2020 Plan Changes for Risk Groups

October 01, 2019

Each year Delta Dental of Kansas (DDKS) reviews potential policy and benefit changes for our members and groups. We would like to inform you of enhancements we will be offering on or after January 1, 2020 (at the group's renewal date). Please note which groups are affected for each enhancement below. If you have any questions, please reach out to your Professional Relations Representative.

Right Start 4 KidsSM (RS4K)

This plan design enhancement removes the cost barriers for dental care for children 12 and under. If the group chooses this enhancement, the program provides children 12 and under 100% coverage, with no deductible, for all services covered under the plan, excluding orthodontics, when a Participating Dentist is seen. If an out-of-network dentist is seen, the underlying contract applies including waiting periods, deductibles and coinsurance levels. Please verify the member's coverage and eligibility date.

Groups affected: Offered to all Risk groups; all Individual policies.

Implementation: On or after January 1, 2020. Please verify member's coverage and eligibility date. Coverage is based on current group or individual contract.

Unlimited Cleanings

If the group chooses this enhancement, members will be allowed unlimited cleanings. Covered codes include D1110, D1120 and D4910 (for D4910, previous surgical/non-surgical history is required). Please verify the member's coverage and eligibility date.

Groups affected: Offered to all Risk groups.

Implementation: On or after January 1, 2020. Please verify member's coverage and eligibility date. Coverage is based on current group contract.

Annual Maximum Increase to $1,500

If the group chooses this enhancement, annual maximums currently below $1,500 will be increased to an Annual Maximum of $1,500. Please note, groups with a buy-up option will not have an Annual Maximum increase on the base plan. Please verify the member's coverage and eligibility date.

Groups affected: Offered to all Risk groups. Groups with a buy-up plan option will not have an Annual Maximum increase on the base plan option.

Implementation: On or after January 1, 2020. Please verify member's coverage and eligibility date. Coverage is based on current group contract.

 

Have additional questions? Click here to contact your Professional Relations Representatives.