Group Number
53867
Provided By
Delta Dental
Provider Website
Customer Service
Resources
Frequently Asked QuestionsDental Benefits
Dental coverage through Delta Dental of Kansas allows you to visit the dentist of your choice, but there may be a difference in the amount you pay if the dentist is not a Delta Dental in-network dentist. It is to your advantage to choose a Delta Dental PPOTM or Delta Dental Premier® network dentist. Search for an in-network provider at DeltaDentalKS.com or on the Delta Dental mobile app.
Right Start 4 Kids
Kids 12 and under receive 100% coverage, with no deductible, for all services covered under the plan, excluding orthodontics, when an in-network dentist (Delta Dental Premier or Delta Dental PPO) is seen.
Unlimited Cleanings
Your plan allows for unlimited cleanings. This includes regular/prophylaxis cleanings and periodontal maintenance cleanings.
| In-Network | |
|---|---|
Deductible |
$50/$150 |
Annual Maximum Per Person |
$2,000 |
Preventive |
0% |
Basic |
20% |
Major |
50% |
Orthodontia Member Coinsurance |
50% |
Lifetime Max (Per Enrollee) |
$1,500 |
| Employee Per Pay Period Cost | |
|---|---|
Employee |
$0.00 |
Employee + Spouse |
$24.43 |
Employee + Child(ren) |
$43.18 |
Family |
$67.21 |
Group Number
53867
Provided By
Delta Dental
Provider Website
Customer Service
Resources
Frequently Asked Questions