EssentiaCare Dental Options
Preventive dental benefits are included in EssentiaCare plans for no additional premium.
EssentiaCare Secure and Grand plans include these annual preventive dental care* services:
- One oral exam
- One routine teeth cleaning
- One set of bitewing X-rays
- Topical application of fluoride
*You will get the best benefit by using a network dentist in the Delta Dental Medicare Advantage Network. Find a list of network providers using the Search Network tool. Unlike most other dental plans, you may also use an out-of-network licensed dentist (who has not opted out or been excluded from Medicare) within the United States and its territories. If you receive dental services from a non-network licensed provider, you may be responsible for submitting your bills and paying the cost share and any difference between the dentist’s fees and the allowable amount.
Receive care aboard UCare’s Mobile Dental Clinic when it’s in your neighborhood.
Add comprehensive dental coverage for an additional premium:
EssentiaCare Secure and Grand members may add comprehensive dental coverage with Choice Dental for an additional $21 per month. See the Summary of Benefits (PDF) for more information.
|Premium||$21 per month|
|Deductible||$75 per year (not applicable for some services)|
|Annual maximum||$1,000 per covered person, per coverage year.*|
* This annual maximum is in addition to the preventive dental coverage provided in your EssentiaCare Secure or Grand plan.
Overview of benefits
|Type of dental service||CHOICE DENTAL|
|Basic Services||30% coinsurance|
|Oral/Maxillofacial Surgery||30% coinsurance|
|Major Restorative Services||60% coinsurance|
|Implant services||60% coinsurance|
When to enroll in comprehensive dental coverage
You can enroll in the extra dental coverage when you first enroll in your health plan by checking the box on your enrollment form. You are still eligible to enroll during your first covered month, and after that, annually during the Annual Election period (10/15 – 12/7) for coverage beginning January 1 (Forms cannot be accepted before October 15).
A separate enrollment form is required if you do not enroll when you first join our health plan.
H8783_092718_8_M CMS Accepted (10012018)