Dental

VMware offers dental coverage through Delta Dental. You may use any dental provider you choose but you save when you use dentists within Delta Dental’s PPO network. Visit find a provider to see if your dentist is in-network. The Delta Dental plan covers most preventive, restorative, orthodontia and major dental procedures. Preventive care, including routine exams and cleanings are covered at 100% with no deductible.

Delta Dental Plan Details

Delta PPO Provider Delta Premier Provider1 &
Out-of-Network Provider2
Annual Deductible Individual: $50
Family: $150
Individual: $50
Family: $150
Annual Maximum Benefit Non-Orthodontic Services per Individual: $1,500
Orthodontia Lifetime Maximum per Individual: $2,000
Non-Orthodontic Services per Individual: $1,500
Orthodontia Lifetime Maximum per Individual: $2,000
Preventive/Diagnostic (exams, cleanings, fluoride, X-rays, and sealants) 100% (no deductible) 100% (no deductible) up to MPA3
Basic Restorative (fillings, root canal, periodontics, and oral surgery) 90% after deductible 80% after deductible up to MPA3
Major Restorative (crowns,bridges, dentures, partials, implants, etc.) 60% after deductible 50% after deductible up to MPA3
Orthodontia (for adults and children) 60%
Lifetime maximum of $2,000 per individual
50% of the MPA3
Lifetime maximum of $2,000 per individual

1 The Premier provider has agreed to accept the contracted rate from Delta Dental.
2 The Out-of-Network provider has not agreed to Delta’s rates. Delta Dental pays the percentage shown above of the reasonable and customary rate. If the Out-of-Network provider charges a higher fee than Delta’s reasonable and customary fee, you would be responsible for paying that additional cost.
3 Maximum Plan Allowance

Employee Contributions for 2017

Per Paycheck Rates

Plan Employee Only Employee +
Spouse/Domestic Partner
Employee + Child(ren) Employee + Family
Delta Dental PPO $0 $7.20 $12.68 $20.21

Dependent Eligibility

  • Your spouse or domestic partner. Please note: after tax contributions and imputed income may apply when covering a domestic partner. See the Domestic Partner Imputed Income Rate Table for details.
  • Your child(ren), your spouse’s / domestic partner’s child(ren), your foster child(ren) are eligible for medical coverage until age 26, regardless of student status.

For more information on dental services, see the Delta Dental Evidence of Coverage (EOC).

Contact Us

Benefit Center
Phone 1-888-VMWARE8, option ‘US Benefits’
hrbenefitadmin@vmware.com


Delta Dental
Phone 1-800-765-6003
Visit website

Resources

Delta Dental 2016 Documents
Delta Dental Benefit Highlights
Delta Dental Claim Form
Delta Dental Evidence of Coverage (EOC) 2017
Domestic Partner Imputed Income Rate Table
How to Print an ID Card