The Pipefitters plan features the Highest Benefits, Zero Deductibles, No Waiting Periods, Increased Orthodontic Coverage, and 100% Coverage on Preventative Care. Network Dentists in Michigan, Florida and Georgia

Pipefitters Local 636

Savings - GDP vs Delta
Benefits - GDP vs Delta
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Pipefitters Local 636 Benefit Summary
Active
Annual Maximum Usage
$1,500
(per family member)
OFFICE VISIT COPAY
$0.00
CLASS I* Preventive and Diagnostic
Exams
100%
Cleanings
100%
X-rays (single, bitewing)
100%
Fluoride (up to age 15)
100%
CLASS II Basic Restorative
Fillings
75%
Extractions (simple)
75%
X-Rays (full mouth)**
75%
Root Canals
75%
CLASS III Prosthetic
Single Crowns***
60%
Bridges
60%
Dentures
60%
CLASS IV Specialty Care****
Endodontics
50%
Periodontics
50%
Oral Surgery
50%
Pedodontics
50%
CLASS V Orthodontics*****
Lifetime Maximum Children (under 19)
$1,800
Lifetime Maximum Adults (subscriber and spouse)
$1,800
 
*
Every 6 months at general dental provider
**
Full mouth X-rays are cover once every 36 months
***
Crowns are covered once per tooth every five years
****
All specialty appointments require referral from primary care dentist
*****
Orthodontic coverage has a lifetime limit of $1,800 to $1,800 per person, depending on the plan you choose and the age of the member
GDP vs Delta Estimated Copay Savings - Active Members
Delta
Delta PPO
GDP
Annual Max
$1000
$1000
$1500
Exams (x2)
$30
$0
$0
Cleaning (x2)
$30
$0
$0
X-Rays (x2)
$70
$0
$0
Filling
$70
$70
$35
Root Canal
$500
$500
$345
Upper Denture
$1010
$1010
$808
Total out of pocket
$1710
$1580
$1180
GDP vs Delta Benefits - Active Members
Delta
Delta PPO
GDP
Annual Max
$1000
$1000
$1500
Office Visit
NA
NA
$0
Deductible
NA
NA
$0
Exams
75%
100%
100%
Cleaning
75%
100%
100%
X-Rays
50%
100%
100%
Fluoride
75%
100%
100%
Sealants
75%
100%
100%
Spacers
75%
100%
100%
Fillings
50%
50%
75%
FMX-Rays
50%
50%
75%
Crowns
50%
50%
60%
Bridges
50%
50%
60%
Endodontics
50%
50%
50%
Periodontics
50%
50%
50%
Oral Surgery
50%
50%
50%
Pedontics
50%
50%
50%
Orthodontics Child
NCB
NCB
$1,800
Orthodontics Adult
NCB
NCB
$1,800