Dental
2024 Dental Coverage Information
Delta Dental of Missouri
Dental Plan Options
Delta Dental of Missouri | Core | Basic | Buy Up | ||
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Network |
USA DHMO |
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Diagnostic & Preventive Services (Delta pays) |
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Basic Services (Delta pays) |
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Major Services (Delta pays) |
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Calendar Year Benefit Maximum |
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Max Advantage |
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Orthodontic Services |
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Separate Lifetime Orthodontia Benefit Maximum |
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*Preventive exams, cleanings, fluoride, and x-rays do not apply to the calendar year maximum
2024 Monthly Premium Summary
Dental Monthly Premiums
Core Plan | Total Cost | Paid by District | Employee Cost |
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Employee Only |
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Employee & Spouse |
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Employee & Child(ren) |
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Full Family |
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Basic Plan | Total Cost | Paid by District | Employee Cost |
Employee Only |
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Employee & Spouse |
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Employee & Child(ren) |
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Full Family |
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Buy Up Plan | Total Cost | Paid by District | Employee Cost |
Employee Only |
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Employee & Spouse |
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Employee & Child(ren) |
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Full Family |
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Contact Delta Dental of Missouri (DDMO):
Basic & Buy Up Dental PPO: 800.335.8266
Core Dental DHMO: 800.422.4234
Member website: deltacentalmo.com
LSR7 Benefit Stories
Delta Dental of Missouri Provider Directory:
Delta Dental MO updates provider information on a continual basis. Participating providers are subject to change at any time. To view the most up-to-date provider lists, please visit deltadentalmo.com or the Delta Dental MO mobile app.
The network for the Core Plan is DeltaCare USA. The network for the Basic & Buy Up Plans are PPO and Premier.
View the walkthroughs to the right for help searching for a dental provider without logging in.
* For 2023 Cigna provider search instructions, view the 2023 Benefit Guide.
Benefits & Coverage
Previous Plan Year Benefits
CORE PLAN
BASIC & BUY UP PLANS
Get the Most from your Dental Plan
Delta Dental Online Portal
Basic & Buy Up - Healthy Smiles, Healthy Lives program
Demystifying Delta Dental's Networks
Access your Benefits 24/7 through your Delta Dental Member Portal
Your Delta Dental EOB (Explanation of Benefits) Explained
Your specific rights to benefits under the Plans are governed solely, and in every respect, by the official Plan documents and insurance contracts, and not by information included in this website. If there is any discrepancy between the descriptions of the Plans as described on this website and the official Plan documents, the language of the documents shall govern. Lee’s Summit School District also specifically reserves the right to revise, modify or terminate the Plans at any time.