VACE Insurance Program

Chamber Group Dental Insurance

Underwritten by:
Delta Dental

Rates and Coverage Information

Brief summary of benefits. Please call the Chamber at 229-5711 for more information.

Or click here for more detail

Coverage A (No Deductible)

Diagnostic:

  • Evaluations once in a 6-month period•
  • Full mouth/panorex X-rays once in a 3-year period
  • Bite wing X-rays once each 12-month period
  • X-rays of individual teeth as necessary

Preventive:

  • Cleanings once in a 6-month period
  • Fluoride once in a 12-month period to age 19
  • Space maintainers to age 16
  • Sealants for children to age 19 on permanent teeth

NE Delta Pays 100%

Lifetime Deductible (Applies to Coverage B and C)
(person / family)

$100/$300

Coverage B

Restorative: Fillings
Oral Surgery: Extractions and other surgical procedures
Endodontics: Root canal therapy
Periodontics: Treatment of gum disease; Periodontal prophylaxis (cleaning)
Denture Repair: Repair of removable dentures
Emergency Treatment

After a 6-month waiting period NE Delta pays 80%

Coverage C

Prosthodontics:
Removable and fixed partial dentures • (bridge);
complete denture; Rebase and reline (denture); Crowns; Onlays; Implants

After 12-month waiting period, NE Delta pays 50%

Coverage D (No Deductible)

Orthodontics: Correction of malposed (crooked) teeth for adults and children

After 24-month waiting period, NE Delta pays 50%

Lifetime Maximum:
$1,500 per patient
Calendar year maximum per person(coverages A, B, and C combined) $1,500
   

Maximum Benefits

Converges A, B & C per person per calendar year;

Coverage D per person per lifetime


$1500

$1500

** Monthly Rates

One Person:

Two persons:

Three or more persons:


$50

$86

$148

* Benefit percentages shown are based upon the actual charge submitted to a maximum of the participating dentist’s approved fees, or Northeast Delta Dental’s allowance for non-participating dentists.
Rates Valid through 12/31/10

Central Vermont Chamber of Commerce
Used with Permission © 2010. All rights reserved.
CV Chamber / P.O. Box 336 / Barre, Vermont 05641
WebMaster/CV Chamber: (802)-229-4619
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