Dental

Corewell Health offers two dental plans and both plans are provided by Delta Dental.

When calling the dentist’s office for an appointment, identify yourself as a Delta Dental of Michigan participant, and indicate that you work at Corewell Health. The Corewell Health group number is 11532. Delta Dental does not provide identification cards. 


Both our Basic and Enhanced Dental plans use the same providers and network; the Enhanced Dental Plan includes coverage for orthodontia and lower costs for other major services.

  • Log on to your member portal on the Delta Dental website at deltadentalmi.com to retrieve eligibility, your ID number, print cards, claim status information, and estimate costs.


Dental Plan Summary

Benefit
Basic Dental Plan
Enhanced Dental Plan

Annual Deductible1

$50/person, $150/family

$50/person, $150/family

Annual Maximum1

$1,000

$2,000

Preventive Services

no cost to you

no cost to you

Basic Services

covered at 80%

covered at 90%

Major Services

covered at 50%

covered at 60%

Orthodontia

not included in plan

covered at 50%

Lifetime Max for Orthodontia

x

$2,000

1 Annual Deductibles and Maximums are based on a calendar year (Jan-Dec)


Find A Provider

You can choose any dental provider; however, you may pay more for services out-of-pocket if you see a premier or out-of-network dental provider.


Delta Dental PPO dentists

  • No balance billing on covered services
  • Most significant network discounts
  • Dentists file claims


Delta Dental Premier dentists

  • No balance billing on covered services
  • Significant network discounts
  • Dentists file claims


Out-of-network dentists

  • Balance billing
  • No network discounts
  • May need to file own claims


To find which network your dentist is in visit deltadentalmi.com. Delta Dental has the largest network of dentists across the United States and Puerto Rico, so even if you live outside of Michigan there will be providers near you.


  • Diagnostic and preventive services: The plan will pay 100 percent of eligible expenses for preventive services such as oral exams and teeth cleaning (twice in a calendar year). Services do not apply to plan maximums.


  • Minor services: The plan will pay percent of eligible expenses, after deductible*, for such minor dental services as fillings, extractions, other X-rays, lab tests, oral surgery, and sealants.


  • Major services: The plan will pay percent of eligible expenses, after deductible*, for such major dental services as crowns, bridgework, and dentures, up to the annual plan maximum.


  • Orthodontic coverage: The enhanced plan will pay percent of eligible expenses for covered orthodontic treatment. These benefits are available to all ages. Coverage is subject to the lifetime maximum. Orthodontics is not covered under the basic plan.


  • Annual and lifetime maximums: The annual maximum benefit is per person for minor and major services. The lifetime maximum benefit for orthodontic services is per participant.


  • The plan will pay percentage of the services reflected above, until the annual maximum has been reached. Once the annual maximum has been met, the plan will no longer pay for services until the next calendar year. A pre-treatment estimate of benefits is suggested before you have any work done. Corewell Health will not be responsible for claims that are not paid. If you do not enroll in the dental plan, Corewell Health is not responsible for any dental expenses you may incur.


*Annual deductible is $50 per person, not to exceed $150 for the family (which would be three family members each hitting the per person deductible for the year). 

If you are in the AFSCME Dearborn Hospital or the SEIU Taylor Trenton Wayne Hospitals, you will be able to elect a preventive dental plan which covers preventive care services such as exams and cleanings only (twice per calendar year).


If you are full-time (72-80 hours per pay period), Corewell Health pays the entire premium for this plan. If you are part-time (40-71 hours per pay period), there is a premium for this coverage. If you are eligible for this dental benefit, you will see this option in Workday when you enroll in your benefits.

Your Delta Dental plan includes enhanced benefits for covered members (children and adults) with a qualifying special health care need.


What is included in this benefit?

  • Additional visits to the dentist’s office and/or consultations that can be helpful prior to the first treatment to help patients learn what to expect and what is needed for a successful dental appointment. Additional exam benefits will be allowed for this purpose.
  • Up to four total dental cleanings in a benefit year.
  • Treatment delivery modifications necessary for dental staff to provide oral health care for patients with sensory sensitivities, behavioral challenges, severe anxiety or other barriers to treatment.


How do I/my spouse/my dependent use this benefit?

  • Members with a qualifying special health care need should let their dentist know that their Delta Dental plan includes the Special Health Care Needs Benefit and that they have a qualifying special health care need. No network discounts. May need to file own claims.
  • To help your dentist better understand the benefit and how to bill Delta Dental for services provided, it is suggested you take the “Special Health Care Needs Benefit Provider Instructions” flyer with you to your next dental visit (download the flyer at deltadental.pub/shcn-provider).