Dental plan choices in Kansas

Plan Name

What Is It?

Who Is It For?

What Does It Cover?

Can I See My Current Dentist?

How Much Does It Cost?

Delta Dental Individual and Family-Preferred+Pediatric Oral Essential Health Benefit (POEHB)

Click on the plan name for additional details.

A federally defined plan that offers a prescribed series of benefits up to age 19 combined with a plan for adults. May be purchased as child only, adult only, or a family.

Delta Dental PPO Network

Essential Health Benefit - individuals to age 19; adult plan - age 19 and up.

100 percent coverage for diagnostic and wellness services, 80 percent coverage for basic services, and 50 percent coverage for major services.
All services are subject to deductible and defined in more detail at the
plan name link.

Enrollees may see any
dentist; however your out of pocket expenses will likely be less if you see a Delta Dental PPO dentist and only covered services by these providers will be included in the Maximum Out Of Pocket calculation for pediatric enrollees.

Rates vary by age and product selected.

Get A Quote

Delta Dental Individual and Family-Basic+Pediatric Oral Essential Health Benefit (POEHB)

Click on the plan name for additional details.

A federally defined plan that offers a prescribed series of benefits up to age 19 combined with a plan for adults. May be purchased as child only, adult only, or a family.

Delta Dental PPO Network

Essential Health Benefit - individuals to age 19; adult plan - age 19 and up.

100 percent coverage for
diagnostic and wellness services, 60 percent coverage for basic services, and 50 percent coverage for major services.
All services are subject to deductible and defined in more detail at the
plan name link.

Enrollees may see any dentist; however your out of pocket expenses will likely be less if you see a Delta Dental PPO dentist and only covered services by these providers will be included in the Maximum Out Of Pocket calculation for pediatric enrollees.

Rates vary by age and product selected.

Get A Quote

Delta Dental of Kansas offers additional plans for adults and families on DeltaDentalKS.com/IndividualOptions.


Exclusions and Limitations: Following is a list of common non-covered services. For a complete list of exclusions and limitations, refer to your contract.

Services which are available from any Federal or State government agency, or similar entity; services for injuries compensable under an automobile policy or worker’s compensation or similar employer coverage; cosmetic services (unless stated otherwise); services started prior to coverage; services that are not completed; administrative fees such as missed appointments; temporary services and procedures; bridges; duplicate dentures; prescription drugs, premedications and relative analgesia, including hospital, healthcare facility or medical emergency room charges; laboratory charges; anesthesia for restorative dentistry; preventive control programs; injuries or disease intentionally self inflicted or occurring during or as a result of participation in riots or civil disobedience of any form, acts of war, or criminal activity; appliances or restorations to restore occlusion, splinting, equilibration, or replace tooth structure lost by attrition; restorations in conjunction with overdenture; inlays and onlays; non-medically necessary orthodontic services; services provided outside of the United States or Canada; dental implants; services related to TMJ; and services, supplies or treatments not specifically listed as covered in the member’s contract.

Limitations: Services are limited to the least costly professionally accepted treatment to achieve reasonable functionality; costs of the procedures necessary to prevent or eliminate oral disease and for appliances or restorations to replace missing teeth as allowed by the plan; frequency and combined service limitations related to restorations, individual crowns, prosthetic appliances, and periodontic procedures as identified within the contract; and other frequency, age or contractual limitations as specified.

 

 

DD6-012 (11/08/2014)