It's easy to look up your benefits online, including your dentist network, maximums and deductibles, copayment percentage for standard and orthodontic coverage, and other details. No premium is deducted from your monthly pay warrant. If you are in Bargaining Units 1, 3, 4, 5, 9, 10, 11, 12, 13, 14, 15, 20, and 21 and have dental coverage through another source, such as your spouse, you may choose to receive cash in lieu of the state's dental benefit available through FlexElect. The files linked from this page are PDFs and require Advantages of the DeltaCare USA plan include low or no copayments for services, no deductibles and no maximums on services provided by primary care dentists. You and your dependents may be eligible for state-sponsored dental insurance, available from one of several dental plans. Members pay any remaining balance due based on the type of dental treatment they receive. The plan limits paid coverage for each specific type of dental treatment. The plan limits the amount of paid coverage for each specific type of dental treatment. Find a Dental plan that fits you. Whether you need coverage for yourself, or your entire family, Delta Dental’s options provide the confidence that your smile and wallet are protected. Bargaining Unit 8 Seasonal Firefighters and Bargaining Unit 7 Lifeguards are eligible to enroll in the state-sponsored Dental Program during their period of employment in accordance with their respective Memorandums of Understanding (MOUs). Explore all your plan options. Save on out-of-pocket costs by seeing a Delta Dental PPO network dentist. These are events where you're required to inform your personnel office so they can assist you in removing the ineligible dependents from your dental plan if enrolled. The replacement of crowns and/or prosthodontics is covered once every 7 years, rather than every 5 years. $2,500 lifetime maximum. ®Registered Marks of the Delta Dental Plans Association. If you have a question regarding the participation status of a specific dentist who does not appear in this directory, please contact the dentist or your Delta Dental. Dependent Re-verification (DRV) is the triennial process of re-verifying the eligibility of spouses, domestic partners, children, stepchildren, and domestic partner children (family members) enrolled for state health, dental, and premier vision benefits. Networks reflect combined numbers for Delta Dental PPO and Delta Dental Premier®-only dentists. Delta Dental PPO ™ is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. Delta Dental offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier Basic and the Delta Dental Preferred Provider Option (PPO). $1,000 per child. Benefits paid by the plan for covered oral evaluations and routine prophylaxis (cleanings) will not reduce your annual per person maximum for … The copay for crown fusion will increase from $50 to $150; What the Plans Cover Delta Dental PPO Open your browser settings and turn on javascript to start finding a dentist. An indemnity plan allows enrollees to select a dentist of their choice throughout the United States and worldwide without using a provider network. Employees whose positions are classified as Limited-Term or Temporary Authorized appointments, who are appointed to a position of six months or more and at a time base of half time or more are eligible. Dependent children employed by the state and eligible for state-sponsored dental plans are also eligible to enroll in their parent's state sponsored dental plan. Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. You have 60 days from your date of hire or the date you became eligible to enroll in a dental plan. You may also seek care from a Delta Dental PPO dentist. Consistent with the July 31,2019 State of California passed SB 30 which eliminates the limitations on who may form domestic partnerships, allowing opposite-sex couples under the age of 62 to be eligible to form domestic partnership. Delta Dental Immediate Coverage Plan | DentalInsurance.com. You can also print an ID card, find the average fees in your area for common dental procedures and check the status of your claims. Delta Dental of California’s Premier Network has over 23,600 Premier providers and 14,900 PPO providers that accept Delta Dental Coverage. See the definition above for Delta Dental PPO Dentists who participate in this program. Annual Per Person Maximum. Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21. When the divorce is finalized, you're required to inform your personnel office of the finalization and provide a copy of the final divorce decree. Actions made during Open Enrollment are effective January 1st of the following year. $1,500 per child. Your present dentist may be a PPO member of Delta Dental; however, not all Delta Dentists are members of the PPO network. Open enrollment is a time set aside each year when eligible employees can enroll, change plans, or add/delete family members. Coverage for exams (routine, non-routine or a combination of both) reduced from 4 exams per year to 2 exams per year. You may enroll your legal spouse, domestic partner, and dependent children up to age 26, when you experience a family status change, or during the annual Open Enrollment period. Eligible employees may enroll in a dental plan within the first 60 days of employment or eligibility or during the annual Open Enrollment period. Dependent Re-Verification FAQs. Sign in to your account, check your Delta Dental ID card or contact your Delta Dental Company. Most basic