Corewell Health offers two dental plans and both plans are provided by Delta Dental.
A healthy mouth is more than just a nice smile. It helps you to eat, drink, talk and smile. And since oral health and overall health are connected, having a healthy smile can help keep the rest of your body healthy, too. Corewell Health recognizes the need for regular oral health by offering dental plans through Delta Dental of Michigan to provide coverage to you and your eligible dependents.
The Corewell Health benefit program offers you two dental plans from which to select. You may also choose to have no coverage. The dental coverage is available for you and your eligible dependents. You are eligible to enroll in this benefit if you are regularly assigned to work at least 40 hours per two-week pay period and are employed in a benefits-eligible position.
Dental Plan Summary
Benefit |
Basic Dental Plan |
Enhanced Dental Plan |
|---|---|---|
Annual Deductible1 |
$50/person, $150/family |
$50/person, $150/family |
Annual Maximum1 |
$1,000 |
$2,000 |
Preventive Services |
no cost to you |
no cost to you |
Basic Services |
covered at 80% |
covered at 90% |
Major Services |
covered at 50% |
covered at 60% |
Orthodontia |
not included in plan |
covered at 50% |
Lifetime Max for Orthodontia |
x |
$2,000 |
1 Annual Deductibles and Maximums are based on a calendar year (Jan-Dec)
Find A Provider
You can choose any dental provider; however, you may pay more for services out-of-pocket if you see a premier or out-of-network dental provider.
Delta Dental PPO dentists
- No balance billing on covered services
- Most significant network discounts
- Dentists file claims
Delta Dental Premier dentists
- No balance billing on covered services
- Significant network discounts
- Dentists file claims
Out-of-network dentists
- Balance billing
- No network discounts
- May need to file own claims
To find which network your dentist is in visit deltadentalmi.com. Delta Dental has the largest network of dentists across the United States and Puerto Rico, so even if you live outside of Michigan there will be providers near you.
Benefits provided under the Dental Plan are as follows:
- Diagnostic and preventive services: The plan will pay 100 percent of eligible expenses for preventive services such as oral exams and teeth cleaning (twice in a calendar year). Services do not apply to plan maximums.
- Minor services: The plan will pay percent of eligible expenses, after deductible*, for such minor dental services as fillings, extractions, other X-rays, lab tests, oral surgery, and sealants.
- Major services: The plan will pay percent of eligible expenses, after deductible*, for such major dental services as crowns, bridgework, and dentures, up to the annual plan maximum.
- Orthodontic coverage: The enhanced plan will pay percent of eligible expenses for covered orthodontic treatment. These benefits are available to all ages. Coverage is subject to the lifetime maximum. Orthodontics is not covered under the basic plan.
- Annual and lifetime maximums: The annual maximum benefit is per person for minor and major services. The lifetime maximum benefit for orthodontic services is per participant.
- The plan will pay percentage of the services reflected above, until the annual maximum has been reached. Once the annual maximum has been met, the plan will no longer pay for services until the next calendar year. A pre-treatment estimate of benefits is suggested before you have any work done. Corewell Health will not be responsible for claims that are not paid. If you do not enroll in the dental plan, Corewell Health is not responsible for any dental expenses you may incur.
Delta Dental’s Special Health Care Needs Benefit
Your Delta Dental plan includes enhanced benefits for covered members (children and adults) with a qualifying special health care need.
What is included in this benefit?
- Additional visits to the dentist’s office and/or consultations that can be helpful prior to the first treatment to help patients learn what to expect and what is needed for a successful dental appointment. Additional exam benefits will be allowed for this purpose.
- Up to four total dental cleanings in a benefit year.
- Treatment delivery modifications necessary for dental staff to provide oral health care for patients with sensory sensitivities, behavioral challenges, severe anxiety or other barriers to treatment.
How do I/my spouse/my dependent use this benefit?
- Members with a qualifying special health care need should let their dentist know that their Delta Dental plan includes the Special Health Care Needs Benefit and that they have a qualifying special health care need. No network discounts. May need to file own claims.
- To help your dentist better understand the benefit and how to bill Delta Dental for services provided, it is suggested you take the “Special Health Care Needs Benefit Provider Instructions” flyer with you to your next dental visit (download the flyer at deltadental.pub/shcn-provider).
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