Delta Dental of Michigan

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MIChild Covered Services

The maximum dollar amount that Delta Dental will pay per enrollee in a contract year is $1,500. The contract year begins on January 1 and ends on December 31 of each year. The enrollee/parent/responsible party is responsible for paying all costs above the $1,500 limit. There are no copayments or deductibles; however, some limitations and exclusions apply. For complete benefit information, refer to the MIChild enrollee handbook.

Covered Services Include:

  • Examinations
  • Bitewing X-rays
  • Prophylaxes (teeth cleaning)
  • Fluoride treatments
  • Sealants
  • Space maintainers
  • Fillings
  • Stainless steel crowns
  • Extractions
  • Emergency treatment to alleviate pain

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