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16

Bonner Springs/Edwardsville USD 204

Dental Plan

The dental benefits will continue to be offered through Delta Dental of Kansas.

The Delta Dental of Kansas Premier Network is a large network of dentists. You may access website information

by going t

o Delta Dental of Kansas Insurance ,

or call them at 1-800-234-3375. Services, such as semi-annual

cleanings, are covered at 100% with no member copay.

Premier Network

Deductible

- Individual

- Family

- Waived for Preventive

$50

$150

Yes

Coinsurance

- Preventive

- Basic

- Major

100%

80%

50%

Maximum Benefits

- Calendar year Maximum

$1,000

This is only a summary. Please refer to your specific book/certificate for specific details. If a conflict arises, the booklet/certificate will govern in all cases.

Dental Plan Cost

Employee Cost Per Month

Employee Only

$30.57

Employee + Spouse

$60.51

Employee + Child(ren)

$60.80

Employee + Family

$102.94

Dental Insurance video links for

better consumerism:

Why it pays to stay In- Network Your Explanation of Benefits Explained The Many Ways Dental Benefits Pay