Our four voluntary plans exclusively for members of the South Dakota Retailers Association offer a variety of rate structures for as few as two enrolled employees.
50
.80 Per Month / Single
Per Month / Single
Standard and Enhanced benefit plans for 2 or more employees enrolled.
Preventive Care
100%
Other Services
50%
Minimum Employees Enrolled
2
Orthodontics
Yes
Employer Contribution
Yes
50
.80 Per Month / Single
Per Month / Single
Standard and Enhanced benefit plans for 10 or more employees enrolled.
Preventive Care
100%
Other Services
50%
Minimum Employees Enrolled
10
Orthodontics
Yes
Employer Contribution
Yes
SDRA 2-Rate Plans (2023)
SDRA 2-Rate Plans
Network: PPO Plus Premier
Standard [8010]
Enhanced [8012]
Monthly Rate: Employee
$50.80
$55.50
Monthly Rate: Family
$127.18
$138.96
Preventive Care
Routine exams, cleanings, x-rays
100%
100%
Fillings & Extractions
Cavity repair, oral surgery, emergency pain relief
50%
50%
Root Canals & Gum Disease Treatment
Including periodontal maintenance cleanings | 1 year wait for coverage
50%
50%
Crowns & Prosthetics
Crowns, bridges, dentures, implants | 1 year wait for coverage
50%
50%
Braces & Teeth Alignment
Orthodontics | 1 year wait for coverage
50%
50%
Lifetime Orthodontic Maximum
$1,200
$1,500
Deductible
One time per person, does not apply to orthodontics
$50
None
Annual Maximum Benefit
Per person per coverage year
$1,200
$1,500
Maximum Bonus Account
No
Yes
Employee Enrollment % Required
Minimum of 2 employees enrolled
50%
75%
Employer Contribution
For single premium
25%
50%
Health through Oral Wellness
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers preventive care beyond annual maximum benefit
Yes
Yes
| Standard [8010] | $50.80 |
| Enhanced [8012] | $55.50 |
| Standard [8010] | $127.18 |
| Enhanced [8012] | $138.96 |
Routine exams, cleanings, x-rays
| Standard [8010] | 100% |
| Enhanced [8012] | 100% |
Cavity repair, oral surgery, emergency pain relief
| Standard [8010] | 50% |
| Enhanced [8012] | 50% |
Including periodontal maintenance cleanings | 1 year wait for coverage
| Standard [8010] | 50% |
| Enhanced [8012] | 50% |
Crowns, bridges, dentures, implants | 1 year wait for coverage
| Standard [8010] | 50% |
| Enhanced [8012] | 50% |
Orthodontics | 1 year wait for coverage
| Standard [8010] | 50% |
| Enhanced [8012] | 50% |
| Standard [8010] | $1,200 |
| Enhanced [8012] | $1,500 |
One time per person, does not apply to orthodontics
| Standard [8010] | $50 |
| Enhanced [8012] | None |
Per person per coverage year
| Standard [8010] | $1,200 |
| Enhanced [8012] | $1,500 |
| Standard [8010] | No |
| Enhanced [8012] | Yes |
Minimum of 2 employees enrolled
| Standard [8010] | 50% |
| Enhanced [8012] | 75% |
For single premium
| Standard [8010] | 25% |
| Enhanced [8012] | 50% |
Added benefits for those at high risk of tooth decay or gum disease
| Standard [8010] | Yes |
| Enhanced [8012] | Yes |
Covers preventive care beyond annual maximum benefit
| Standard [8010] | Yes |
| Enhanced [8012] | Yes |
SDRA 4-Rate Plans (2023)
SDRA 4-Rate Plans
Network: PPO Plus Premier
Standard [8013]
Enhanced [8015]
Monthly Rate: Employee
$50.80
$55.50
Monthly Rate: Employee + Spouse
$101.60
$111.10
Monthly Rate: Employee + Children
$103.90
$112.90
Monthly Rate: Family
$139.70
$152.10
Preventive Care
Routine exams, cleanings, x-rays
100%
100%
Fillings & Extractions
Cavity repair, oral surgery, emergency pain relief
