll handle the rest.Understand transition of careGenerally, multi-stage procedures are covered under your current plan only if treatment began after your plan’s eective date of coverage.4 Log in to our online account to find this date.Get LASIK and hearing aid discountsWith access to QualSight and Amplifon Hearing Health Care5, you can save as much as 50% on LASIK procedures and more than 60% on hearing aids. To take advantage of these discounts, call QualSight at 855-248-2020 and Amplifon at 888-779-1429.Save with a PPO dentistPPONON–PPOKeep Smiling Delta Dental PPO™

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Specialty Building Products(Buy-Up Plan)04159Effective Date: 1/1/2023Basic Services Major Services Prosthodontics Orthodontics NoneNone None Nonedeltadentalins.comThis benefit information is not intended or designed to replace or serve as the plan’s Evidence of Coverage or Summary Plan Description. If you have specific questions regarding the benefits, limitations or exclusions for your plan, please consult your company’s benefits representative.One Delta Drive800-932-0783P.O. Box 2105Mechanicsburg, PA 17055Mechanicsburg, PA 17055-6999Delta Dental of PennsylvaniaCustomer ServiceClaims AddressOrthodontic Benefits 50% 50%Adults and dependent children to age 19Orthodontic Maximums$1,500 Lifetime$1,500 Lifetime* Limitations or waiting periods may apply for some benefits; some services may be excluded from your plan. Reimbursement is based on Delta Dental maximum contract allowances and not necessarily each dentist’s submitted fees. ** Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and Premier contracted fees for non-Delta Dental dentists.Prosthodontics50% 50%Bridges, dentures and implantsOral Surgery 80% 80%Covered Under Basic ServicesMajor Services 50% 50%Crowns, inlays, onlays and cast restorations Endodontics (root canals) 80% 80%Covered Under Basic ServicesPeriodontics (gum treatment)80% 80%Covered Under Basic ServicesDiagnostic & Preventive Services (D & P) 100% 100%Exams, cleanings, x-rays and sealantsBasic Services 80% 80%Fillings, space maintainers and denture repairs/reline/rebaseD & P counts toward maximum? NoWaiting Period(s) Benefits and Covered Services*Delta Dental PPONon-Delta Dental PPO dentists**dentists**Deductibles waived for Diagnostic & Preventive (D & P) and Orthdontics?YesMaximums$2,000 per person each calendar yearPlan Benefit Highlights for: Group No: EligibilityFor eligibility details, refer to the plan's Evidence/Certificate of Coverage (on file with your benefits administrator, plan sponsor or employer).Deductibles $50 per person / $150 per family each calendar yearSeparate $50 Orthodontics lifetime deductible per personRevised 10/7/2022

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Resources at your fingertipsGo online to manage your planWhether you need to check your benefits or select a new dentist, you can do it all with Delta Dental’s online tools.Create an accountWhat you can do:• Check your plan details and eligibility.• Browse claim history.• Download plan documents.• Find an in-network dentist.• View your member ID card or print apaper copy.• Update your settings to paperless.Try it out: Go to deltadentalins.com and choose Log in to create an account or log in to your existing account.Tip: Access your benefits info on mobile, tablet or desktop!Find an in-network dentistWhat you can do:• Search by distance, specialty, languagespoken, extended office hours,wheelchair accessibility and more.• Browse Yelp ratings and reviews fromreal patients, and check out DentaQualscores for an objective quality metricbased on actual claims data.Try it out: Go to deltadentalins.com, enter your address or ZIP code and select your network. Not sure which network to choose? Log in to your account first and follow the prompts to find a dentist.deltadentalins.com/enrollees

