Dental
Taking care of your oral health is not a luxury; it is a necessity for long-term optimal health. With a focus on prevention, early diagnosis, and treatment, Dental insurance can greatly reduce your costs when it comes to restorative and emergency procedures.
When you visit a dentist in the network, you will maximize your savings. These dentists have agreed to reduced fees, which means you won’t get charged more than your expected share of the bill. Diagnostic and preventive care is covered at no cost to you. For other services, you will pay the deductible and copayment ($). The coinsurance (%) shows what the plan pays after the deductible. The Spectrum Brands Dental Plan allows you to receive diagnostic and preventive dental services without those costs applying to the annual maximum – leaving more coverage for care needed throughout the year.
Spectrum Brands dental coverage is through Delta Dental of Wisconsin. Our plan covers both PPO and Premier dentists in the Delta Dental network, but there are financial advantages to choosing a dentist who belongs to the PPO network.
Delta Dental PPO
Plan Information
Plan Name: Delta Dental PPO
Policy Number: 50304
Effective Date: 01/01/2025
Provider Network: Delta Dental of WI
Benefit Highlights
PPO Dentist (preferred)
Deductible (Individual/Family)
$25/$75
Annual Plan Maximum
$1,500 per individual
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50%*
Lifetime Orthodontic Maximum
$2,000 per individual
Premier Dentist
Deductible (Individual/Family)
$25/$75
Annual Plan Maximum
$1,500 per individual
Preventive Care
$0
Basic Services
30% after deductible
Major Procedures
60% after deductible
Orthodontia (Adults and Children)
40%*
Lifetime Orthodontic Maximum
$2,000 per individual
Out-of-Network Dentist
Deductible (Individual/Family)
$25/$75
Annual Plan Maximum
$1,500 per individual
Preventive Care
$0
Basic Services
30% after deductible
Major Procedures
60% after deductible
Orthodontia (Adults and Children)
40%*
Lifetime Orthodontic Maximum
$2,000 per individual
Evidence-Based Integrated Care Plan (EBICP)*
Evidence-Based Integrated Care Plan (EBICP)* provides additional cleaning(s) and/or fluoride treatments to individuals with specific medical conditions that have oral implications
- Diabetes
- Pregnancy
- Kidney Failure/Dialysis Treatment
- High-Risk Cardiac Conditions
- Periodontal Disease
- Suppressed Immune Systems
- Cancer Patients undergoing Chemo/Radiation
Scan the code or visit deltadentalwi.com/EBICP to learn about EBICP
EBICP allows you to receive additional dental cleanings and fluoride treatments at no additional cost. In-network dentists should not require an exam for these additional cleanings and fluoride treatments. If your dentist requires an exam as part of these additional cleanings and fluoride treatments, the additional exam is not covered.
Benefit Highlights
PPO Dentist (preferred)
Deductible (Individual/Family)
$25/$75
Annual Plan Maximum
$1,500 per individual
Preventive Care
$0
Basic Services
20% (after deductible)
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50%*
Lifetime Orthodontic Maximum
$2,000 per individual
Premier Dentist
Deductible (Individual/Family)
$25/$75
Annual Plan Maximum
$1,500 per individual
Preventive Care
100% (deductible does not apply)
Basic Services
30% after deductible
Major Procedures
60% after deductible
Orthodontia (Adults and Children)
40%*
Lifetime Orthodontic Maximum
$2,000 per individual
Out-of-Network Dentist
Deductible (Individual/Family)
$25/$75
Annual Plan Maximum
$1,500 per individual
Preventive Care
$0
Basic Services
70% (after deductible)
Major Procedures
60% (after deductible)
Orthodontia (Adults and Children)
40%*
Lifetime Orthodontic Maximum
$2,000 per individual
*Evidence-Based Integrated Care Plan (EBICP) provides additional cleaning(s) and/or fluoride treatments to individuals with specific medical conditions that have oral implications. Visit deltadentalwi.com/EBICP to learn more information.
Plan Documents
Contact Information
Plan Costs
Weekly
Employee Only: $1.83
Employee and Spouse/DP: $3.67
Employee and Child(ren): $2.88
Employee and Family: $5.24
Bi-weekly
Employee Only: $3.66
Employee and Spouse/DP: $7.34
Employee and Child(ren): $5.76
Employee and Family: $10.48
HMSA Dental Plan (Hawaii Only)
This plan is for the Hawaii residents only.
Plan Information
Plan Name: HMSA Dental Plan
Effective Date: 07/01/2024
Provider Network: HMSA
Benefit Highlights
In-Network Only
Annual Plan Maximum
$1,500 per individual
Preventive Care
$0
Basic Services
30%
Major Procedures
50%
Orthodontia (Adults and Children)
Not covered
Lifetime Orthodontic Maximum
$2,000
Plan Documents
Year Carrier Plan Type Document Type
Contact Information
Plan Costs
Weekly
Employee Only: $8.02
Employee + 1: $16.14
Employee and Family: $23.94
Bi-weekly
Employee Only: $17.37
Employee + 1: $34.96
Employee and Family: $51.88