Dental - LSR7 Benefits

2024 Dental Coverage Information

Delta Dental of Missouri

Dental Plan Options

Delta Dental of Missouri	Core	Basic		Buy Up
Network	DELTACARE USA DHMO	DDMO PPO	DDMO Premier	DDMO PPO	DDMO Premier
Diagnostic & Preventive Services (Delta pays)	Copays vary by service	100%	100%	100%	80%
Basic Services (Delta pays)	Copays vary by service	60%	50%	80%	50%
Major Services (Delta pays)	Copays vary by service	Not covered	Not covered	50%	50%
Calendar Year Benefit Maximum	None	$1,000 per covered person		$1,750 per covered person
Max Advantage	Not included	Not included		Included*
Orthodontic Services	Max of 24-month treatment	Not covered		50%
Separate Lifetime Orthodontia Benefit Maximum	Yes. 24-month treatment	Not covered		Yes. $1,000 per covered person

*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
Employee Only	$14.90	$14.90	$0.00
Employee & Spouse	$27.04	$14.90	$12.14
Employee & Child(ren)	$31.06	$14.90	$16.16
Full Family	$46.02	$14.90	$31.12
Basic Plan	Total Cost	Paid by District	Employee Cost
Employee Only	$20.98	$14.90	$6.08
Employee & Spouse	$42.02	$14.90	$27.12
Employee & Child(ren)	$57.56	$14.90	$42.66
Full Family	$77.70	$14.90	$62.80
Buy Up Plan	Total Cost	Paid by District	Employee Cost
Employee Only	$43.80	$14.90	$28.90
Employee & Spouse	$86.80	$14.90	$71.90
Employee & Child(ren)	$119.68	$14.90	$104.78
Full Family	$160.02	$14.90	$145.12

Contact Delta Dental of Missouri (DDMO):

Basic & Buy Up Dental PPO: 800.335.8266
Core Dental DHMO: 800.422.4234
Member website: d eltacentalmo.com

LSR7 Benefit Stories

I cannot say enough good things about the Complete Health and Wellness Center! Every single time I have interacted with staff they have been welcoming and kind. I had a telehealth appointment scheduled and after talking through my concerns, Shelly Lynch had me come on in to the clinic for an in person exam so that she would be able to refer me on to additional services. The staff is accommodating, understanding, and very professional. What a great benefit for our LSR7 staff!

- Ashley Brouillette, Teacher, PVE

Erin Jensen helps me with any questions I have, it does not matter what it is!!! I have her in my phone for quick dial because she seriously is my "Go To" person! And if she does not know the answer, which by the way is not often, she wil lfind out for me and get right back with me. She is awesome!!

- Debbie Griffey, Production Staff, HHE Cafeteria

I came to the CHWC with some symptoms that were fairly severe. Not only did the provider I saw take plenty of time to consider a variety of possible causes and remedies, but also offered help with follow-up questions and emailed me several resources. They called a week later to check on how I was doing and continued to offer support weeks after my initial visit. The care I received from the provider, nurses, and other staff at CHWC was far beyond any medical care and follow-up I have ever received.

- Sarah Courtney, Teacher, LSNHS

The drive-up COVID testing was easy and fast with a friendly nurse. And, the follow-up provided helpful, practical advice. I learned things about COVID from the Center's nurse practitioner that I'd never heard before elsewhere! The Wellness Center is a gr8 benefit to employees, and this is not my first positive experience. Through the annual health assessment report (and accompanying LSR7 Inspiring Balance Employee Wellbeing Program), I have improved most all of my "stats and digits."

- David Jackson, Admin Secretary, HPE

Erin Jensen has been so very patient and helpful in assisting me with all the necessary details to complete the new hire beneifts packet. I know that she (as well as others in the Beneifts department) are extremely busy processing important information for many others in the district, however, she in particular has been a "jewel"...Again, Thank you Erin, YOU ROCK!!

- Michell Owens, Teacher, LSNHS

The receptionist greeted me with a smile under her mask and she worked to get me in safely to the clinic. The nurse worked patiently to verify which lab work my doctor was requesting. I appreciate them working in a safe and friendly manner.

- Susan Murphy, Paraprofessional, GBEEC

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.

Dental Full Plan Summaries

Certificates of Coverage

Previous Plan Year Benefits

2023

2022

2021

CORE PLAN

BASIC & BUY UP PLANS

LEARN MORE

Get the Most from your Dental Plan

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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

Buy Up Plan MaxAdvantage

Buy Up Plan Orthodontia already in progress

Online Member Tools - Find a Dentist & Cost Estimator

The Many Ways Dental Benefits Pay

Why it Pays to Stay In-Network

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.