Using your Medicare dental benefits
Dental services included in your plan
Your dental coverage is administered by Delta Dental Plan of Michigan, Inc.® Preventive (routine) dental services covered by your plan include:
- $0 for two cleanings (regular or periodontal) per year
- $0 for two exams per year
- $0 for one set of bitewing X-rays per year
Members in PriorityMedicare Merit, PriorityMedicare Select, PriorityMedicare Value and PriorityMedicare plans are also covered for the following services:
- $0 for one brush biopsy per year
- $0 for all other X-rays (one every two years)
See your Delta Dental Certificate of Coverage for details.
PriorityMedicare Edge, PriorityMedicare Key and PriorityMedicare Ideal plan members:
PriorityMedicare Value, PriorityMedicare Merit, PriorityMedicare and PriorityMedicare Select plan members:
Optional enhanced dental services
In addition to the dental coverage included in your medical plan, the enhanced dental and vision package also includes:
- $0 copay for fillings and crown repair
- 30% of the cost for oral surgery
- $1,500 annual coverage limit
See your Delta Dental enhanced package Certificate of Coverage for details.
PriorityMedicare Edge, PriorityMedicare Key, and PriorityMedicare Ideal plan members:
PriorityMedicare Value, PriorityMedicare Merit, PriorityMedicare, and PriorityMedicare Select plan members:
Show your Priority Health Medicare member ID card to health care providers when using your enhanced dental benefits.
Find a Delta Dentist network dentist
When you go to a participating dentist, they file your claim. You only have to pay your copayment and the cost of any non-covered services.
If you go to a non-participating dentist:If out-of-network (non-participating) providers charge more for a service that what Delta Dental has agreed to pay, you will be responsible for the difference. You will likely pay less out-of-pocket by receiving treatment from an in-network (participating) dentist. If you choose to receive services from an out-of-network dentist, be sure to ask the dentist if they have opted out of Medicare. Dental Dental is unable to make payment for any services received from a provider that has opted out of Medicare.
Not enrolled in the enhanced dental and vision package yet?
If you don't already have the enhanced dental and vision package, you can add it to your coverage within two months of your Medicare Advantage plan start date, or during the annual enrollment period of Oct. 15 - Dec. 7 of each year.