Dental Benefits
Dental insurance offers coverage for preventive care like routine exams, cleanings, and X-rays as well as basic and major services like fillings, extractions, root canals and crowns.
Keep in mind that your costs will generally be lower if you choose an in-network dentist. To find an in-network dentist, please visit deltadentalks.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible (Individual/Family) |
$50/$150 per year |
$50/$150 per year |
Calendar Year Benefit Max |
$2,000 per year |
$2,000 per year |
Diagnostic and Preventive Services |
100% |
100% |
Basic Services |
80% |
80% |
Major Services |
50% |
50% |
Visits |
||
Oral Examination Visit |
100% |
100% |
Prophylaxis, including scaling and polishing |
100% |
100% |
Fluoride (1 application per year), to age 19 |
100% |
100% |
Sealants (1 treatment per tooth every 3 years on |
100% |
100% |
X-Rays |
||
Bitewing X-Rays (1 set per year) |
100% |
100% |
Full Mouth Series (1 set every 3 years) |
100% |
100% |
Other Services |
||
Endodontics (Root Canals) |
80% |
80% |
Minor Restorations: Fillings (Silver and |
80% |
80% |
Periodontics |
80% |
80% |
Oral Surgery |
80% |
80% |
Prosthodontics/Major Restorations: Inlays/ |
50% |
50% |
Per Pay Period Cost |
|
|---|---|
Employee Only |
$5.82 |
Employee + One or More |
$33.78 |
Provided By
Delta Dental of Kansas
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