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Understand your planWhat you can do:• Browse answers to frequently asked questions.• Get tips on planning for a dental visit.• Find claim forms.• Learn how to go paperless, sign up for a virtual dental visit and coordinate coverage with two or more plans.Try it out: Visit deltadentalins.com/enrollees for useful resources and tips.Explore dental wellnessWhat you can do:• Browse articles on everything from acid reflux to xylitol.• Find delicious recipes for healthy meals.• Check out videos on preventive care and common procedures.Try it out: Visit deltadentalins.com/wellness to start learning.Download the appWhat you can do:• Check your plan details and eligibility.• Browse claim history.• View your member ID card.• Get a cost estimate.• Find an in-network dentist.Try it out: Search for Delta Dental in the App Store or Google Play.Tip: Don’t need another app? Just visit deltadentalins.com on your smartphone or tablet and log in to your account.Our Delta Dental enterprise includes these companies in these states: Delta Dental of California — CA, Delta Dental of the District of Columbia — DC, Delta Dental of Pennsylvania — PA & MD, Delta Dental of West Virginia, Inc. — WV, Delta Dental of Delaware, Inc. — DE, Delta Dental of New York, Inc. — NY, Delta Dental Insurance Company — AL, DC, FL, GA, LA, MS, MT, NV, TX and UT.Copyright © 2022 Delta Dental. All rights reserved. EF30 #134298I (rev. 04/22)

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Member perks for your smile and beyondExtra features. Exceptional outcomes.Your Delta Dental membership does more than help keep your smile bright and healthy when you visit the dentist. Your plan also brings exclusive product discounts, resources and more to support a healthy lifestyle for your smile and beyond.Your Delta Dental membership includes access to:• Virtual dentistry oerings. Get remotevideo or photo consultations with adentist at low or no cost.• Free wellness resources. Check outarticles, videos, recipes, newslettersand more that will help you lead ahealthy life.• Oral health product discounts withBrushSmart™. Enjoy savings on electrictoothbrushes and other home careproducts from premium brands.• LASIK discounts with QualSight. Save upto 35% o the national average price ofLASIK with QualSight.1• Hearing aid discounts with Amplifon.Save an average of 66% o retail pricingfor hearing aids with Amplifon.2• Thousands of discounts with LifePerks.Save on childcare, financial, auto andtravel services, fitness gear and gymmemberships, and entertainment likemovies and theme parks.Ready to make the most of your membership?To get started, visit:www1.deltadentalins.com/memberperks1 Based on an Amplifon 2022 MSRP analysis. Your savings may vary.2 As compared to the reported overall national LASIK eye surgery cost by Market Scope LLC 2021. Discounts or savings may vary by provider.Our Delta Dental enterprise includes these companies in these states: Delta Dental of California — CA, Delta Dental of the District of Columbia — DC, Delta Dental of Pennsylvania — PA & MD, Delta Dental of West Virginia, Inc. — WV, Delta Dental of Delaware, Inc. — DE, Delta Dental of New York, Inc. — NY, Delta Dental Insurance Company — AL, DC, FL, GA, LA, MS, MT, NV, TX and UT.BrushSmart is a trademark of Delta Dental of California.Copyright © 2023 Delta Dental. All rights reserved. EF42 #32003 (rev. 6/23) deltadentalins.com/enrollees

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Pregnancy and Your TeethWhat expecting mothers should knowExpecting a baby? Being pregnant has major eects on the body, and your mouth is no exception.When you’re pregnant, you’re at higher risk for:• Tooth decay• Gum disease (also known as “pregnancy gingivitis”)• Oral growths called “pregnancy tumors”These conditions are treatable, so make an appointment with your dentist. Brushing and flossing vigilantly can help fight gum disease and tooth decay, but there’s nothing you can do at home to get rid of pregnancy tumors. They usually disappear after birth, or you can ask your dentist to remove them.Did you know...? If you have moderate to severe gum disease, you may be at higher risk for delivering a pre-term, low-birth weight baby.deltadentalins.com/enrollees

