Standard and Enhanced Dental PPO Plans

Collective Health administers the Standard and Enhanced Dental PPO Plans through Delta Dental. Both plans give you access to Delta Dental’s network of preferred dentists. If you use a Delta Dental network dentist, your preventive care is covered at 100% and you’ll pay less out-of-pocket costs for other services because network dentists provide services at pre-negotiated rates.

Find Delta Dental network dentists: http://join.collectivehealth.com/petco (Click on Find Care)
Call Collective Health: 844-516-3836

Delta Dental HMO Plan

The Delta Dental HMO Plan requires you to visit your selected primary care dentist in order to receive benefits. You must choose a dentist for each covered family member. Preventive services are covered at no charge. You pay a fixed copay for other dental services.

Find DeltaCare USA dentists: www.deltadentalins.com (Click on Find a Dentist)
Call Delta Dental: 800-422-4234

Plan Benefit Premiums

Partner benefit rates for the 2022 plan year will be available on the benefits enrollment portal.

Collective Health

Delta Dental

Benefit Feature

Standard Dental PPO

Enhanced Dental PPO

Delta Dental HMO

Plan Year Deductible 

$50 per person,
$150 per family

$50 per person,
$150 per family

None

Plan Year Maximum Benefit

$1,500

$2,000

No maximum benefit

Diagnostic/Preventive Services

Preventive Care

Oral Exams, X-rays

No charge, no deductible
No charge, no deductible

No charge, no deductible
No charge, no deductible

No charge1,2
No charge

Basic Services

  • Oral Surgery

  • Restorative (fillings)

  • Endodontics (root canals)

  • 20% after deductible

  • 20% after deductible       

  • 20% after deductible

  • 20% after deductible

  • 20% after deductible       

  • 20% after deductible

  • $12-$125 copay

  • $0-$115 copay      

  • Up to $430 copay

Major Services

  • Crowns              

  • Dentures

  • 50% after deductible      

  • 50% after deductible

  • 50% after deductible      

  • 50% after deductible

  • Up to $500 per unit

  • $525-$715 copay

Orthodontia

  • Adolescent benefit (to age 19)             

  • Not covered                     

  • 50% after deductible up to $1,500 lifetime max    

  • $1,530-$2,505 copay3

  • Adult benefit          

  • Not covered                    

  • Not covered

  • $1,730-$2,705 copay3

1) $12 copay per tooth for sealants and a $170 copay for space maintainers.
2) $30 copay (child) or $45 copay (adult) for prophylaxis beyond the limit of 2 per year with no copay.
3) Additional charges for evaluation, treatment plan, banding (placement of braces) and retention.