Group Number
0524-0210
Provided By
Delta Dental of Missouri
Provider Website
Customer Service
Resources
Frequently Asked QuestionsDental Benefits
In & Out-of-Network |
|
|---|---|
Deductible (Individual/Family) |
$50 / $150 |
Annual Maximum Per Person |
$1,000 |
Type I - Preventative Services |
100% |
Type II - Basic Services |
80% |
Type III - Major Services |
50% |
Type IV - Orthodontia Services |
N/A |
Orthodontia Lifetime Maximum |
N/A |
Weekly Cost |
|
|---|---|
Employee |
$5.46 |
Employee + Spouse |
$11.17 |
Employee + Child(ren) |
$11.09 |
Family |
$17.81 |
Downloads
Group Number
0524-0210
Provided By
Delta Dental of Missouri
Provider Website
Customer Service
Resources
Frequently Asked Questions