The Sandia Dental Care Program is available to retired employees and their eligible dependents. This plan is administered by Delta Dental of New Mexico.
 

You can obtain information on this plan (including the ability to check benefits, eligibility, claims information, print ID cards, and find a provider) by visiting www.deltadentalnm.com/membersection.
 

For additional information, refer to the Dental Care Program summary at Delta Dental Program Summary
 

The Sandia Dental Care Program is administered by Delta Dental of New Mexico. The Sandia Dental Care Program is available to retired employees and their eligible dependents.

Coinsurance coverage is based on a percentage of the maximum approved fee for the following types of services:

• Basic and restorative services (including fillings, extractions, endodontic and periodontal services) will be covered at 80%
• Major services (such as crowns, prosthodontics, and specified implant procedures) will be covered at 50%
• Orthodontic services will be covered at 50%
• Preventive services (such as oral examinations, routine cleanings, and x-rays) will be covered at 100%
• Annual deductible of $50 per individual up to a family annual maximum deductible of $150
• Annual maximum benefit for non-orthodontic covered services is $1500
• Lifetime maximum benefit for orthodontic covered services is $1800
   

Employees who retired prior to January 1, 2009
Employees who retired prior to January 1, 2009, will not be required to pay a dental premium share for themselves or any eligible Class 1 dependents at this time.
 

Employees who were hired prior to January 1, 2009, and retired January 1, 2009 through December 31, 2011. Please see the Benefit Guide for specific details.
Retirees in this category will pay a monthly dental premium share. Rates are based on retiree, retiree plus one, or retiree plus three or more eligible dependents.
 

Additional Employee Scenarios
Employees who were hired (or rehired) as stated below do not have access to the Sandia Dental Care Plan upon becoming Medicare-eligible:

• Non-represented employees who were hired (or rehired) on or after January 1, 2009
• OPEIU-represented employees who were hired (or rehired) on or after July 1, 2009
• MTC- and SPA-represented employees who were hired (or rehired) on or after July 1, 2010