Dental

A dental plan can keep you and your family smiling.

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Dental & Orthodontia Plan

The Gordon Food Service Dental Plan is administered by Delta Dental of Michigan. This plan is purchased separately from the medical coverage. To locate an in-network dentist, visit www.deltadentalmi.com and click on “Find a Dentist”. 

Dental Plan

Annual Dental Maximum

  • $1,700 on all dental services

Preventive Dental Services

  • 100% coverage
  • Cleanings/exams and bitewing X-rays
  • Twice per year

Annual Deductible (Minor & Major Restorative Procedures)

  • $25 per person per year

Minor Restorative Dental Procedures

  • 20% Coinsurance (plan covers 80%)
  • Fillings, crowns, root canals, extraction, etc.

Major Restorative Dental Procedures

  • 50% coinsurance (plan covers 50%) bridges, dentures, etc.

Dental Plan

Annual Dental Maximum

  • $1,700 on all dental services

Preventive Dental Services

  • 100% coverage
  • Cleanings/exams and bitewing X-rays
  • Twice per year

Annual Deductible (Minor & Major Restorative Procedures)

  • $25 per person per year

Minor Restorative Dental Procedures

  • 20% Coinsurance (plan covers 80%)
  • Fillings, crowns, root canals, extraction, etc.

Major Restorative Dental Procedures

  • 50% coinsurance (plan covers 50%) bridges, dentures, etc.

Orthodontia Plan

Orthodontia Maximum

  • $1,500 per course of treatment

Course of Treatment

  • 24 month lapse between services for new treatment to be payable (benefit renews)

Coverage Details

  • Services allowed at 50%
  • Includes initial banding and periodic visits
  • No age limit

Orthodontia Plan

Orthodontia Maximum

  • $1,500 per course of treatment

Course of Treatment

  • 24 month lapse between services for new treatment to be payable (benefit renews)

Coverage Details

  • Services allowed at 50%
  • Includes initial banding and periodic visits
  • No age limit

Delta Dental ID Cards Provided but not Required to Access Coverage

When you seek services from an in-network Delta Dental provider, they can verify coverage with the following information: Employee Social Security Number, Plan 1800, (800) 524-0149

Dental Weekly Premiums

Emp Emp/Sp Emp/Ch(ren) Emp/Sp/Ch(ren)
Dental
$2.26
$4.77
$4.31
$6.80

Dental Weekly Premiums

Emp Emp/Sp Emp/Ch(ren) Emp/Sp/Ch(ren)
Dental
$2.26
$4.77
$4.31
$6.80

Benefits of Using In-Network Dentists

To maximize the benefits available under the plan, Gordon Food Service has partnered with Delta Dental of Michigan to offer services for a reduced fee if an in-network dentist is used. The dental network consists of Delta Dental PPO and the Delta Dental Premier networks. Dentists outside the network may be used with the same dental benefit coverage; however, you will not receive a reduced rate for those services and may be billed for services over what the plan covers.

Have Questions?

Click link to see FAQs about enrollment and using your new benefits in the new year.

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