IQVIA Benefits Handbook
AT A GLANCE
Questions?
If you have questions about your dental benefits or need claim forms, call Delta Dental at 800-932-0783, or log on to their website at www.deltadentalins.com.
IQVIA offers two dental coverage options: The Standard Plan and The Enhanced Plan. You can see any dentist you want, whether they are in network or out of network. If you see a network dentist, you save money because network dentists discount their services and don't charge more than the discounted rate, so you never receive a "balance due" bill. Preventive care is covered at 100% in and out of the network but out-of-network charges may be subject to balance billing. Here is a quick look at what both plans cover. For more details about the type of covered services, see "Benefits Covered by the Dental Plan."
Covered Services
Standard Plan
Enhanced Plan
Preventive (check-ups, cleanings, fluoride treatment, bitewing X-rays, sealants)
100% no deductible
Annual Deductible for Basic and Major Services
$50 individual/$150 family
$50 individual/$150 family
Basic (fillings, root canal treatment, simple tooth extractions)
80% after deductible
Major (crowns, bridges, dentures, implants)
50% after deductible
Calendar Year Maximum for Basic and Major Services Combined
$1,500 per calendar year per person
$2,000 per calendar year per person
Orthodontia (braces and related treatment)
Not covered
$2,500 per person*)
* The plan will pay 50% of the benefit for orthodontia treatment at the time of the initial treatment and the remaining 50% 12 months later, assuming you continue to be enrolled in the Enhanced Dental Plan. The general plan of treatment for orthodontic care is 18 to 24 months. If the course of treatment is less than 12 months, the plan will make one payment at the time of the initial treatment.
Charges are paid in full up to the coinsurance amount in-network or at the coinsurance amount out-of-network up to the Program Allowance. This Program Allowance limit applies to preventive care as well as the other services listed.