ATK Dental Plans at a Glance

ATK Dental Plans at a Glance
Everyone deserves a healthy smile. Here’s an at-a-glance guide to the two
dental plan options available to Orbital ATK employees.
Plan Highlights
Basic Plan
Basic Plus Plan
$50 per person
$25 per person
$150 per family
$75 per family
$1,000
$1,500
Orthodontia services
No coverage
50%
Orthodontia lifetime maximum
$0
$2,000
100%, no
deductible
100%, no
deductible
50% after
deductible
80% after
deductible
50% after
deductible
80% after
deductible
50% after
deductible
50% after
deductible
Annual deductible
Annual maximum benefit
(per person per year)
Diagnostic and preventive
services (oral exams, cleanings,
X-rays, sealants, fluoride treatments
received from in-network providers)
Basic services
(restorations, periodontiocs,
oral surgery, endodontics)
Major restorative services
(crowns)
Prosthetic services
(dentures, bridges, implants)
You can go to any dentist you wish for treatment but the plan will pay more for
covered expenses if you go to an in-network provider. There are two levels of
network dentists for both plan options: Delta Dental PPO (gives you the deepest
network discounts available) and the Delta Dental Premier. Eligible services are
paid at the Delta Dental allowable amount if your dentist belongs to either network.
Plus, network providers file the claims for you.
This is only a summary. Benefit and coverage details are found in Summary
Plan Descriptions.
S1804H, Copyright © 2015
1