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Dental plan

Your dental coverage, through Delta Dental of Washington, encourages regular preventive care, helps you maintain healthy teeth and gums, and helps you pay for a broad range of other dental services when treatment is needed. 

Most dentists in Washington participate in a Delta Dental network and the chart below shows what you will pay when you see a network dentist. 

Your dental benefit plan increases what it pays for most services through an incentive program. As long as you see a dentist at least once per year for a covered service, your benefit level increases each year until you reach the highest incentive level.

Delta Dental Plan Feature (In Network)
Member Pays 
 Annual Deductible  $25 person / $75 family
 Annual Maximum Benefit  $2,500 per person
 Preventive Services (exams, cleanings, x-rays, fluoride, sealants)  0 – 30%
 Basic Services (fillings, stainless steel crowns, endodontics,
 periodontics, removal of teeth, oral surgery)
 0 – 30%
 Crowns other than stainless steel  15 – 30%
 Major Services (dentures, partials, bridges, implants*)  30%
 Orthodontia (lifetime max $2,500/person), TMJ and occlusal guard  50%**
       *Implants covered on Regular and Transit ATU 587 dental plans only.
**Deputy Sheriff plan members pay 40% for orthodontia.

 

Delta Dental does not use ID cards. For plan details, see Benefits Summaries.

Delta Dental contact information

Phone: 866-229-4102     

Email: Delta Dental         

Web: Delta Dental

Claims: Delta Dental of Washington, P.O. Box 75983, Seattle, WA 98175-0983

Delta Dental Claim Form

 

Vision plan 

Your vision benefits, through Vision Service Plan (VSP), make it easy for you to get the eye care you need.

You may use any eye care provider you want, but if you see a VSP provider, your out-of-pocket expenses are generally lower and the provider automatically files your claim. Kaiser Permanente provides routine vision exams under its medical plan, but none of the other vision benefits, such as frames, lenses, and contacts.

VSP Plan Feature (In Network)
Member Pays
Eye Exam (every 12 months)
$10 copay
Lenses: Single, Bifocal, Trifocal (every 12 months)
$0
Frames (every 24 months)
$200 allowance* +
20% off balance
Contact Lenses (every 12 months in lieu of glasses)
$200 allowance*
Contact Lens Exam (fitting and evaluation)
Up to $60 copay
* Allowance for Regular and Transit ATU 587 employee benefit groups is $200, allowance
   for all other benefit groups is $130.

For plan details, see Benefits Summaries.

VSP contact information

Phone: 800-877-7195, 800-428-4833 (TTY)            

Email: VSP          

Web: VSP

Claims: VSP, P.O. Box 385018, Birmingham, AL 35238-5018

VSP Online Claim Form

Benefits and retirement

Phone 206-684-1556
Fax: 206-296-7700

Phone hours:
9 a.m. – 4 p.m. weekdays
Payroll

Fax: 206-296-7678