Boise State University Human Resource Services - Benefits

Insurance - Dental

  1. Eligibility
  2. Enrollment
  3. Waiting Periods
  4. Medical Insurance
  5. Dental Insurance
  6. Vision Insurance
  7. Monthly Health Insurance Premiums
  8. Mental Health, Substance Abuse and Employee Assistance Program (EAP) Benefits
  1. When Coverage Ends
  2. COBRA
  3. When You Retire
  4. Basic and Supplemental Life Insurance
  5. NCPERS
  6. Supplemental Insurance Programs
  7. Disability: Short and Long Term

Delta Dental Benefits Delta Premier Delta PPO
Deductible (Per Person) $25 $25*
Preventive & Diagnostic:
Exams and cleanings, x-rays (once every 6 months)		 70% 80%
Basic: Fillings 70% 80%
Basic: Root Canals, Extractions, Periodontics 50% 80%
Major Services:
Crowns, Crown Build-ups, Bridges, Dentures		 50% 50%
Annual Maximum Benefit: $1000 $1000
Waiting Period for Major Services: 12 Months 12 Months
Child Orthodontic Services: 50% 50%
Orthodontic Lifetime Max: $1000 $1000
Waiting Period for Orthodontic Services: 12 Months 12 Months

*Deductible is not required for PPO diagnostic and preventive services.


Declination of Dental Insurance

Dependent dental coverage is available only if the dependents are also covered by the State medical plan. You may decline dental coverage for your family. To decline dental coverage for your family, employees must complete a Dental Declination form. The effective date is the first of the month following the declination. After declining, you may only add your family to dental coverage when there is an open enrollment for dental. There may be several years between open enrollment periods for dental.


Participating Providers

You can use any provider you want, but you may save money when you use providers who belong to the State plan network. Most benefits are paid based on Allowable Charges, which means they’ll accept plan benefits plus your share (any deductible, coinsurance or co-payments) of the costs as payment in full.

Non-participating Providers may charge more than the plan’s Allowable Charges, which means you are responsible for any amounts that exceed the Allowable charges plus any deductible and coinsurance amounts. An exception may be made when you have to use a non-participating provider for an emergency or because a non-participating provider is the only source of services.

To find Participating Dental Providers, please contact Delta Dental Plan of Idaho, 1-888-333-3582 or go on-line http://www.deltadentalid.com Go to “Looking for a Dentist?” then select Delta Premier and follow the screen prompts.


Filing Claims

After you enroll, you will receive an identification card from Delta Dental Plan of Idaho. Whenever you receive services from a participating provider, just show your ID card. The provider will bill the plan on your behalf. When you use a non-participating provider, you may have to make a claim for reimbursement. Submit a detailed invoice from your provider. Be sure to include your name, subscriber identification number and the name of your employer to the following address:


Delta Dental
PO Box 2870
Boise, ID 83701


Contact Information

We recommend you contact the carrier prior to having any services performed.

General Information:

State of Idaho’s Office of Insurance Management, http://adm.idaho.gov/insurance/insurance.html

1-800-531-0597, 332-1860, ogi@adm.idaho.gov

Dental Plan:

Delta Dental, http://www.deltadentalid.com

1-800-718-3374 or 1-208-344-4546