Dental Benefits
Like brushing and flossing, visiting your dentist is an essential part of your oral health. Hormel Foods offers affordable plan options from Delta Dental of MN for routine care and beyond.
Dental Plan Summary
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$3,000
OUT-OF-NETWORK$3,000
Covered Services - Preventive Services: Oral Exams, Routine Cleanings, Bitewing X-rays, Panoramic X-rays
IN-NETWORK100%
OUT-OF-NETWORK100%
Covered Services - Basic Services: Full Mouth X-rays, Fillings, Oral Surgery, Simple Extractions
IN-NETWORK80%
OUT-OF-NETWORK80%
- Covered Services - Major Services: Oral Surgery, Complex Extractions, Denture
- Adjustments and Repairs, Root Canal Therapy, Periodontics, Crowns, Dentures, Bridges
IN-NETWORK80%
OUT-OF-NETWORK80%
Covered Services - Orthodontics
IN-NETWORK50%
OUT-OF-NETWORK50%
Covered Services - Orthodontic Lifetime Maximum
IN-NETWORK
- Delta Dental PPO Provider: 50%, up to $3,000
- Delta Dental Premier: 50%, up to $2,500
OUT-OF-NETWORK50%, up to $2,500
Plan Notes
- After you have satisfied the deductible, if any, the Dental Plan pays the following percentages of the treatment cost, up to a maximum fee per procedure. The maximum fee allowed by Delta Dental is different for Delta Dental PPO™ dentists, Delta Dental Premier® dentists, and nonparticipating dentists. If you see a nonparticipating dentist, your out-of-pocket expenses may increase. If a Delta Dental PPO™ dentist provides dental services, the deductible will be waived and the payment percentages may increase, resulting in lower out-of-pocket costs. To find a network dentist, visit Delta Dental of MN at deltadentalmn.org.
- Dental premium contributions are deducted from your paycheck on a pre-tax basis. Your tier of coverage determines your premium.
- Preventive services are covered at 100% in and out of network; the annual maximum is $3,000 per person.