Network and claims administration services for the Student Dental Plans are provided by Delta Dental of Minnesota.
Coverage Dates & Plan Highlights
Dental Plan |
Who’s Eligible |
Plan Highlights |
Preventive and Periodontal Dental Plan |
All primary members (students) enrolled in the Student Health Benefit Plan |
|
Optional Student Dental Buy-Up Plan |
All primary members (students) enrolled in the Student Health Benefit Plan |
|
Pediatric Dental Plan |
All primary members (students) up to the age of 19, as well as dependent children up to the age of 19 |
|
Enrollment
Preventive and periodontal dental benefits are included in the Student Health Benefit Plan (SHBP) for primary members (students) and pediatric members (under age 19). Students are automatically enrolled in the Preventive and Periodontics Plan or Pediatric Plan. The Preventive and Periodontics Plan includes coverage for cleaning and x-rays, but not for restorative services such as fillings, tooth removal, and emergency treatment. Preventative services are covered at no out-of-pocket cost once every six (6) months.
To enroll in the optional restorative services coverage, the Dental Buy-Up Plan, please submit an enrollment form to the Office of Student Health Benefits. The cost of the plan is $839.16. For students who are enrolled in both the fall and spring semesters, the premium will be billed in two installments of $419.58.
The Dental Buy-Up Plan is not available to International Scholars.
Brochures and Forms
- Student Dental Plans Enrollment Brochure
- Preventive and Periodontal Plan Summary of Benefits
(included in SHBP for primary members)
- Optional Dental Buy-Up Plan Summary of Benefits
- Pediatric Dental Plan Summary of Benefits
- Online enrollment form or PDF Enrollment Form
The full summary of benefits for the Student Dental Plans can be found on the Forms, Brochures & ID Cards tab.
Contact
If you have questions on eligibility, enrollment, or billing, contact:
Office of Student Health Benefits
612-624-0627 or 1-800-232-9017
[email protected]
If you have questions on benefits, coverage and services, in-network providers, or claims, contact:
Delta Dental of Minnesota
Customer Service
651-406-5916 or 800-553-9536 (toll-free)
Monday-Friday, 7 a.m.-7 p.m. CST