Get Enhanced Dental Coverage through the Delta Dental Network!
You're covered for a wide variety of preventive and comprehensive dental services on all six of our Medicare Advantage plans. And SummaCare Medicare Advantage plans are the only Medicare Advantage plans in our area with Delta Dental coverage. Need supplemental coverage? It can be purchased for an additional $38 monthly premium.
Preventive and Comprehensive Dental Coverage
Through our partnership with Delta Dental of Ohio, this coverage includes access to the Delta Dental Medicare Advantage PPO Network. If you would like to add supplemental dental to your 2027 SummaCare Medicare Advantage Plan, please complete the 2027 Delta Dental Enrollment Form and return to the address on the form.
Diagnostic and preventive services include:
- $0 office visit copay, includes:
- Two cleanings
- Two exams
- One fluoride treatment
- One bitewing X-ray per year
- Full mouth or panoramic X-rays once every five years
- Periapical X-rays, as needed
- Emergency treatment of dental pain, as needed
Comprehensive services include:
- $0 copay for fillings, simple extractions and root canals on Amber (HMO) and Topaz (HMO) plans. Services covered at 50% of cost on Quartz (HMO), Ruby (HMO), Sapphire (HMO-POS) and Emerald (HMO-POS).
- Bridges, crowns and dentures:
- 20% for bridges, crowns, crown repairs and dentures with the Topaz (HMO) plan
- 50% for bridges, crowns, crown repairs and dentures with the Amber (HMO) plan
- 70% for bridges, crowns, crown repairs and dentures with the Quartz (HMO), Ruby (HMO), Sapphire (HMO-POS) and Emerald (HMO-POS) plans
Annual dental maximum amounts for 2027:
- $3,000 -- Topaz (HMO)
- $2,000 -- Amber (HMO), Quartz (HMO), Ruby (HMO), Sapphire (HMO-POS) and Emerald (HMO-POS)
Optional Supplemental Dental Coverage
If you elect to enroll in our optional supplemental dental plan, you’ll pay an additional $38 per month in order to obtain the following additional benefits. You must keep paying your Medicare Part B premium and your SummaCare Medicare Advantage plan premium.
The following optional supplemental benefits are in addition to the embedded dental benefits included in your plan and have a 50% coinsurance.
- Inlays and Onlays
- Relines and Repairs to bridges and dentures*
- Periodontal Maintenance
- Periodontal Non-Surgical* & Surgical Procedures
- Surgical Extractions
- Oral Surgery
- Anesthesia
- Occlusal guards and adjustments
- Brush Biopsies
Things to note:
- If you purchase the Optional Supplemental Dental benefit, the plan will pay a total maximum for your preventive and supplemental benefits of $2,000 for Amber (HMO), Quartz (HMO), Ruby (HMO), Sapphire (HMO-POS) and Emerald (HMO-POS), $3,000 for Topaz (HMO).
- If you purchase the Optional Supplemental Dental benefit, Quartz (HMO), Ruby (HMO), Sapphire (HMO-POS) and Emerald (HMO-POS) will have a lower cost share for bridges, crowns, crown repairs and dentures (50% on optional supplemental vs. 70% on embedded).
- If you purchase the Optional Supplemental Dental benefit, services must be received through the Delta Dental Medicare Advantage PPO and Medicare Advantage Premier Networks.
- If you purchase the Optional Supplemental Dental benefit, services received from dentists who do NOT participate in the Delta Dental Medicare Advantage PPO and Medicare Advantage Premier Networks are NOT covered benefits.
- Covered services under the Optional Supplemental Dental plan will be equal or greater to those covered under the embedded plan.
