Dental Benefits

Right Start 4 Kids (RS4K)
The Right Start 4 Kids program removes the cost barriers for dental care by providing children 12 and under 100% coverage, with no deductible, for all services covered under the plan, excluding orthodontics, when an in-network dentist (Delta Dental Premier or Delta Dental PPO) is seen. If an out-of-network dentist is seen, the underlying contract applies including waiting periods, deductibles and coinsurance levels.

	Base Plan	Buy-Up Plan
Deductible (Individual/Family)	$75/$225	$50/$150
Annual Maximum Per Person	$1,500	$2,000
	Member pays	Member pays
Diagnostic Evaluations Bitewing X-Rays Full-Mouth or Panoramic X-Rays Preventive Cleanings Topical Fluoride (Under age 19) Space Maintainers (Under age 14) Sealants (Under age 16)	0%	0%
Basic Ancillary Oral Surgery Regular Restorative Endodontics (Root Canals) Periodontics (Treatment of gums & bones)	20%	10%
Major Special Restorative Prosthodontics (Crowns, Bridges & Dentures)	50%	50%
Orthodontics	0%	50% / $1,000 max

Bi-Weekly Rate	Base	Buy-Up
Employee	$16.66	$22.05
Employee + Spouse	$32.98	$43.66
Employee + Child(ren)	$32.85	$43.48
Family	$55.98	$74.09

Downloads

Summary of Benefits-Base

Summary of Benefits-Buy-Up

Group Number

50582

Provided By

Delta Dental

Provider Website

deltadentalks.com

Customer Service

800.234.3375

Resources

Frequently Asked Questions