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15

Bonner Springs/Edwardsville USD 204

Dental Plan

The dental benefits will continue to be offered through Delta Dental of Kansas. There are no plan or rate

changes effective July 1, 2017.

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