Northern Kentucky University Retiree Dental Plan Options

Choose the plan that best fits your needs!

Happy Smiles

$22

.26 per month

per month

Access to basic services such as exams, cleanings & whitening.

Subscriber only

$22.26

Subscriber + one

$40.42

Family

$61.32

Perfect Smiles

$32

.88 per month

per month

The best option if your dentist only participates in our Premier network.

Subscriber Only

$32.88

Subscriber + one

$61.30

Family

$95.79

Bright Smiles

$40

.75 per month

per month

Save money on comprehensive services such as whitening, veneers or braces.

Subscriber Only

$40.75

Subscriber + one

$77.16

Family

$132.07

Vibrant Smiles

$43

.92 per month

per month

Receive great benefits and the highest annual maximum of all available plans.

Subscriber only

$43.92

Subscriber + one

$78.25

Family

$120.54

Happy Smiles - Delta Dental PPO Plan

Covered Services

Delta Dental PPO

Year One

Year Two

Year Three

Diagnostic & Preventive

deductible does not apply

100%

100%

100%

Minor Services

10%

30%

50%

Major Services

N/A

N/A

N/A

Annual Maximum

$500

$750

$1000

Plan Deductible

per person/maximum per family

$50/$150

$50/$150

$50/$150

Diagnostic & Preventive

deductible does not apply

Year One 100%
Year Two 100%
Year Three 100%
Minor Services

Year One 10%
Year Two 30%
Year Three 50%
Major Services

Year One N/A
Year Two N/A
Year Three N/A
Annual Maximum

Year One $500
Year Two $750
Year Three $1000
Plan Deductible

per person/maximum per family

Year One $50/$150
Year Two $50/$150
Year Three $50/$150

Perfect Smiles - Delta Dental PPO Plus Premier Plan

Covered Services

Delta Dental PPO Plus Premier

Year One

Year Two

Year Three

Diagnostic & Preventive

deductible does not apply

100%

100%

100%

Minor Services

10%

30%

50%

Major Services

10%

30%

50%

Annual Maximum

$750

$1000

$1250

Plan Deductible

per person/maximum per family

$50/$150

$50/$150

$50/$150

Diagnostic & Preventive

deductible does not apply

Year One 100%
Year Two 100%
Year Three 100%
Minor Services

Year One 10%
Year Two 30%
Year Three 50%
Major Services

Year One 10%
Year Two 30%
Year Three 50%
Annual Maximum

Year One $750
Year Two $1000
Year Three $1250
Plan Deductible

per person/maximum per family

Year One $50/$150
Year Two $50/$150
Year Three $50/$150

Bright Smiles - Delta Dental PPO Plan

Covered Services

Delta Dental PPO

Year One

Year Two

Year Three

Diagnostic & Preventive

deductible does not apply

100%

100%

100%

Minor Services

50%

80%

80%

Major Services

25%

50%

50%

Annual Maximum

$500

$1000

$1500

Orthodontics (No Age Limit)

N/A

50%

50%

Orthodontic Lifetime Maximum

N/A

$1000

$1000

Plan Deductible

per person/maximum per family

$50/$150

$50/$150

$50/$150

Diagnostic & Preventive

deductible does not apply

Year One 100%
Year Two 100%
Year Three 100%
Minor Services

Year One 50%
Year Two 80%
Year Three 80%
Major Services

Year One 25%
Year Two 50%
Year Three 50%
Annual Maximum

Year One $500
Year Two $1000
Year Three $1500
Orthodontics (No Age Limit)

Year One N/A
Year Two 50%
Year Three 50%
Orthodontic Lifetime Maximum

Year One N/A
Year Two $1000
Year Three $1000
Plan Deductible

per person/maximum per family

Year One $50/$150
Year Two $50/$150
Year Three $50/$150

Vibrant Smiles - Delta Dental PPO Plus Premier Plan

Covered Services

Delta Dental PPO Plus Premier

Year One

Year Two

Year Three

Diagnostic & Preventive

deductible does not apply

100%

100%

100%

Minor Services

25%

50%

80%

Major Services

25%

40%

50%

Annual Maximum

$1000

$1750

$2000

Plan Deductible

per person/maximum per family

$50/$150

$50/$150

$50/$150

Diagnostic & Preventive

deductible does not apply

Year One 100%
Year Two 100%
Year Three 100%
Minor Services

Year One 25%
Year Two 50%
Year Three 80%
Major Services

Year One 25%
Year Two 40%
Year Three 50%
Annual Maximum

Year One $1000
Year Two $1750
Year Three $2000
Plan Deductible

per person/maximum per family

Year One $50/$150
Year Two $50/$150
Year Three $50/$150
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For Members

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DeltaVision® 150

You care for your smile, don't forget about your eyes!

DeltaVision 150

9

.15

Includes yearly eye exam, up to a $150 frame allowance or contact lense allowance. New frames every two years!

Subscriber only

$9.15

Subscriber + one

$18.30

Family

$29.46

DeltaVision 150

Member Benefit

Wellvision Exam

$10 Exam Copay

Frame or Contact Lenses

Up to $150 Allowance

Prescription Glasses

$10 Materials Copay

Covered Lenses

Single Vision, Lined Bifocal and lined trifocal plastic lenses for adults. Polycarbonate lenses for children.

Wellvision Exam

Member Benefit $10 Exam Copay
Frame or Contact Lenses

Member Benefit Up to $150 Allowance
Prescription Glasses

Member Benefit $10 Materials Copay
Covered Lenses

Member Benefit Single Vision, Lined Bifocal and lined trifocal plastic lenses for adults. Polycarbonate lenses for children.