University of Missouri
Benefits and Networks


Reimbursement Level
Network Fee ScheduleMaximum Plan Allowance90th Percentile of the Reasonable and Customary Prevailing Fee


PPO Network Premier Network Out-of-Network1
Preventive Services
(No deductible)

100%
Basic Services
(After annual deductible)
80%
Major Services (including implants)
(After annual deductible)
50%
Ortho Services Not covered
Maximum Annual Benefit $1,500 for each enrolled individual
Annual Deductible $100 per individual / $300 per family

(1) Out-of-network dentists may bill you for the difference between the covered dental expense determined by Delta Dental as the Reasonable & Customary (R&C) and the dentist's usual fee.


This overview highlights certain features of University of Missouri dental benefits. For full details, please refer to your Summary Plan Description (SPD). If there is a discrepancy between the wording here and the SPD, the document language will govern. University of Missouri reserves the right to amend, modify or terminate the dental plan at any time.