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: $3,000 Orthodontia Lifetime Maximum per Individual: $3,000	Non-Orthodontic Services per Individual: $3,000 Orthodontia Lifetime Maximum per Individual: $3,000
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 $3,000 per individual	50% of the MPA³ Lifetime maximum of $3,000 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 2023 Per Paycheck¹

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

¹ Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner coverage).

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), and your foster child(ren), the minor(s) you have legal guardianship of are eligible for dental coverage until age 26, regardless of marital or student status.

For more information on dental services, see the Delta Dental Evidence of Coverage (EOC). You can also find a summary of dental benefits here.