Delta Dental of Indiana PPO Plan Premier Plan Out - of - Network Deductible $100 per member $100 per member $100 per member Annual Plan Maximum $1,500 per member $1,500 per member $1,500 per member Preventive Services You pay 0% You pay 0% You pay 0% Basic Services You pay 50% You pay 50% You pay 50% Major Services You pay 50% You pay 50% You pay 50%