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|
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.
If you would like restorative dental benefits (for services such as fillings and tooth removal), you can enroll in the optional Dental Buy-Up Plan for an additional fee. The start date for restorative dental benefits for the Fall 2023 semester is September 1, 2023 and continues through January 31, 2024. To enroll, fill out the online enrollment form or submit an enrollment form to the Office of Student Health benefits by September 28, 2023. Students who are eligible in the fall semester and then join the Dental Buy-Up Plan for the spring semester will be billed $984.48. Students who are newly eligible for the spring semester will be billed $492.24.
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.
If you have questions on eligibility, enrollment, or billing, contact:
Office of Student Health Benefits
612-624-0627 or 1-800-232-9017
If you have questions on benefits, coverage and services, in-network providers, or claims, contact:
Delta Dental of Minnesota
651-406-5916 or 800-553-9536 (toll-free)
Monday-Friday, 7 a.m.-7 p.m. CST