2023 Retiree Dental

Henrico County offers three coverage options through Delta Dental. Each option is listed below, and more information can be found in the Delta Dental brochure.

  • Delta Dental PPO plus Premier – High Plan Option
    • Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings twice a year at 100%.
    • Basic dental care (fillings, periodontic care) is covered at 50% to 80% depending on which network is used.
    • Major dental care (crowns and bridges) is covered at 50%.
    • This plan also covers orthodontics at 50% with a lifetime maximum of $1500.
    • The annual calendar year maximum is $1500 per patient, which does not include the cost of preventive care.
  • Delta Dental PPO plus Premier – Low Option Plan
    • Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings at 75%.
    • Basic dental care (fillings, periodontic care) and major dental care (crowns and bridges) are covered at 50%.
    • This plan does not include orthodontics.
    • The annual calendar year maximum is $1500 per patient, which does not include the cost of preventive care.
  • Delta Dental PPO – EPO Plan Design
    This plan provides many covered services at no cost and offers low copayments on certain procedures. A major benefit to this plan is that you know the cost of services before you receive treatment.

    • Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings twice a year at 100%.
    • Basic and restorative dental care.
    • Orthodontics are covered under this plan.
    • There is a $3,000 calendar year maximum and no annual deductible with this plan.

The DeltaCare Plan transitioned to the Delta Dental PPO – EPO Plan Design effective January 1, 2021. Those enrolled in the DeltaCare plan were automatically moved into the Delta Dental PPO – EPO Plan. This plan follows the same copay structure as the DeltaCare Plan; however, enrollees no longer must select a dentist and it utilizes a larger PPO network.

Dental Forms

Dental Resources