Delta Dental Individual and Family DPO Preventive Plan for Families – PPO
Network type: PPO
Coverage tier: High
Basic Dental: Not covered
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
SKU: 24349TX0010007
Categories: Abbott, Abernathy, Abilene, Ace, Ackerly, Addison, Adkins, Adrian, Afton, Alanreed, Alba, Albany, Aledo, Allen, Alleyton, Allison, Alpine, Altair, Alto, Alvarado, Alvin, Alvord, Amarillo, Amherst, Anahuac, Anderson, Andrews, Angleton, Anna, Annona, Anson, Anthony, Anton, Aquilla, Archer City, Argyle, Arlington, Arp, Art, Artesia Wells, Arthur City, Asherton, Aspermont, Atascosa, Athens, Atlanta, Aubrey, Austin, Avalon, Avery, Avinger, Avoca, Axtell, Azle, Bacliff, Bagwell, Bailey, Baird, Balch Springs, Ballinger, Balmorhea, Bandera, Bangs, Bardwell, Barksdale, Barnhart, Barry, Barstow, Bartlett, Bastrop, Batesville, Batson, Bay City, Baytown, Beasley, Beaumont, Beckville, Bedford, Bedias, Bellaire, Bellevue, Bells, Bellville, Belton, Ben Franklin, Ben Wheeler, Benavides, Bend, Benjamin, Berclair, Bergheim, Bertram, Big Bend National Park, Big Lake, Big Sandy, Big Spring, Big Wells, Bigfoot, Bivins, Blackwell, Blanco, Blanket, Bledsoe, Bleiblerville, Blessing, Bloomburg, Blooming Grove, Bloomington, Blossom, Blue Ridge, Bluff Dale, Bluffton, Blum, Boerne, Bogata, Boling, Bonham, Booker, Borger, Bovina, Bowie, Boyd, Boys Ranch, Brackettville, Brady, Brandon, Brashear, Brazoria, Breckenridge, Bremond, Brenham, Bridge City, Bridgeport, Briggs, Briscoe, Bronte, Brookesmith, Brookshire, Brookston, Brownfield, Brownsboro, Brownwood, Bruceville, Bruni, Bryan, Bryson, Buchanan Dam, Buckholts, Buda, Buffalo, Buffalo Gap, Bullard, Bulverde, Burkburnett, Burkett, Burleson, Burlington, Burnet, Burton, Bushland, Byers, Bynum, Cactus, Caddo, Caddo Mills, Caldwell, Calliham, Calvert, Camden, Cameron, Camp Wood, Campbell, Campbellton, Canadian, Canton, Canutillo, Canyon, Canyon Lake, Carbon, Carlsbad, Carlton, Carmine, Carrizo Springs, Carrollton, Carthage, Castell, Castroville, Cat Spring, Catarina, Cedar Creek, Cedar Hill, Cedar Lane, Cedar Park, Cee Vee, Celeste, Celina, Center Point, Centerville, Chandler, Channelview, Channing, Chappell Hill, Charlotte, Chatfield, Cherokee, Chico, Childress, Chillicothe, Chilton, China, China Spring, Christine, Christoval, Cibolo, Cisco, Clarendon, Clarksville, Claude, Cleburne, Cleveland, Clifton, Clint, Clute, Clyde, Coahoma, Coldspring, Coleman, College Station, Collegeport, Colleyville, Collinsville, Colorado City, Columbus, Comanche, Comfort, Commerce, Como, Comstock, Concan, Concepcion, Conroe, Converse, Cookville, Coolidge, Cooper, Coppell, Copperas Cove, Corrigan, Corsicana, Cost, Cotton Center, Cotulla, Coupland, Covington, Coyanosa, Crandall, Crane, Cranfills Gap, Crawford, Cresson, Crosby, Crosbyton, Cross Plains, Crowell, Crowley, Crystal City, Cuero, Cumby, Cuney, Cunningham, Cushing, Cypress, D Hanis, Daingerfield, Daisetta, Dale, Dalhart, Dallas, Damon, Danbury, Danciger, Danevang, Darrouzett, Davilla, Dawn, Dawson, Dayton, De Berry, De Kalb, De Leon, Deanville, Decatur, Deer Park, Del Rio, Del Valle, Dell City, Denison, Dennis, Denton, Denver