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Copyright © 2021 Delta Dental. All rights reserved. EF33 #132011AC (rev. 07/21) 1. Visit the dentist. Let your dentist know how far along you are and if you have a high-risk pregnancy or any medical conditions. Your dentist can help assess your oral health and map out a plan for the rest of your pregnancy.2. Get a dental cleaning. It’s especially important to keep your teeth and gums healthy during pregnancy. Your dental plan may cover an additional cleaning for pregnant women. Check if your plan includes this feature.3. Avoid anesthesia. Anesthesia during the first trimester may be linked to early miscarriage. If you need any dental work that requires anesthesia, such as a filling or root canal treatment, talk to your dentist about postponing the procedure until the second trimester of your pregnancy.4. Eat well-balanced meals full of vitamins C, D and phosphorus.5. Protect your teeth. Morning sickness can be a hassle — and it can wear down your teeth. Exposure to stomach acid dissolves tooth enamel, weakening your teeth’s defense against decay. If you suer from morning sickness, talk to your dentist about ways to reduce the harm, such as using a mouthguard or rinsing with baking soda.Our Delta Dental enterprise includes these companies in these states: Delta Dental of California — CA, Delta Dental of the District of Columbia — DC, Delta Dental of Pennsylvania — PA & MD, Delta Dental of West Virginia, Inc. — WV, Delta Dental of Delaware, Inc. — DE, Delta Dental of New York, Inc. — NY, Delta Dental Insurance Company — AL, DC, FL, GA, LA, MS, MT, NV, TX and UT.5 ways to stay healthyEnhanced pregnancy benefitsTo help you maintain your oral health, Delta Dental oers enhanced benefits during your pregnancy. Enhanced coverage for pregnant women includes an additional exam, cleaning or periodontal procedure as needed, once pregnancy is confirmed. Check your plan booklet to see if your plan includes this feature.Want to know more?Visit deltadentalins.com/wellness — a one-stop-shop for oral health-related tools and tips, including interactive quizzes, a risk assessment tool and a subscription to Grin!, our free oral wellness e-magazine.

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Delta Dental PPO™Elevate your smile 7 ways to make the most of your dental plan1Save with PPO.Choose a network dentist to maximize your savings. These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill.1 Find a network dentist at deltadentalins.com:• Save the most by visiting a Delta DentalPPO dentist.2• Your next best bet, Delta Dental Premier®,is the largest dental network nationwide.32Create an online account. Check your coverage and get a cost estimate at deltadentalins.com. If you’d like an ID card, you can view or print one online. To save time and paper, update your settings to paperless. You’ll receive an email when a new dental benefits statement is available.3Seek diagnostic and preventive care. Your plan covers regular exams and cleanings at low or no cost to help catch problems before they require costly, extensive treatment. Overall health can affect your dental health, from hypertension to pregnancy. Start each dental visit with a quick chat about any issues or medications.4Coordinate benefits.Are you covered under a second dental plan? Ask your dentist to include information about both plans with your claim, and we’ll handle the rest.41 You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non–Delta Dental dentist. PPO and Premier dentists won’t bill you for any amount over their contracted fees. You are responsible for any applicable deductibles, coinsurance, amounts over annual or lifetime maximums and charges for non-covered services. Non–Delta Dental dentists may bill the difference between their usual fee and Delta Dental’s maximum contract allowance. 2 In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.3 Delta Dental Premier is the largest dentist network nationwide based on total unique dentists, as of September 2021, according to Zelis Network360.4 Group- and state-specific exceptions may apply. Please review your plan booklet for details about coordination of benefits, including rules for determining primary and secondary coverage.deltadentalins.com/enrollees

