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Delta Dental

Your Dental Plan

Delta Dental DHMO Pre-Paid Plan (DeltaCare)

This plan provides dental care services at a fixed cost when you go to a dentist who is a member of Delta Dental's DHMO network. Similar to a medical HMO, the plan requires you and each of your covered dependents to choose a primary care dentist from Delta Dental's network. You must receive all your non-emergency dental care from your Delta Dental DHMO network dentist.

For more information on the DHMO, watch this webinar.

Delta Dental DPPO Plan

This plan is a preferred provider program that gives you the option of receiving treatment from any licensed dental provider you choose. If you go to a dentist who is a member of Delta Dental's DPPO network, you will receive a higher level of benefits and reduce your out-of-pocket costs. If you decide to go to a dentist outside of the DPPO network, the plan's benefits will be based on the Usual and Customary (U&C) charge for a particular dental service in your area. If your out-of-network dentist charges more than the U&C amount allowed by the plan, you have to pay the difference.

For more information on the DPPO, watch this webinar.

Dental Benefit Summary
Dental Benefits Dental HMO
(DeltaCare USA)
Dental PPO
(In & out-of-network)
* deductible waived
Annual Deductible No deductible$50 per individual
$150 per family
Annual Maximum Unlimited$1,750 per person
(Out-of-network: $1,500 per person)
Diagnostic & Preventive Services
100% covered100% covered*
Basic Services Copay varies80%
Endodontic & Periodontic ServicesCopay varies80%
Major ServicesCopay varies50%
Orthodontia$1,700 child copay
$1,900 adult copay
50% up to $1,500 lifetime maximum benefit*
(adults and dependent children)
Employee Cost per Paycheck
Coverage Level HMOPPO
Employee Only $0.00$21.28
Employee + Spouse $7.13$44.27
Employee + Child(ren) $7.07$54.27
Employee + Family $14.52$79.85

Find a Network Dentist

Visit www.deltadentalins.com to find an in-network dental provider. Use the Dental Delta PPO network for DPPO and DeltaCare USA network for DHMO.

Go to Delta Dental »
Balance Billing

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. This typically occurs when utilizing out-of-network or non-preferred providers.