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

To find a Delta Dental network dentist call 800.330.2732 (TTY 711), Mon. - Fri., 9 a.m. - 8 p.m., or go to deltadentalmi.com and search Medicare Advantage PPO and Medicare Advantage Premier network.

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.

Claim form