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Welcome to Northrop Grumman - Benefits Online

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Comparing the Delta Dental PPO Plan Options<br />

Dental Care Dental Care Plus Preventive Care<br />

Deductible<br />

Plan Year Maximum<br />

(per person)<br />

$50/$100 Preferred<br />

$100/$200 Premier<br />

$150/$250 Out-of-<br />

Network<br />

$1,500 Preferred<br />

$1,250 Premier<br />

$1,000 Out-of-network<br />

$50/$100 Preferred<br />

$100/$200 Premier<br />

$150/$250 Out-of-<br />

Network<br />

$2,000 Preferred<br />

$1,500 Premier<br />

$1,000 Out-of-network<br />

$0<br />

(in- and out-of-network)<br />

$500<br />

(in- and out-of-network)<br />

Coverage<br />

Preventive 100% 100% 100%<br />

Basic<br />

Res<strong>to</strong>rative<br />

80% Preferred<br />

75% Premier<br />

70% Out-of-network<br />

80% Preferred<br />

75% Premier<br />

70% Out-network<br />

Not covered<br />

Major<br />

50% 50% Not covered<br />

Res<strong>to</strong>rative<br />

Orthodontia Not covered 50% up <strong>to</strong> a lifetime<br />

maximum of $2,000<br />

Not covered<br />

21

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