Retiree - Delta Dental Co-Pay
The Delta Dental Copay Plan is a DHMO product and requires that you choose a dentist from the DeltaCare of Kentucky directory. There is no coverage out-of-network. The Copay Plan is only available for the residents of Kentucky. There are no deductibles or annual plan maximums with this plan.
Click here for full plan details.
Delta Dental Copay Summary of Benefits
|
Delta Dental Copay |
Choosing a Dentist |
Based on DeltaCare plan network |
Annual Deductible |
None |
Covered Benefit: Routine Office Visit |
100% after $0-$25 copay |
Preventive: Two cleanings/calendar yr. |
100% |
|
See copayment schedule for details. For info, contact Delta Dental at (800) 955-2030 or visit www.deltadentalky.com to find a provider. |
| Simple extractions | |
| Periodontic services | |
| Crown or bridge | |
| Endodontics (root canal) | |
| Oral Surgery | |
| Complete/partial dentures | |
| Orthodontics (up to age 19 on Enhanced plan) |
