Refer to your benefit plan to determine whether preventive services are covered for you. You can visit any DeltaCare USA general dentist at your selected facility. This dentist provides most of your treatment and coordinates any necessary specialist referrals. Active Employees and Retirees DeltaCare USA Wellness Highlights Oral Health A-Z - oral health topics from amalgam fillings to x-rays. Claims will be processed when received according to your plan provisions. For details, refer to your Evidence of Coverage or plan booklet. Delta Dental has the largest network of dentists nationwide. For a complete description of the details of your coverage, please refer to your coverage documents. If you visit a specialist without a referral from your general dentist, you'll need to pay out of pocket, even if the specialist is in the DeltaCare USA network (except in certain states). How much is it going to cost? The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. P.O. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Before you . Checking the status of a claim, estimate, or authorization. You may be responsible for the cost of procedures or services not covered by your plan. (required) Choose your network All DeltaCare Delta Dental PPO Delta Dental PPO Plus Premier Delta Dental Premier Simple Access Encourage routine dental care for long term benefit: During preventive check-ups, your dentist is better able to detect problems early on and help you avoid more costly and complex procedures in the future. I receive dental insurance through my employer, Tips for choosing the best dental insurance company. Contact your selected primary care dental facility to schedule your appointment (if you don't have one or need to change it, follow the steps to select or change your primary care facility). Dental insurance makes dental care more affordable! You can enroll in this plan during your first 31 days of employment. This includes, but is not limited to, root canals, crowns or bridge work. Preventive care coverage varies by plan and by demographic considerations such as age. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. All Rights Reserved. Search by ZIP code, select a facility by entering the six-digit facility ID, or have the system automatically assign the facility closest to your address. The Content on this website is not medical advice. Your adult dependent can print, complete and submit a signedHIPAA authorization form(PDF, 38 KB). Premium Premiums vary according to the level selected. For additional beneft information or a directory of Delta dentists, please call Delta Dental toll free at . DeltaCare USA Delta Dental Patient Direct dentists. When shopping for dental insurance there are a number of factors to consider in order to choose the best plan for you and your family. 2023 Employees Retirement System of Texas. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Find the one thats right for you. Stay in-network for more savings. Answer a few questions, get results and share them with your dentist. You can change your DeltaCare USA dentist at any time. enroll, make sure there is a DeltaCare USA network dentist in your area. If you (or a dependent) began orthodontic treatment under a previous dental plan, you may be able to continue treatment with the same orthodontist if banding has already been completed. For a detailed list of services and coverage, visit the DeltaCare USA DHMO coverage page. Keep in mind that you don't need an ID card to getcare the dentist office can look you up in the system and they'll know you're covered. DeltaCare USA is a managed dental care plan. DHMO insurance plans typically cover dental services at a low cost and minimal or no copayments with a pre-selected primary care dentist or a dentist facility with multiple dentists. If your DeltaCare USA plan is through your employer, notify your employer first, then contact us so we can be sure your benefits are up to date. To select or change your primary care dental facility,log into your online account, then: You can change your facility at any time. How much is it going to cost? DHMO insurance plans typically cover dental services at a low cost and minimal or no copayments with a pre-selected primary care dentist or a dentist facility with multiple dentists. Privacy Statement Terms of Use Social Media Policy. DeltaCare USA is a prepaid "HMO-style" dental plan that contracts with more than 3,800 general and specialty dentists in the DeltaCare network in California. Delta Dental has the largest network of dentists nationwide. If you have dependents on your plan, you can also select or change their facility in one of two ways: Note:For adult dependents, they'll need to make their own selection or authorize you first (for more details, seeFrequently asked questions). Coverage for the unexpected: Oral health problems can appear unexpectedly. You'll save the most when you choose a dentist in the Delta Dental PPO network, though you can visit any licensed dentist and receive coverage under your plan. Before enrolling, make sure that the dentist you wish to see is in this plan's network. Check out Virtual Consult, Check out our new DeltaVision plans Delta Dental has the largest network of dentists nationwide. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. You may find information on our main site that is not specific to your plan and benefits. - See dental offical deals. Looking for a dentist? You may have to complete a claim form if you visit an out-of-network dentist, such as for limited emergency treatment or if you live in the following states: AK,CT, ID, LA,ME, MS, MT, NC, ND, NH, OK, SD, VT. Review details about your benefits and what's covered by logging in to your account. You'll also be assured your dentist meets our quality standards. Find a dentist in your area using any device: Dont know your network? You can alsolog into your account and selectBenefits details. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. In addition, most PPO dental plans have an annual limit on the amount of coverage. After each dental visit, you'll also be able to view visit details, including treatment information and copayments,in your online account or Explanation of Benefits. What do I need to do to update my address? *Not sure where your company is headquartered? Enrolled patients must select from the DeltaCare network of primary care dentists. Delta Dental network dentists are paid directly when they treat Delta Dental members, and our quick, accurate claims processing ensures you'll be paid promptly and accurately. Enjoy minimal or no copayments for preventive care and choose from a network of dentists to manage your dental needs. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Contact us. Then, take a look at the different kinds of dental plans available in your area and whats covered in each plan. What should I look for when shopping for dental insurance? Your plan covers some diagnostic and preventive services at low or no cost, and other covered services require that you pay set copayments for each. Deductible There is no deductible. - Download claim forms Your actual cost may be higher or lower than the estimate for various reasons. With Delta Dental PPO you have access to a network of dentists who accept reduced fees for covered services, giving you the lowest out-of-pocket costs. No one plan is necessarily better than the other - it all comes down to choosing the best plan for you and your family. This is one reason why more dentists join our network than any other. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Below youll find more information about the DHMO. Your actual cost may be higher or lower than the estimate for various reasons. Delta Dental Patient Direct Delta Dental Patient Direct is a dental service discount plan. Find a Dentist Delta Dental Plans Association National Dentist Search Portal Searching by name, specialty, or other details? Please see your plan booklet or Policy for a complete description of plan benefits, limitations and exclusions. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. The data is based on actual, non-discounted charges that providers have billed. You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file. All of those matters are things that you should decide, in consultation with your dental care professionals. You choose from a panel of participating dentists who charge discounted fees for their services. You also have no deductibles, waiting periods or annual maximums (yearly limits on what your plan . Instead, you receive up to 25% discount off the full cost for those services when your PCD coordinates your care with a network specialist. Refer to your benefit plan to determine whether these requirements apply to you. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Privacy Statement Terms of Use Social Media Policy. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. In the following states, you can change your dentist any time without contacting Delta Dental: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT, WY. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. Below youll find more information about continuing the DHMO plan after you leave employment. Spanish version:Cobertura continua de ortodoncia con su plan DeltaCare USA(PDF, 36 KB). Contact your company's human resources department. By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose.