Your Health:

Dental

Introduction

We offer dental coverage through the Marathon Petroleum Dental Plan (the Dental Plan). Under the plan, you can receive care from any licensed dentist; however you will save money when you visit a dentist in the Delta Dental network, since these dentists have agreed to give plan members the largest discounts.

Dental Plan Information for Active Employees

When you visit a network dentist, the plan pays all or a portion of the negotiated cost of the service. When you visit an out-of-network dentist, the plan pays all or a portion of the Reasonable and Customary (R&C) charge*.

Delta Dental PPO and Premier Networks
Annual Deductible: $50 per person
Calendar Year Maximum (not including orthodontia): $1,000 per person
Type of Service Service Examples Coverage
Preventive and Diagnostic Exams (limited to two per year), x-rays 100%*† (no deductible)
Basic Dental Services Fillings, extractions, root canals 80%* (after deductible)
Major Dental Services Inlays, crowns, dentures 50%* (after deductible)
Orthodontia Services Not covered Not covered

*Of Reasonable and Customary (R&C) Charge when using an out-of-network provider. R&C is determined by the average usual charge for a given procedure charged by most dentists in a given geographic area.

$50 individual deductible does not apply to preventive services.

Dental Plan Rates for Active Employees

2019 Monthly Dental Plan Contributions
  Employee Only Employee + Spouse Employee + Children Employee + Family
Regular Full-Time and Part-Time Employees $13.50 $27.50 $29.50 $46.50

Dental Plan Information for Pre-65 Retirees

Retirees under age 65 are eligible for dental coverage that is similar to the coverage provided to MPC active employees. The individual calendar year maximum is different for pre-65 retirees, and so are the contribution amounts for coverage. For information on monthly contributions for COBRA coverage under the active dental plan, see COBRA Rates.

Under this Plan, you are encouraged to receive care from a dentist in the Delta Dental PPO Network, or the Delta Dental Premier Network.

Pre-65 Retiree Dental Plan – 2019 Monthly Contributions
Retiree Only Retiree + Spouse Retiree + Children Retiree + Family
$23 $46 $50 $79

More Important Information