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 www.deltadentalmo.com.
Delta Dental’s MAXAdvantage allows you to receive most preventive and diagnostic services without reducing your plan year maximum benefit amount. Services included that do not count towards the plan year maximum are routine dental and periodontal exams, x-rays, cleanings, and fluoride and fluoride varnishes.
Example:
(2 exams, x-rays, 2 cleanings)
$1,500 annual maximum
100% coverage for routine care
Delta Dental pays $300
Member pays: $0
Benefits remaining: $1,500
In-Network |
Out-of-Network |
|
|---|---|---|
Deductible (Individual/Family) |
$50/$150 |
$50/$150 |
Annual Maximum Benefit per Person |
$1,500 |
$1,500 |
Type I - Preventative Services |
100% |
80% |
Type II - Basic Services |
80% |
60% |
Type III - Major Services |
50% |
40% |
Dependent Limiting Age |
26 |
26 |
Weekly Cost |
|
|---|---|
Employee |
$5.91 |
Employee + Spouse |
$12.09 |
Employee + Child(ren) |
$12.00 |
Family |
$19.27 |
Group Number
#01250461
Provided By
Delta Dental of MO
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