Delta Dental

Delta Dental is the dental plan carrier and provides dental coverage for both the DHMO and the DPPO plans. A brief overview of the most highly utilized plan benefits and their applicable copayments/coinsurance can be found in the Dental Plans Comparison Chart* on pages 22-23 of the Employee Benefits Guide. For a complete listing of plan benefits and description of benefits and coverage, including limitations and exclusions, please refer to the plan's evidence of coverage document (EOC) posted below.

*NOTE: If there are any discrepancies between the information in the chart and the provisions of the EOC, the plan document will prevail.

Delta Dental Website: http://www.deltadentalins.com  

Delta Dental provides its members a full service website that allows you to access, view and print valuable information pertaining to your benefits and treatment. Information available includes benefit details, DPPO claim status, provider search capabilities and printable ID cards.

Delta Dental Customer Service: (855) 244-7323

If you are new with the County and have transition of care questions, please contact Delta Dental Customer Service for assistance.

Delta Dental Plans

The plans offered by Delta Dental include:

DeltaCare USA DHMO Plan

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.

DeltaCare USA features:

  • No claim forms
  • No deductibles
  • No annual maximum benefit
  • Out-of-pocket savings are substantial
  • Specialty services available
  • Preexisting conditions are not excluded, except for work in progress

The primary care dentist will provide most of your treatment and will coordinate specialty care services as needed. The DHMO plan offers predictable costs with fixed copayments (if any) for preventive, basic and major services. Orthodontia coverage is available for all phases from any DeltaCare USA orthodontist of your choice. A provider directory is available online at deltadentalins.com. Detailed DHMO plan information can be viewed in the resources below.

 

Delta Dental DPPO Plan

Delta Dental DPPO is a DPPO style plan that provides coverage through individually contracted dental providers. The DPPO plan pays a percentage of the fee for service and has a set calendar year maximum per person. Orthodontia is a covered benefit and has a separate set lifetime maximum per person. The DPPO plan allows for freedom of choice in provider selection, as you may change between in-network and out-of-network providers without pre-authorization from Delta Dental. A provider directory is available online at deltadentalins.com. Detailed DPPO plan information can be viewed in the resources below.

 

 



Additional Resources

Below are additional resources for the DHMO and DPPO plans.


Delta Dental Wellness Benefits

Gum disease is associated with a number of systemic conditions, and people with certain chronic conditions may benefit from additional periodontal (gum) cleanings and maintenance. That’s why, in addition to your standard coverage, Delta Dental Wellness Benefits offer expanded coverage (increased frequency and/or coverage level) for those diagnosed with one of the following qualifying medical conditions:

  • Diabetes
  • Heart disease
  • HIV/AIDS
  • Rheumatoid arthritis
  • Stroke.  

Select the DeltaCare USA or Delta Dental PPO plan below for details on specific wellness benefits.

Eligible participants can receive waived frequency limitations and copayments (D1110, D1120, D4910) when services are needed more frequently due to medical necessity as determined by the Contract Dentist.

Report your medical condition to your dental office, so they can determine if you are eligible for the Wellness Benefit and if extra cleanings are needed to keep your teeth and gums healthy.

  

Eligible participants can receive:

  • 100% coverage for one periodontal scaling and root planning procedure, per quadrant (D4341 or D4342) every 12 months (versus 24 months)
  • A combination of any 4 routine cleanings or perio maintenance covered at 100% (D1110, D1120, D4346, D4910)

View the SmileWay Wellness Benefit flyer for more information.

To enroll simply log in to online services at deltadentalins.com or call 855-244-7323 to speak to a customer services representative Monday through Friday 5 a.m. to 5 p.m. For more information on the SmileWay program, see the resources below.


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