Individual Kids Preferred Plan
Our pediatric dental plan, Individual Kids Preferred plan, meets the guidelines of the Affordable Care Act's (ACA) Pediatric Dental Essential Health Benefit (EHB).
Delta Dental of Illinois offers small groups (2-150 employees) a plan companion/rider to our small group PPO plan offerings that meets the pediatric dental Essential Health Benefit (EHB) required by the Affordable Care Act (ACA). Groups do not have to purchase a pediatric dental coverage from a medical carrier, and the pediatric dental EHB does not have to be embedded in a medical plan. With Delta Dental of Illinois’ exchange-certified dental plan – Individual Kids Preferred – groups that add it can provide “reasonable assurance”/attest to their medical carriers of Pediatric Dental EHB coverage by a stand-alone dental carrier. Additionally, benefits do not have to be purchased from a public insurance exchange.
Delta Dental PPO plans with the Individual Kids Preferred plan use an Exclusive Provider Feature. With an Exclusive Provider Feature, benefits are paid only when a member sees a Delta Dental PPO dentist. There are no benefits when a member sees a dentist outside of the Delta Dental PPO network. However, members under age 19 can use the benefits of the PPO plan and the Individual Kids Preferred plan, but can only receive benefits from the Individual Kids Preferred plan with Delta Dental PPO dentists.
The Individual Kids Preferred plan offers:
- Access to our large network of Delta Dental PPO dentists (no coverage with a non-Delta Dental PPO dentist).
- Flexible coverage options.
- Rich coverage for preventive services like exams, cleaning, X-rays, sealants and fluoride treatments.
- Coverage for major services like gum disease treatment, root canals, dentures and crowns.