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When you become a KelseyCare Advantage member, you'll receive additional benefits that deliver even more value to an already affordable Medicare Advantage plan

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Supplemental Dental Insurance

Benefits Summary

Select KelseyCare Advantage plans offer comprehensive dental benefits that are not covered by Original Medicare and are not included in your medical plan. These extra benefits are available to members enrolled in our Gold, Gold Community, and Silver Community plans only. The optional supplemental dental plan is administered by FCL Dental. You must enroll separately into the optional supplemental dental plan and there is a separate premium you are required to pay to be enrolled.

Covered Dental Services

The Optional supplemental dental plan is a comprehensive plan that covers dental services beyond the preventive dental benefits that are included in your KelseyCare Advantage plan. Type II and Type III services refer to such services as fillings, extractions, crowns, root canals and dentures. All services must be provided by an FCL Dental provider.
Coverage Description
Monthly Premium Amount $32.80
Annual Deductible $25
Annual Maximum (After the annual maximum is exhausted, any remaining changes are your responsibility) $3,000

Percentage of Covered Dental Expenses Payable

Once the deductible is met, Type II and III services will be covered at the coinsurance percentage rates below and paid by FCL Dental up to the Annual Maximum:

Service Type Service Description Coverage Rate Amount You Pay
Type II Basic Services 80% 20% of the cost
Type III Major Services 50% 50% of the cost

*Preventive services are not covered in the optional supplemental dental plan as they are included in your KelseyCare Advantage medical plan.

Search for an In-Network Dentist

Visit our partner site to search for a network dentist in your area. You can also call 1-866-535-8343 if you need help finding a participating dentist. Once you are enrolled, you can access services from your Optional supplemental dental plan. Simply present your KelseyCare Advantage plan ID card to the FCL Dental provider you have selected.

Always at Your Service

Call Member Services at 713-442-CARE (2273) or toll-free at 1-866-535-8343 (TTY: 711) from 8 a.m. to 8 p.m., seven days a week, from October 1 to March 31 and 8 a.m. to 8 p.m., Monday through Friday, from April 1 to September 30.

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