Ask Delta Dental
Briefly, MIChild was created to provide medical and
dental benefits to uninsured Michigan children under
19 years of age who do not qualify for Medicaid.
What dental services are covered? Children enrolled in MIChild can receive 100% coverage
of the dental services outlined in the Covered Services
section. These services include preventive and emergency
care, sealants, oral exams, bitewing X-rays, basic restorative
care and extractions, vital pulpotomy and stainless
steel crowns.
All of Delta Dental's standard policies and procedures
apply, and there is a $600 annual maximum with this
program. Children or parents of children enrolled in
MIChild pay $5 per family per month for health and dental
coverage and have no deductible.
For any services not covered by the program, the cost
will be the responsibility of the MIChild enrollee and/or
their parent. Such costs should be discussed with these
individuals in advance and should only be done with
an agreement to pay for the noncovered (or alternative)
services.
If I choose Delta Dental, how do I select a dentist? MIChild enrollees must go to a dentist who participates in the MIChild program. If they don’t, services will not be covered by the program.
To find a participating dentist in your area, call Delta Dental’s Customer Service department at 1-800-482-8915 or click here for the online
directory and select Healthy Kids Dental/MIChild next to program in the green box. When you make a dental appointment, ask the dental office staff
if the dentist participates in the MIChild program.
How do I sign up for services? You must fill out and submit an application, available by clicking here or by calling 1-888-988-6300.
After the State's agency responsible for enrollment says you are eligible, you will receive an ID card
from the health plan with which you enrolled.
How do I submit a claim form? You don’t have to submit a claim form. After treating the MIChild enrollee, the dentist submits a claim to
Delta Dental for the services he/she provided. Delta Dental processes the claim and sends payment directly to
the dentist and sends you an Explanation of Benefits that shows the billed services and how much Delta Dental paid.
It also shows the total amount Delta Dental has paid in the current year for the enrollee, so you know how much of
the $600 maximum is left for that year.
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