City, Deport, Desdemona, Desoto, Detroit, Devers, Devine, Diana, Dickens, Dickinson, Dike, Dilley, Dime Box, Dimmitt, Dodd City, Dodge, Dodson, Donie, Doole, Doss, Dougherty, Douglassville, Driftwood, Dripping Springs, Dryden, Dublin, Dumas, Duncanville, Dyess Afb, Eagle Lake, Eagle Pass, Early, Earth, East Bernard, Eastland, Easton, Ecleto, Ector, Eddy, Eden, Edgewood, Edmonson, Edna, Egypt, El Campo, El Indio, El Paso, Eldorado, Electra, Elgin, Ellinger, Elm Mott, Elmaton, Elmendorf, Elysian Fields, Emory, Encinal, Energy, Enloe, Ennis, Enochs, Eola, Era, Estelline, Euless, Eustace, Evant, Fabens, Fairfield, Falls City, Fannin, Farmersville, Farnsworth, Farwell, Fate, Fayetteville, Fentress, Ferris, Fieldton, Fischer, Flatonia, Flint, Flomot, Florence, Floresville, Flower Mound, Floydada, Fluvanna, Flynn, Follett, Forestburg, Forney, Forreston, Forsan, Fort Bliss, Fort Cavazos, Fort Davis, Fort Hancock, Fort McKavett, Fort Stockton, Fort Worth, Fowlerton, Francitas, Franklin, Frankston, Fredericksburg, Fredonia, Freeport, Freer, Fresno, Friendswood, Friona, Frisco, Fritch, Frost, Fruitvale, Fulshear, Gail, Gainesville, Galena Park, Gallatin, Galveston, Ganado, Garden City, Gardendale, Garland, Garrison, Garwood, Gatesville, Gause, Georgetown, Giddings, Gilchrist, Gillett, Gilmer, Girard, Gladewater, Glen Flora, Glen Rose, Glidden, Godley, Goldsboro, Goldsmith, Goldthwaite, Goliad, Gonzales, Goodfellow Afb, Goodrich, Gordon, Gordonville, Goree, Gorman, Gouldbusk, Graford, Graham, Granbury, Grand Prairie, Grand Saline, Grandfalls, Grandview, Granger, Grapevine, Greenville, Groesbeck, Groom, Groves, Gruver, Guerra, Gunter, Gustine, Guthrie, Guy, Hale Center, Hallettsville, Hallsville, Haltom City, Hamilton, Hamlin, Hamshire, Hankamer, Happy, Hardin, Harker Heights, Harleton, Harper, Harrold, Hart, Hartley, Harwood, Haskell, Haslet, Hawkins, Hawley, Hearne, Hebbronville, Hedley, Helotes, Hempstead, Henderson, Henrietta, Hereford, Hermleigh, Hewitt, Hext, Hico, Higgins, High Island, Highlands, Hillsboro, Hitchcock, Hobson, Hockley, Holland, Holliday, Hondo, Honey Grove, Hooks, Horseshoe Bay, Houston, Howe, Hubbard, Huffman, Hughes Springs, Hull, Humble, Hungerford, Hunt, Huntsville, Hurst, Hutchins, Hutto, Hye, Idalou, Imperial, Industry, Inez, Ingram, Iola, Iowa Park, Ira, Iraan, Iredell, Irene, Irving, Italy, Itasca, Ivanhoe, Jacksboro, Jacksonville, Jarrell, Jayton, Jbsa Ft Sam Houston, Jbsa Lackland, Jbsa Randolph, Jefferson, Jermyn, Jewett, Johnson City, Joinerville, Jonesboro, Jonesville, Josephine, Joshua, Jourdanton, Junction, Justiceburg, Justin, Karnack, Karnes City, Katy, Kaufman, Keene, Keller, Kemah, Kemp, Kempner, Kendalia, Kendleton, Kenedy, Kennedale, Kerens, Kermit, Kerrick, Kerrville, Kildare, Kilgore, Killeen, Kingsbury, Kingsland, Kingwood, Kirvin, Klondike, Knickerbocker, Knippa, Knott, Knox City, Kopperl, Kosse, Kountze, Kress, Krum, Kyle, La Coste, La Grange, La Marque, La Porte, La Pryor, La Salle, La Vernia, La Ward, Ladonia, Lake Creek, Lake Dallas, Lake Jackson, Lakeview, Lamesa, Lampasas, Lancaster, Lane City, Laneville, Langtry, Laredo, Larue, Laughlin Afb, Lavon, Lawn, Lazbuddie, League City, Leakey, Leander, Ledbetter, Leesburg, Leesville, Lefors, Leggett, Lelia