Overview
The Uniform and Preventive Dental plans provide coverage for diagnostic, preventive and basic services. You are eligible for either Uniform Dental or Preventive Dental, based on whether you enroll in State Group Health Insurance. Review the eligibility section of this page for additional information.
Delta Dental is the plan administrator for the dental insurance plans.
For more information, review the Plan Brochure and Dental Comparison Chart located in the Forms & Resources section below.
Eligibility
- Uniform Dental: You are eligible if you enroll in State Group Health Insurance. If you elect family State Group Health Insurance with dental, you will be enrolled in family Uniform Dental Insurance. If you elect individual State Group Health Insurance with dental, you will be enrolled in individual Uniform Dental Insurance.
- Preventive Dental: If you waive State Group Health or select the Health Opt-Out Incentive, you are eligible for Preventive Dental.
Coverage
Below is the schedule of benefits for Uniform Dental and Preventive Dental.
| Schedule of Benefits (Uniform and Preventive Dental Insurance plans) | Coverage |
|---|---|
| Provider Network | Delta Dental PPO and Delta Dental Premier |
| Deductible | None |
| Annual Benefit Maximum | $1,000 per member |
| Diagnostic and Preventive Services
Routine evaluations, dental cleanings, sealants*, bitewing and panoramic X-rays, *for children to age 19 |
100% |
| Non-Surgical Extractions (above gumline) | 90% |
| Major/Restorative Services
Crowns, bridges, dentures, root canal therapy (endodontics) |
Not covered |
| Orthodontics (Under Age 19)
Coverage Lifetime Maximum Waiting Period |
50% $1,500 None |
Dental services covered by Uniform Dental are not subject to the health insurance deductible. See the Certificate of Coverage available in the Forms & Resources section below for a list of covered services and exclusions.
Uniform Dental and Preventive Dental do not include coverage for major dental services, such as crowns, root canals or implants. If you want coverage for major dental services, you may enroll in a supplemental dental plan. You do not need to enroll in Uniform Dental or Preventive Dental to enroll in a supplemental dental plan.
Provider Network
Delta Dental has two provider networks: Delta Dental PPO and Delta Dental Premier. You must choose a dentist within one of Delta Dental’s networks. Delta Dental’s PPO network provides the deepest discounts for services. There are no dental benefits for out-of-network providers.
Not sure if your dentist is in one of the networks? Call Delta Dental at (844) 337-8383. Or visit Delta Dental at deltadentalwi.com/state-of-wi. Or contact your dentist directly.
Enrollment
You have 30 days from your date of employment or your newly benefits-eligible job to enroll in Uniform or Preventive Dental. Coverage begins on the first of the month on or following your eligibility date. If you do not enroll in Uniform or Preventive Dental within your initial 30-day enrollment period, or want to add/remove dependents from your plan, your next opportunity to do so is during the Annual Benefits Enrollment period (each fall). Otherwise, if/when you have a qualifying life event. See Life Events for more information.
Once enrolled, you must remain enrolled for the entire calendar year.
Benefit Premiums
For Dental Insurance premiums review the Benefit Premiums web page.
Forms & Resources
For information about 2025 benefits, go to the ABE web page.
Every effort has been made to ensure this information is current and correct. Information on this page does not guarantee enrollment, benefits and/or the ability to make changes to your benefits.
Updated: 05/29/2024