Dental Benefits
Like brushing and flossing, visiting your dentist is an essential part of your oral health. Lhoist North America offers affordable plan options from Delta Dental for routine care and beyond.
Dental Benefits
| Coverage Tier | Biweekly Contribution |
|---|---|
| Employee Only | $3.52 |
| Employee + Spouse | $7.43 |
| Employee + Child(ren) | $6.02 |
| Employee + Family | $11.04 |
Employee Only
- Biweekly Contribution
- $3.52
Employee + Spouse
- Biweekly Contribution
- $7.43
Employee + Child(ren)
- Biweekly Contribution
- $6.02
Employee + Family
- Biweekly Contribution
- $11.04
| Service | In-Network | Out-of-Network |
|---|---|---|
| Annual Deductible - Individual | $50 | $50 |
| Annual Deductible - Family | $150 | $150 |
| Annual Maximum - Per Person | $2,000 | $2,000 |
| Preventive Services | 100% | 100% |
| Basic Services | 80%* | 80%* |
| Major Services | 50%* | 50%* |
| Orthodontics: Dependent Child(Ren) Only – Up To Age 20 | 50% | 50% |
| Orthodontic Lifetime Maximum | $2,000 | $2,000 |
Annual Deductible - Individual
- In-Network
- $50
- Out-of-Network
- $50
Annual Deductible - Family
- In-Network
- $150
- Out-of-Network
- $150
Annual Maximum - Per Person
- In-Network
- $2,000
- Out-of-Network
- $2,000
Preventive Services
- In-Network
- 100%
- Out-of-Network
- 100%
Basic Services
- In-Network
- 80%*
- Out-of-Network
- 80%*
Major Services
- In-Network
- 50%*
- Out-of-Network
- 50%*
Orthodontics: Dependent Child(Ren) Only – Up To Age 20
- In-Network
- 50%
- Out-of-Network
- 50%
Orthodontic Lifetime Maximum
- In-Network
- $2,000
- Out-of-Network
- $2,000
*After deductible
Plan Notes
- Dental premium contributions are deducted from your paycheck on a pre-tax basis. Your tier of coverage determines your biweekly premium.
- If your dentist doesn’t participate in your plan’s network, your out-of-pocket costs will be higher, and you are subject to any charges beyond the Reasonable and Customary (R&C). To find a network dentist, visit Delta Dental at www.deltadentalins.com.
- Orthodontia coverage is for dependent child(ren) only, up to age 20, with a $2,000 orthodontic lifetime maximum.
- Oral health is linked to your overall health — keeping your mouth healthy can protect you from cardiovascular disease, pregnancy complications, and pneumonia.
