Group Number
Base Plan #53288-05 Buy Up plan #53288-06
Provided By
Delta Dental of Kansas
Provider Website
https://www.deltadentalks.com/
Customer Service
Resources
Frequently Asked QuestionsDental 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.deltadentalks.com.
Base Plan |
Buy-Up Plan |
|
|---|---|---|
Annual Deductible (per Person) |
$50 |
$50 |
Annual Maximum Benefit (per Person) |
$1,000 |
$2,000 |
Type I - Preventative Services |
100% |
100% |
Type II - Basic Services |
80% |
90% (80% out-of-network) |
Type III - Major Services |
50% |
60% (50% out-of-network) |
Type IV - Orthodontia Services |
Not Covered |
50% |
Orthodontia Lifetime Maximum |
Not Covered |
$1,000 |
Dependent Limiting Age |
26 |
26 |
Per Pay Period Cost |
Base |
Buy-Up |
|---|---|---|
Employee |
$2.88 |
$7.21 |
Employee + Spouse |
$9.30 |
$18.44 |
Employee + Child(ren) |
$9.88 |
$24.27 |
Family |
$20.20 |
$43.40 |
Group Number
Base Plan #53288-05 Buy Up plan #53288-06
Provided By
Delta Dental of Kansas
Provider Website
https://www.deltadentalks.com/
Customer Service
Resources
Frequently Asked Questions