MCHCP and myMCHCP web services may experience interruptions as we perform system maintenance, today July 13. We expect all work to be completed by 6pm.
Dental Plan
Public Entity Members - Check with your employer to see which plans are available to you.
Delta Dental of Missouri offers dental benefits through their nationwide networks. These benefits include preventive services, basic restorative services, and major restorative services.
You may select the dentist of your choice. Using a network Delta Dental PPO™ or Delta Dental Premier® dentist provides you the best benefit and savings. You may go to a non-network provider, however, your out-of-pocket costs will likely be higher. While network dentists are paid directly by Delta Dental for their services, a non-network dentist may require that you make full payment at the time of service and file the claim for reimbursement. They may also bill you the difference between the allowed amount and the full retail cost of their service.
The annual maximum benefit per individual is $2,000. The annual deductible per individual is $50.
| Description | Description | You Will Owe |
Preventive (Type A)
Services do not count towards your annual maximum
|
Oral exam – two per calendar year
Cleaning – two per calendar year
Bitewing x-rays – one set every calendar year
Topical fluoride – once every calendar year
Sealants – once every 5 calendar years
Emergency palliative treatment
Problem focused exams – 2 every calendar year
|
No deductible applies
Network – You owe nothing more
Non-Network – You may be balance billed any difference between allowed amount and retail cost
|
|
Basic Restorative (Type B)
|
Fillings
Simple extractions
Full mouth x-rays – once every 5 calendar years
Periapical x-rays – as required
Space maintainers – once every 5 calendar years
|
Deductible applies, plus you owe:
Network – 20% coinsurance
Non-Network – 20% coinsurance and any difference between allowed amount and retail cost
|
Major Restorative (Type C)
12-month waiting period. Waiting period will be waived for all enrollees with proof of 12 months of continuous dental coverage for major services immediately prior to the effective date of coverage in MCHCP’s Dental Plan.
|
Oral surgery & surgical extractions
Implants – once every 7 calendar years Endodontics / root canal therapy
Crowns – once every 7 calendar years
Dentures & bridges – once every 7 calendar years
Periodontics – surgical & non-surgical
|
Deductible applies, plus you owe:
Network – 50% coinsurance
Non-Network – 50% coinsurance and any difference between allowed amount and retail cost
|
Video Resources
MCHCP has created this video to help you in navigating the Delta Dental webiste.
MCHCP is constantly evaluating the best way to communicate with its members. MCHCP currently utilizes Google’s YouTube service to host informational videos. We understand that not all state agencies allow content from YouTube through their approved content web filters. Please see your respective IT department for help in gaining access to our video content or review them from a device connected by a non-state internet service provider.