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Thank you for visiting our website. My name is Julie west and I'm a
Communications Specialist at Missouri Consolidated Health Care Plan.
In this video we will discuss the dental plan.
Delta Dental of Missouri offers a nationwide network of providers.
Members will receive an ID card from Delta Dental.
They can use this ID card when you visit your dentist.
Benefits are provided according to the calendar year,
and are limited to one thousand dollars per person.
Orthodontic services are not covered under this plan.
You may visit the dentist of your choice,
but your out-of-pocket costs may vary depending on your choice.
Network dentists fall into two categories:
Delta Dental PPO Dentists and Delta Dental Premier Dentists.
Visiting a Delta Dental PPO Dentist gives you cost-control
and claim filing benefits and offers. Delta Dental Premier Dentists
also offer cost-control and claim filing benefits
but your coinsurance amounts may be higher with the Premier Dentist
than with a PPO dentist. These dentists will usually file your claims for you
and Delta Dental will pay them directly. You may choose to visit a
non-participating dentist.
If you do so, Delta Dental will make a payment to you.
It will be your responsibility to make full payment to the dentist,
and file your own claim. Your plan includes coverage for three categories of care.
Coverage A - just preventive services
Coverage B - basic and restorative services
and Coverage C - your major services
Coverage A - Preventive Care is covered 100 percent
and includes oral exams and cleanings twice a year,
sealants every five years, and fluoride treatments for children up to age 14.
Coverage A also provides one set of bite-wing
X-rays per year. There is no deductible for coverage a services.
Now Coverage B - Basic and Restorative care
is covered at eighty percent after a fifty dollar deductible.
These services include fillings, space maintainers for children up to age 14,
all other X-rays, and simple extractions.
Coverage B services carry a fifty dollar deductible.
Coverage C - Major Care
is covered at fifty percent after a fifty dollar deductible.
The deductible is applied to services in either coverage B or C
or a combination of both. These services include oral surgery,
gum disease treatment, root canals, and dentures.
There is a one-year waiting period for Coverage C care,
which can be waived with proof of twelve months of continuous dental coverage for
major services immediately before enrollment.
For more information on the dental plan,
visit Delta Dental's website or call Delta Dental at 866-737-9802.
You can also find additional resources on the website or in our benefit guide.
Contact MCHCP Member Services at 800-487-0771 or log into myMCHCP
to communicate securely through mymessages Thank you for viewing this video.