50%
50%
Root Canals & Gum Disease Treatment
Including periodontal maintenance cleaning | 1 year wait for coverage
50%
50%
Crowns & Prosthetics
Crowns, bridges, dentures, implants | 1 year wait for coverage
50%
50%
Braces & Teeth Alignment
Orthodontices | 1 year wait for coverage
50%
50%
Lifetime Orthodontic Maximum
$1,200
$1,500
Deductible
One time per person, does not apply to orthodontics
$50
None
Annual Maximum Benefit
Per person per coverage year
$1,200
$1,500
Maximum Bonus Account
No
Yes
Employee Enrollment % Required
Minimum of 10 employees enrolled
50%
75%
Employer Contribution
For single premium
25%
50%
Health through Oral Wellness
Added benefits for those at high risk of tooth decay or gum disease
Yes
Yes
Prevention Pays
Covers preventive care beyond annual maximum benefit
Yes
Yes
| Standard [8013] | $50.80 |
| Enhanced [8015] | $55.50 |
| Standard [8013] | $101.60 |
| Enhanced [8015] | $111.10 |
| Standard [8013] | $103.90 |
| Enhanced [8015] | $112.90 |
| Standard [8013] | $139.70 |
| Enhanced [8015] | $152.10 |
Routine exams, cleanings, x-rays
| Standard [8013] | 100% |
| Enhanced [8015] | 100% |
Cavity repair, oral surgery, emergency pain relief
| Standard [8013] | 50% |
| Enhanced [8015] | 50% |
Including periodontal maintenance cleaning | 1 year wait for coverage
| Standard [8013] | 50% |
| Enhanced [8015] | 50% |
Crowns, bridges, dentures, implants | 1 year wait for coverage
| Standard [8013] | 50% |
| Enhanced [8015] | 50% |
Orthodontices | 1 year wait for coverage
| Standard [8013] | 50% |
| Enhanced [8015] | 50% |
| Standard [8013] | $1,200 |
| Enhanced [8015] | $1,500 |
One time per person, does not apply to orthodontics
| Standard [8013] | $50 |
| Enhanced [8015] | None |
Per person per coverage year
| Standard [8013] | $1,200 |
| Enhanced [8015] | $1,500 |
| Standard [8013] | No |
| Enhanced [8015] | Yes |
Minimum of 10 employees enrolled
| Standard [8013] | 50% |
| Enhanced [8015] | 75% |
For single premium
| Standard [8013] | 25% |
| Enhanced [8015] | 50% |
Added benefits for those at high risk of tooth decay or gum disease
| Standard [8013] | Yes |
| Enhanced [8015] | Yes |
Covers preventive care beyond annual maximum benefit
| Standard [8013] | Yes |
| Enhanced [8015] | Yes |
All SD Retailers Association plans include our innovative benefit program at no additional cost. It's a unique patient-centered program to encourage better health and lower plan cost.
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Your SDRA group plan does even more with Prevention Pays. Covering preventive care beyond the annual maximum benefit encourages regular dental visits to protect your smile and keep it healthy.
Enhanced SD Retailers Association Plans [8012 & 8015] include this feature that banks unused benefits to future years. Limitations apply.
All SD Retailers Association plans are Delta Dental PPO Plus Premier plans. Enrolled members get broad choice of dentists in two networks.
Download plan summaries, enrollment forms, and other files at our Document Library.
Copyright © 2023 Delta Dental of South Dakota. All Rights Reserved.
720 North Euclid Avenue, Pierre, SD 57501 | 605-224-7345
Delta Dental of South Dakota is a part of the Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. Consult your dentist or physician for information or treatment specific to you and your health.
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