Visit Delta Dental for more details or to find an in-network dentist.
Both dental plans, the Basic Dental Plan and the Enhanced Dental Plan, are administered by Delta Dental of Missouri and give you access to a national network of dental providers. You may see any licensed dentist of your choice; however, you receive the lowest costs by using in-network providers.
2022 Per Paycheck Premiums
| Coverage Level | Basic Dental Plan | Enhanced Dental Plan |
|---|---|---|
| Associate only | $7.75 | $10.25 |
| Associate + spouse/domestic partner | $17.75 | $22.75 |
| Associate + child(ren) | $16.25 | $21.25 |
| Family | $25.75 | $33.25 |
2022 Dental Coverage
| Plan Features | Basic Dental Plan* | Enhanced Dental Plan* |
|---|---|---|
|
Preventive Care and Diagnostic Services
(oral exams, cleanings and x-rays)
|
No deductible; 100% | No deductible; 100% |
|
Calendar Year Deductible
(toward basic and major services)
|
Individual: $50
Family: $150
|
Individual: $50
Family: $150
|
| Annual Maximum Benefit** | $1,250 per person | $1,750 per person (separate from the orthodontia benefit) |
|
Basic Services
(fillings, extractions, root canal and other endodontics)
|
80% after deductible | 80% after deductible |
|
Major Services
(periodontics, root planing and scaling, crowns, bridges and dentures, and implants and bone grafts)
|
50% after deductible | 50% after deductible |
|
Orthodontia
(adults and children)
|
No coverage | $1,750 per person |
*In-network benefits based on negotiated fees. Out-of-network benefits based on reasonable and customary limits.
**Includes a MaxAdvantage feature, which means preventive dental checkups (including x-rays and select other services) do not count toward your annual benefit maximum.