Lake, Leming, Lenorah, Leona, Leonard, Leroy, Levelland, Lewisville, Lexington, Liberty, Liberty Hill, Lillian, Lincoln, Lindale, Linden, Lindsay, Lipan, Lipscomb, Lissie, Little Elm, Little River Academy, Littlefield, Liverpool, Livingston, Llano, Lockhart, Lockney, Lodi, Lohn, Lolita, Lometa, London, Lone Oak, Lone Star, Long Branch, Longview, Loop, Lopeno, Loraine, Lorena, Lorenzo, Lott, Louise, Loving, Lubbock, Lueders, Luling, Lumberton, Lyons, Lytle, Mabank, Madisonville, Magnolia, Malakoff, Malone, Manchaca, Manor, Mansfield, Manvel, Maple, Marathon, Marble Falls, Marfa, Marietta, Marion, Markham, Marlin, Marquez, Marshall, Mart, Martindale, Maryneal, Mason, Masterson, Matador, Matagorda, Maud, Maxwell, May, Maypearl, Mcadoo, McCamey, McCaulley, McDade, Mcfaddin, Mcgregor, Mckinney, Mclean, McLeod, McQueeney, Meadow, Medina, Megargel, Melissa, Melvin, Memphis, Menard, Mentone, Mereta, Meridian, Merkel, Mertens, Mertzon, Mesquite, Mexia, Meyersville, Miami, Mico, Midfield, Midkiff, Midland, Midlothian, Midway, Milano, Miles, Milford, Millersview, Millican, Millsap, Minden, Mineola, Mineral Wells, Mingus, Mirando City, Missouri City, Mobeetie, Monahans, Mont Belvieu, Montague, Montalba, Montgomery, Moody, Moore, Moran, Morgan, Morse, Morton, Moscow, Moulton, Mount Calm, Mount Enterprise, Mount Pleasant, Mount Vernon, Mountain Home, Muenster, Muldoon, Muleshoe, Mullin, Mumford, Munday, Murchison, Myra, Nada, Naples, Nash, Natalia, Naval Air Station Jrb, Navasota, Nazareth, Neches, Nederland, Needville, Nemo, Nevada, New Boston, New Braunfels, New Caney, New Deal, New Home, New London, New Summerfield, New Ulm, New Waverly, Newark, Newcastle, Nixon, Nocona, Nolan, Nolanville, Nome, Nordheim, Normangee, North Richland Hills, North Zulch, Norton, Notrees, Novice, Nursery, O'Brien, Oakhurst, Oakland, Oakwood, Odell, Odessa, Odonnell, Oglesby, Oilton, Oklaunion, Old Glory, Olden, Olney, Olton, Omaha, Onalaska, Orange, Orchard, Ore City, Orla, Ottine, Ovalo, Overton, Ozona, Paducah, Paige, Paint Rock, Palacios, Palestine, Palmer, Palo Pinto, Pampa, Pandora, Panhandle, Panna Maria, Paradise, Paris, Pasadena, Pattison, Pattonville, Pearland, Pearsall, Pecan Gap, Pecos, Peggy, Penelope, Penwell, Pep, Perrin, Perryton, Petersburg, Petrolia, Petty, Pflugerville, Pickton, Pierce, Pilot Point, Pinehurst, Pipe Creek, Pittsburg, Placedo, Plains, Plainview, Plano, Plantersville, Pleasanton, Pledger, Point, Point Comfort, Pointblank, Pollok, Ponder, Pontotoc, Poolville, Port Arthur, Port Bolivar, Port Lavaca, Port Neches, Port O'Connor, Porter, Post, Poteet, Poth, Pottsboro, Pottsville, Powderly, Powell, Poynor, Prairie Hill, Prairie Lea, Prairie View, Presidio, Price, Priddy, Princeton, Prosper, Purdon, Purmela, Putnam, Pyote, Quail, Quanah, Queen City, Quemado, Quinlan, Quitaque, Quitman, Rainbow, Ralls, Randolph, Ranger, Rankin, Ransom Canyon, Ravenna, Raywood, Reagan, Realitos, Red Oak, Red Rock, Redford, Redwater, Reklaw, Rhome, Rice, Richards, Richardson, Richland, Richland Springs, Richmond, Riesel, Ringgold, Rio Frio, Rio Medina, Rio Vista, Rising Star, Riverside, Roanoke, Roans Prairie, Roaring