​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
