Regular dental care is important to your overall health. You may choose coverage in either the Delta Dental PPO or DeltaCare USA DHMO options (explained below).
Initial Enrollment - To enroll in dental coverage, complete a Dental Enrollment Form and submit it to the Fund Office. On that form, you elect your choice of dental options—either Delta Dental PPO or DeltaCare USA DHMO. Covered dependents are automatically enrolled under the same dental option as you.
New participants must enroll for dental coverage within 60 days of the date when first eligible. After the first 60 days, your dental coverage becomes effective the month following the date when the form is received, not retroactive to your initial eligibility date. Contact the Fund Office to verify coverage before scheduling dental care.
Open Enrollment – Once enrolled, you may change your dental option during the annual open enrollment period (scheduled in late fall for changes effective the following January). If you do not respond, your current dental coverage remains the same.
Eligible participants may choose coverage in one of the Plan’s two dental options:
1. The Delta Dental PPO option lets you visit any licensed dentist, but you’ll save the most by visiting a Delta Dental PPO-contracted dentist. You can change your dentist at any time without contacting Delta Dental. Diagnostic, preventive, basic restorative, endodontics, periodontics, oral surgery and orthodontia are covered at 100%, while major services like crowns, dentures and bridges are covered at 90%, subject to the Delta Dental PPO contracted fee schedule.
Under the Delta Dental PPO option, a $50 per patient (maximum $150 per family) deductible and $1,800 per patient benefit maximum apply each calendar year.
Orthodontia has a lifetime benefit of $1,800 per patient and is not counted toward the $1,800 per patient calendar year benefit maximum.
You can search for Delta Dental PPO contracted dentists at www1.deltadentalins.com. While there, register or log into your account to verify your benefits, access your digital ID card, track claims, estimate costs and more.
2. The DeltaCare USA DHMO option requires that all services and referrals be provided by your assigned DeltaCare USA network dentist. Benefits are only paid if services are performed by your assigned network dentist.
Under the DeltaCare USA HMO option, more than 300 procedures are fully covered. In other words, you are not subject to any copayments for covered services. In addition, there are no calendar year deductibles or benefit maximums
You can find DHMO dentists at www1.deltadentalins.com. While there, register or log into your account to verify your benefits, access your digital ID card, change your assigned dentist and more.
Contact Delta Dental or review your Summary Plan Description for more details about either dental plan option.
Click here for Frequently Asked Questions about Dental Coverage.