Springs, Robert Lee, Roby, Rochelle, Rochester, Rock Island, Rockdale, Rocksprings, Rockwall, Rockwood, Rogers, Romayor, Roosevelt, Ropesville, Rosanky, Roscoe, Rosebud, Rosenberg, Rosharon, Rosser, Rosston, Rotan, Round Mountain, Round Rock, Round Top, Rowena, Rowlett, Roxton, Royse City, Rule, Runge, Rusk, Rye, Sabinal, Sabine Pass, Sachse, Sadler, Saint Hedwig, Saint Jo, Salado, Salt Flat, Saltillo, San Angelo, San Antonio, San Elizario, San Felipe, San Marcos, San Saba, San Ygnacio, Sanderson, Sanford, Sanger, Santa Anna, Santa Fe, Santo, Saragosa, Saratoga, Satin, Savoy, Schertz, Schulenburg, Schwertner, Scotland, Scroggins, Scurry, Seabrook, Seadrift, Seagoville, Seagraves, Sealy, Seguin, Selman City, Seminole, Seymour, Shallowater, Shamrock, Sheffield, Shepherd, Sheppard Afb, Sheridan, Sherman, Shiner, Shiro, Sidney, Sierra Blanca, Silverton, Simms, Simonton, Skellytown, Slaton, Slidell, Smiley, Smithville, Smyer, Snook, Snyder, Somerset, Somerville, Sonora, Sour Lake, South Bend, South Houston, South Plains, Southlake, Southmayd, Spade, Spearman, Spicewood, Splendora, Spring, Spring Branch, Springlake, Springtown, Spur, Stafford, Stamford, Stanton, Staples, Star, Stephenville, Sterling City, Stinnett, Stockdale, Stonewall, Stowell, Stratford, Strawn, Streetman, Sublime, Sudan, Sugar Land, Sulphur Bluff, Sulphur Springs, Summerfield, Sumner, Sundown, Sunnyvale, Sunray, Sunset, Sutherland Springs, Sweeny, Sweet Home, Sweetwater, Sylvester, Tahoka, Talco, Talpa, Tarpley, Tarzan, Tatum, Taylor, Teague, Tehuacana, Telephone, Telferner, Tell, Temple, Tennessee Colony, Tennyson, Terlingua, Terrell, Texarkana, Texas, Texas City, Texhoma, Texline, The Colony, Thicket, Thompsons, Thorndale, Thornton, Thrall, Throckmorton, Tilden, Timpson, Tioga, Tivoli, Tokio, Tolar, Tom Bean, Tomball, Tornillo, Tow, Toyah, Trent, Trenton, Trinidad, Trinity, Troup, Troy, Tulia, Turkey, Tuscola, Tye, Tyler, Umbarger, Universal City, Utopia, Uvalde, Valentine, Valera, Valley Mills, Valley Spring, Valley View, Van, Van Alstyne, Van Horn, Van Vleck, Vancourt, Vanderbilt, Vanderpool, Vega, Venus, Vernon, Victoria, Vidor, Village Mills, Voca, Von Ormy, Voss, Votaw, Waco, Wadsworth, Waelder, Waka, Wall, Waller, Wallis, Wallisville, Walnut Springs, Waring, Washington, Waskom, Water Valley, Waxahachie, Wayside, Weatherford, Webster, Weesatche, Weimar, Weinert, Weir, Welch, Wellington, Wellman, Wells, West, West Columbia, West Point, Westbrook, Westhoff, Wharton, Wheeler, Wheelock, White Deer, White Oak, Whiteface, Whitehouse, Whitesboro, Whitewright, Whitharral, Whitney, Whitt, Wichita Falls, Wickett, Wildorado, Willis, Willow City, Wills Point, Wilmer, Wilson, Wimberley, Windom, Windthorst, Winfield, Wingate, Wink, Winnie, Winnsboro, Winona, Winters, Wolfe City, Wolfforth, Woodlawn, Woodson, Woodway, Wortham, Wrightsboro, Wylie, Yancey, Yantis, Yoakum, Yorktown, Zapata, Zephyr
Description
Health Care Plan Details
| Network type | PPO |
| Deductible | $50 per person $50 per person |
| Out-of-pocket max | $400 per person $800 per family |
| Metal tier | High |
Adult Dental
Basic Dental: Not coveredMajor dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
