Kimberly Clark

Dental Overview

Maintaining good oral health is extremely important to protecting your overall health. You only get one set of teeth and gums — wouldn’t you rather keep them healthy and strong?


Delta Dental PPO + Premier

  Plan Highlights
Annual Deductible $50 Individual/$150 Family
Annual Maximum per Person $1,500
Preventive and Diagnostic Care 100% covered and not subject to the deductible or the annual maximum
Fillings 80% covered after the deductible
Crowns 80% covered after deductible is met; limited to one replacement crown every five years
Orthodontia Coverage 60% covered, limited to $2,000 per child or adult, per lifetime

2018 Annual Dental Paycheck Costs

Individual

$198

2-Party

$396

2-Party Plus

$594

How the Dental Plan Works

K-C offers a Delta Dental PPO + Premier Plan at a reasonable cost that provides you with competitive coverage and gives you the freedom to seek care with any dentist you choose. To get the highest level of coverage, reduce your out-of-pocket costs, and make the claim filing process easier, you’ll want to use a dentist that is in the Delta Dental PPO network. If you can't find a dentist in the PPO network, the next best option is the Delta Dental Premier network. The PPO + Premier combines the reach of both networks.

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How You Pay For Care

When you visit network providers, they will automatically submit a claim on your behalf. After the claim is submitted, you'll receive what's called an Explanation of Benefits (EOB) from Delta Dental. Review your EOB carefully and contact Delta Dental if anything looks inaccurate. If it's correct, you pay your dentist your share of the costs not covered by the dental plan.

Dental Deductible

Preventive and Diagnostic Care

Coinsurance

If you enroll in Individual coverage, you need to meet a $50 deductible before non-preventive services are covered.

If you enroll in 2-Party or 2-Party Plus coverage under the Dental plan, a family member must meet the individual deductible before the plan will pay for their care. But, once any combination of your family reaches a total of $150, the plan begins to pay benefits for the entire family.


Keeping those pearly whites pearly and white is an important part of the Plan. Preventive checkups are covered at 100%, twice a year, and are not subject to the deductible or annual maximum.

Some services, such as crowns and fillings, are subject to coinsurance — meaning that you will pay a portion of the cost of service even after your deductible is met. You may also be limited in the number of times you can receive the same covered service over time (e.g., crowns, which are limited to one replacement every five years).

Benefit Maximums

The PPO + Premier plan pays an annual maximum of $1,500 per covered person. This is the most the plan will pay for any one person’s covered services, per year, excluding preventive. There’s an exception for orthodontic services, which have a lifetime benefit maximum of $2,000.

ID Card

You’ll receive an ID card when you first enroll. While you may not always be asked to present it when you receive care, keep it handy to make sure the correct coverages and discounts are applied. You can also request an extra ID card through Delta Dental Customer Service.


Disclaimer

This site is provided to help Kimberly-Clark (K-C) employees better understand their benefit plans. It does not guarantee coverage under a plan and does not provide complete descriptions of K-C benefit plans. K-C reserves the right to change these plans at any time. In all cases, the formal Plan Documents will govern.

If you are an organized hourly employee covered by these plans, see your HR representative or other person designated at your unit for information on how your plan(s) may differ from the information on this site. You may also call the Benefits Information Line at 800-551-2333. Empyrean representatives are available Monday through Friday, 9 a.m. to 5 p.m. ET and Fidelity representatives are available Monday through Friday, 8:30 a.m. to 8:30 p.m. ET. From outside the U.S., dial your country’s toll-free AT&T Direct Access number then enter 800-551-2333.