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5Stay informed. Get oral health tools and tips at deltadentalins.com/wellness. Don’t forget to subscribe to Grin!, our free dental wellness e-magazine.6Go virtual.Can’t get to the dentist? Try teledentistry. Photo-based app Toothpic and video platform Delta Dental – Virtual Consult let you have a remote consultation with a Delta Dental dentist.5 Visit deltadental.toothpic.com or deltadentalvirtualconsult.com to sign up.7Save on laser eye surgery and hearing aids.As a Delta Dental member, you can save as much as 50% on LASIK procedures and over 60% on hearing aids.6 Call QualSight at 855-248-2020 and Amplifon at 888-779-1429.5 You can receive a virtual assessment as a covered benefit if you have 100% coverage for exams. Frequency limitations for diagnostic exams do not apply to virtual exams. Virtual Consult is available in AL, CA, DC, DE, FL, GA, LA, MD, MS, MT, NV, NY, PA, TX, UT and WV. Dentist availability may vary by state. Appointments are subject to schedule availability.6 Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Delta Dental makes the vision corrective services program and hearing health care available to you to provide preferred pricing for LASIK surgery and for hearing aids and other hearing health services.Contact usVisit deltadentalins.com/contact or call us. Customer Service representatives are available Monday to Friday.• Delta Dental of California: 888-335-8227• California School District Employees: 866-499-3001• Delta Dental of Delaware; Delta Dental of the District of Columbia; Delta Dental of New York; Delta Dental of Pennsylvania (and Maryland); Delta Dental of West Virginia: 800-932-0783• Delta Dental Insurance Company (Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas, Utah): 800-521-2651Delta Dental PPO™ and Delta Dental Premier® are underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV, TX and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. In Texas, Delta Dental PPO provides a dental provider organization (DPO) plan.Legal notices: Access federal and state legal notices related to your plan: deltadentalins.com > Privacy & Legal center.Copyright © 2022 Delta Dental. All rights reserved. EF17_PPO-PRE #134298F (rev. 4/22)

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Healthy mouth, healthy youYour one-stop shop for wellnessGet all the tips you need to keep your teeth and body healthy with preventive care articles, quizzes and more.Expand your knowledgeRead articles on dental health–related topics, from acid reflux to x-rays. Get familiar with dental procedures with short videos and learn how to protect your teeth for a healthier you.Make the connectionExplore the connection between your oral health and your overall health. Get tips on nutrition, healthy aging and more.Involve the whole familyHelp get your children excited about taking care of their teeth with kid-friendly recipes, tips on conquering dental anxiety and a special activity book, Grin! for Kids. Assess your riskThe risk assessment tool gives you an oral health score to share with your dentist at your next visit. You can also assess your risk for cavities and gum disease with special quizzes.Brush up on terminologyHeard a dental or insurance term you’re unfamiliar with? Review the glossary to learn everything you need to know.Stay connectedKeep in touch for dental health articles and fun facts:• Sign up for Grin!, our free dental wellness e-magazine available in English and Spanish.• Follow Delta Dental on Facebook, Twitter and Instagram.Visit the wellness library: deltadentalins.com/wellness Our Delta Dental enterprise includes these companies in these states: Delta Dental of California — CA, Delta Dental of the District of Columbia — DC, Delta Dental of Pennsylvania — PA & MD, Delta Dental of West Virginia, Inc. — WV, Delta Dental of Delaware, Inc. — DE, Delta Dental of New York, Inc. — NY, Delta Dental Insurance Company — AL, DC, FL, GA, LA, MS, MT, NV, TX and UT.deltadentalins.com/membersCopyright © 2023 Delta Dental. All rights reserved. EF53 #135842.08 (rev. 03/23)

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Your mouth and bodyTooth loss and gum disease can increase your risk for a number of health issues and chronic conditions. All of these are linked to an unhealthy mouth:Glaucomalinked to gum diseaseDementiarelated to gum diseaseRespiratory diseaseworsened by gum infectionCardiovascular diseaserelated to gum diseaseKidney diseasemore common with tooth lossPre-term babymore likely to occur in women with gum diseaseDiabetescan develop or worsen with unhealthy gumsRheumatoid arthritislinked to unhealthy gumsMigraineconnected to oral bacteriadeltadentalins.com/enrollees Copyright 2022 © Delta Dental. All rights reserved. EF6 #134298B (04/22)Our Delta Dental enterprise includes these companies in these states: Delta Dental of California — CA, Delta Dental of Pennsylvania — PA & MD, Delta Dental of West Virginia, Inc. — WV, Delta Dental of Delaware, Inc. — DE, Delta Dental of the District of Columbia — DC, Delta Dental of New York, Inc. — NY, Delta Dental Insurance Company — AL, FL, GA, LA, MS, MT, NV, TX and UT