State of Wisconsin Employees

Dental Coverage

Protection for unpredictable, high-cost dental services

Dental expense benefit coverage lets you enjoy a wider range of dental protection by paying benefits for the following services once you've paid the annual deductible.

Annual Deductible	$200 Per Participant
Dental Services Extractions Therapeutic Injections Periodontics Anesthesia Services, as Defined in the Policy Endodontics Restorations, as Defined in the Policy Alveolectomy Prosthetics Including Dentures and Bridges and Their Repair Crowns, as Defined in the Policy Inlays and Onlays Dental Implants Orthodontic Services and Supplies, as Defined in the Policy*	Deductible, then 50% of covered charges up to a calendar-year maximum of $750 per participant
Orthodontic Lifetime Maximum	$1,200 per participant
* For eligible children under 19. All appliances must be in place before the eligible child's 19th birthday. There is a 12-month waiting period from the participant's effective date for benefits for orthodontic services and supplies. Note: We'll pay secondary after your primary dental plan.

The EPIC plan features Delta Dental providers. Although you can see any dental provider you wish, you'll receive the best value when you choose a Delta Dental provider.

Since Delta's extensive network includes 80% of Wisconsin's dentists, it's easy to locate one near you. However, if you choose to receive treatment from a provider not in the Delta network, you'll still be eligible for coverage, but any difference between Delta's allowable fee and what the provider charges will be your responsibility.

The plan's easy to use—after you visit your dentist, submit your dental claims to your primary plan for consideration. Then, submit all of your claims (including the portion paid by your primary coverage) to Delta Dental for consideration.

The bottom line? Your out-of-pocket costs for qualified dental procedures will be reduced by 50%, up to a maximum of $750 per participant per year, with insurance from The EPIC Life Insurance Company. It's coverage you won't want to be without!

Not sure if your dentist is a Delta provider? Call Delta Dental at 800-236-3712, or visit Delta Dental on the Web at www.deltadentalwi.com. Or, contact your dentist directly.

Delta Dental is committed to providing excellent customer service.
Check out these statistics:

85% of phone calls to a Delta Benefit Advisor are answered in 30 seconds, with the average time for connection at an outstanding 34 seconds
99% of phone inquiries are resolved on first contact with a Benefit Advisor
On average, claims are processed within 6 days