Dental Plans


​Your dental plan is a Preferred Provider Plan administered by Delta Dental of Kansas. You can choose between two plans:

  • Basic Plan
    Provides benefits for diagnostic, preventive and basic care (including exams, cleanings, fillings and X-rays).

  • Comprehensive Plan
    Provides all of the above, plus offers coverage for a more extensive range of dental care including orthodontia.

Full-Time Monthly Dental Plans Rates*

Coverage Tiers

Basic Plan

Comprehensive Plan

Employee Only

$5

$19

Employee + Spouse/Domestic Partner

$16

$46

Employee + Child(ren)

$19

$53

Family

$29

$79

* Employees Working 30+ Hours


Dental Plan Options Summary

Basic Plan

Deductible Per Person

$50/$150 Per Family

Preventive/Diagnostic

100% (Not Subject to Deductible)

Basic Services

80% (After Deductible)

Major Services

Not Covered

Annual Benefit Maximum*

$750 Per Person

Comprehensive Plan

Deductible Per Person

$100/$300 Per Family

Preventive/Diagnostic

100% (Not Subject to Deductible)

Basic Services

80% (After Deductible)

Major Services

50% (After Deductible)

Annual Benefit Maximum*

$1,500 Per Person

Orthodontia

50% (After Deductible)

Orthodontia Lifetime Maximum

$2,000 Per Person

*includes cleanings

Preventive Services

  • Routine dental examinations: Twice per calendar year
  • Cleaning: Twice per calendar year
  • Topical fluoride application for children under age 19: Twice per calendar year
  • Total mouth x-ray: Once every 36 months
  • Bitewing x-rays: Twice per calendar year

Basic Services

  • Restorations (fillings): Amalgam, silicate cement, acrylic and composite
  • Stainless steel crowns for children under the age of 13
  • Oral surgery: Extractions (uncomplicated surgical removal of an erupted tooth), incision/drainage of abscess, cyst or tumor removal
  • General anesthesia and postoperative care
  • Periodontics: Root planning/scaling, gingivectomy/gingivoplasty
  • Endodontics: Root canals (including necessary x-rays/cultures, excluding final restoration)

Major Services

  • Inlays and crowns
  • Artificial teeth
  • Removable bridge
  • Dentures
  • Implants


 More Information

 

Dental Network Savings

Delta Dental offers an extensive two-tier nation-wide network of providers. The level of eligible charges (based on network discount) will vary depending on whether you use a network provider and/or the network in which your provider participates. Learn More ...