IMPORTANT: The University of Oklahoma has elected to issue a unique nine-digit number to identify all Delta Dental subscribers enrolled under the OU plan. By using your unique plan identity code, a subscriber will not need to present or refer to their social security number. Please refer to your specific alternate I.D. number for all Delta Dental transactions, including enrollment to Spotlight™, visits to the dentist, etc. For more information please contact your benefits administrator.

Delta Dental of Oklahoma offers two customized programs to all employees of The University of Oklahoma.

When selecting either the Basic or Alternative plan the member has access to the Delta Dental PPO network and  Delta Dental Premier (our largest network). Participants utilizing a Delta Dental PPO dentist will receive enhanced benefits with lower deductibles. Participants utilizing a Delta Dental Premier network dentist will have a higher deductible and a lower percentage of benefit coverage.

In addition to both plans utilizing Delta Dental’s networks the benefits are the same, including family orthodontics. The only differences between the two plans are the co-pays, deductibles and the maximums.

We know you'll have questions:

Our Customer Service Department is ready to answer any questions you might have about these programs. Simply call: 800-522-0188 (toll free) or 405-607-2100 (Oklahoma City metropolitan area).

More about your product options:

Basic Plan (Point-of-Service) The Basic Plan is a lower cost plan that utilizes both networks, with the co-pays and maximum slightly lower.

BENEFIT PLAN		Delta Dental PPO Network	Premier Network	Non-Participating Dentist
Diagnostic & Preventive-Class I		90%	75%	75%
Basic Restorative-Class II		80%	75%	75%
Major Restorative-Class III		50%	50%	50%
Orthodontics-Class IV		50%	50%	50%
Deductible:		$50 Per Person $100 Per Family	$50 Per Person $100 Per Family	$50 Per Person $100 Per Family
Applies to:		Classes II & III Only	Classes II & III Only	Classes II & III Only
Maximum Payment:	$1,000 Per Person Per Calendar Year for Class I, Class II and Class III Benefits. $1,500 Lifetime Maximum Per Eligible Person for Class IV Benefits.

Note:

(Provider reimbursement based on provider network utilized, non-network provider reimbursement based on the prevailing fee).

Alternate Plan (Point-of-Service) The Alternate Plan is richer in benefits.

BENEFIT PLAN		Delta Dental PPO Network	Premier Network	Non-Participating Dentist
Diagnostic & Preventive-Class I		100%	100%	100%
Basic Restorative-Class II		90%	80%	80%
Major Restorative-Class III		60%	50%	50%
Orthodontics-Class IV		50%	50%	50%
Deductible:		$25 Per Person $75 Per Family	$25 Per Person $75 Per Family	$25 Per Person $75 Per Family
Applies to:		Classes II & III Only	Classes II & III Only	Classes II & III Only
Maximum Payment:	$2,000 Per Person Per Calendar Year for Class I, Class II and Class III Benefits. $1,500 Lifetime Maximum Per Eligible Person for Class IV Benefits.

Note:

(Provider reimbursement based on provider network utilized, non-network provider reimbursement based on the prevailing fee).

Note: Some benefits are subject to limitations, e.g. age of patient, frequency of procedure, late enrollee, etc., or excluded in some instances. Please review "LIMITATIONS" and "EXCLUSIONS" in your Summary Plan Description.