nbkc bank offers dental benefits through Delta Dental. The chart below provides a high-level look at the amounts you pay when visiting in-network providers. Please refer to full plan descriptions for greater detail. 

Type of ServiceIn-Network
Deductible
(Waived for Preventive)
$50 individual /
$150 family
Diagnostic & Preventive Services
* Oral Exams/Cleanings
* Sealants
* Fluoride Treatment
* X-Rays
100%
Basic Services
* Fillings, Including Composites
* Extractions
* Perio and Endodontics
80%
Major Services
* Bridges
* Crowns
* Dentures
50%
Orthodontia
* Adult & Children
50%
Maximum Benefits
* Annual Calendar Year
* Lifetime Orthodontia Maximum

$1,500
$1,500

Monthly Employee Cost
    Employee Only
$10.00
    Employee + Spouse
$37.80
    Employee + Child(ren)
$40.90
    Family
$89.30

Payment for orthodontia is not included in the $1,500 annual maximum. It is subject to a separate $1,500 lifetime orthodontia maximum.

DELTA DENTAL’S MAXROLLOVER

Delta Dental’s MAXRollover allows you to roll over a portion of your unused annual benefit maximum to the following year, allowing you to stretch your benefits further. Every participant – enrolled employees and  dependents – individually qualifies for the program. Each participant has the potential to roll over and  accumulate more funds as the years progress, up to the applicable rollover account limit.

Program Eligibility

To be eligible for the MAXRollover program, participants must meet all of the following requirements:

  • The participant must be enrolled for at least the last three months of the benefit period without a break in coverage.
  • At least one qualified claim1 must be submitted within the benefit period.
  • Qualified claims paid within the benefit period must not exceed the payment threshold.