IMRF Endorsed Plans

Delta Dental of Illinois

  • Available nationwide to all IMRF retirees and spouses of any age.
  • Coverage includes preventative, basic and major dental services.
  • Most significant savings seen if you go to a PPO DENTIST.
  • DeltaPreferred Option network dentist, out-of-network dentist also covered. DeltaPreferred and DeltaPremier dentists will file claims for you.
  • Open enrollment all year long. *
  • No waiting period, one year enrollment required.
  • $1,000.00 annual maximum.

    *New retirees and members meeting change of status requirements may enroll during the plan year.

    2010 Premiums: Individual $26.94, Individual + Spouse $53.90, Family $83.96

Premiums
Individual
Individual + Spouse
Family
2010
$26.94
$53.90
$83.96

Benefit Level

Delta Preferred Option PPO Dentist

DeltaPremier Dentist

Out-of-Network Dentist

Diagnostic & Preventive

100% of discounted fees

100% of discounted
fees

100% of discounted
fees

Minor Restorative,

Non-surgical Periodontics, Endodontics, Oral Surgery**

50% of discounted fees

50% of discounted
fees

50% of discounted
fees

Major Restorative, Sugical Periodontics, Prosthodontics

50% of discounted fees

50% of discounted
fees

50% of discounted
fees

**Minor and Major Restorative subject to one annual $50.00 deductible per person.

Benefit Levels

Diagnostic

  • Routine exams twice a year
  • Bitewing X-rays twice a year
  • Full-mouth X-rays every three years

Preventive

  • Cleanings twice a year
  • Fluoride treatments for children once a year
  • Space maintainers

Minor Restorative

  • Amalgam and resin filings
  • Sealants

Non-surgical Periodontics

  • Treatment of gum disease

Endodontics

  • Root canals and pulpal therapy

Oral Surgery

  • Extractions and other oral surgery (including pre- and post-operative care)

Major Restorative

  • Cast restorations; crowns, onlays, and other ceramic restorations to permanent teeth

Surgical Periodontics

  • Prosthodonics
  • Bridges, partial dentures and complete dentures

    Click here for a summary of the Delta Dental Plan
Click to expand or collapse folder 65 and Over Plans
Click to expand or collapse folder Prescription Drug Plans
Click to expand or collapse folder Delta Dental
Click to expand or collapse folder Under 65 Plans
Click to expand or collapse folder Long Term Care
Click to expand or collapse folder United Healthcare Vision Plan