Administered by Delta Dental, 1-866-579-5717

Who is Eligible?

Benefits eligible retirees and their eligible dependents.

Retirees are offered continued enrollment in the MUS Choices Select Dental Plan only at retirement. If you do not make an election when you first retire, you will permanently forfeit your MUS Choices Dental Plan coverage eligibility.

MUS dental claims are reimbursed based on a fixed dental fee schedule. The fee schedule’s fixed dollar amount is the maximum reimbursement amount paid by the Plan for the specified dental procedure code, regardless of provider network. Covered Dental Plan enrollees are responsible for the difference (if any) between the provider's charge and the fee schedule’s reimbursement amount.

MUS Dental Plan enrollees have the freedom of choice to visit any licensed dentist, however, out-of-pocket costs may be reduced if utilizing a Delta Dental Premier or PPO network dentist.

Refer to the Summary Plan Description (SPD) on the Choices home page for complete Dental Plan benefits, annual maximums, limitations, exclusions, and fee schedule information.

Annual Benefit Maximum $2,000 per covered individual
Diagnostic & Preventive Services

Twice Per Plan Year:

  • Initial and periodic oral exam
  • Cleaning
  • Complete series of intraoral X-rays

**The above do not apply to the $2,000 annual benefit maximum
Basic Restorative Services
  • Amalgam filling
  • Endodontic treatment
  • Periodontic treatment
  • Oral surgery
  • Removal of impacted teeth
Major Dental Services
  • Crown
  • Root canal
  • Complete lower and upper denture
  • Dental implant
  • Occlusal guards
Orthodontia Services
  • $1,500 lifetime benefit maximum/individual

**The above does not apply to the $2,000 annual benefit maximum

 

Orthodontic Benefit
Benefits are paid at 50% of the allowed amount for covered services. Treatment plans usually include an initial down payment and ongoing monthly fees. If an initial down payment is required, the Plan will pay up to 50% of the initial payment, up to 1/3 of the total treatment charge. In addition, Delta Dental (Dental Plan Administrator) will establish a monthly reimbursement based on the provider’s monthly fee and the prescribed treatment plan.