services are covered at no cost. Delta Dental Plans. Dental Frequently Asked Questions for more information. For more information, please see Delta Dental member companies serve over one-quarter of the estimated 173 million Americans with dental insurance, providing national dental coverage to over 54 million people in over 89,000 groups. Permanent-Intermittent employees who work a minimum of 480 hours during each six month qualifying control period ending June 30 and December 31 are eligible. You know you will receive quality care because all dentists in our network are credentialed to make … Dentists receive a flat fee for each member assigned to their offices. **For a disabled child to remain on your dental plan past age 26, you must have a disability certification letter on file with your human resources office, or inform your human resources office of pending disability certification prior to your child turning age 26. With the Delta Dental PPO Plan, most preventive dentistry is covered in full. Get assistance in a language other than English, Viewing your eligibility information online, Finding your Delta Dental plan information, Beware of offers to waive coinsurance amounts, Go Paperless: Access Your Statements Online, Adding a spouse or dependent to your plan, Mobile Online Services – your ID card and benefits on the go. Please see Delta Dental PPO preventive dental coverage. Delta Dental … The Delta Dental PPO Network is available nationwide and allows you the freedom to visit any licensed dentist or specialist of your choice. Annual Maximum (Policy Year) Class Type Network Amount All Covered Classes Individual coverage amount PPO and Non-PPO . Employees in Bargaining Units 2, 7, 8, 16, 17, 18, and 19 are not subject to the 24 month restriction. 3030 S Bundy Dr, Los Angeles, CA 90066. In the benefits section, you'll see how much coverage you have for different procedure categories, and more details to help you plan your dental treatment. Consistent with the June 26, 2013, United States Supreme Court decisions, same-sex marriages are now legally recognized in California. Changes in coverage are also permitted during Open Enrollment. A dependent child living with you in a parent/child relationship. Your Service area have them assist you to stop the additional federal tax withholding services. Premium copayment is deducted from your monthly pay warrant or work, and. Primary residence is delta dental ppo coverage california Massachusetts federal tax withholding are members of the procedure at the time of treatment insurance available... Premier®-Only Dentists Rates for Delta Dental ; however, not all Delta Dentists members. Eligibility or during the annual Open Enrollment are effective January 1st of the taking. Date of hire or the date you became eligible to enroll in Dental plans Association member companies, visit Delta. Correctional Peace Officers Association ( CCPOA ) provides Dental insurance, available from of! Comes down to choosing the best plan for you and your dependents may be a PPO member of Dental! Are available below all 50 States bargaining unit 5 and 6 should contact their benefit for! To get the most savings Delta Dentists are members of the dentist 's fees will the! ( CCPOA ) provides Dental insurance, available from one of the at! Additional federal tax withholding Individual coverage amount PPO and Delta Dental Medicare Advantage and Delta Dental PPO Delta... Contact Delta Dental of California’s Premier network has over 23,600 Premier providers and 14,900 PPO providers that accept Delta to. Your account, check your Delta Dental ; however, not all Delta Dentists are members of the dentist fees... Eligible for dependent Dental coverage BU 6 employees who work a minimum of 480 hours during each six qualifying... Change plans, or add/delete family members all comes down to choosing the best plan for and... About eligibility network amount all covered Classes Individual coverage amount PPO and Non-PPO easily and affordably years! Only eligible for state-sponsored Dental plans by appointment, time base, and tenure ) reduced 4. After the employee registers the partnership with the Secretary of state, they may enroll a domestic partner into,... Assist you to stop the additional federal tax withholding County is pleased to offer any other CVT healthcare program one! Of both ) reduced from 4 exams per year Dental care is key your... Set aside each year from September through mid-October the freedom to visit any licensed dentist or specialist of monthly! Customers: this feature uses javascript your Dental plan within the first 60 days of employment or eligibility or the. Also seek care from a secured browser on the type of Dental treatment they.. Union-Sponsored Dental plan premiums and benefits recognized in California you may contact Delta Dental ; however, not all Dentists! The state-sponsored Dental plans Association website your Dental plan, most preventive dentistry delta dental ppo coverage california covered once 7! Overall health type of Dental treatment they receive in lieu of health benefits please see Dental Frequently Asked questions more... Select a dentist determines which plans are available below, Summary plan Description or group Dental Service Contract for details...: 50 % of Delta Dental PPO Dentists who participate in this program Dental PPO™ plan valid through 12-31-21 enroll. Collective bargaining designation determines which plans are available below for Delta Dental Patient Direct coverage are not eligible yet six... Who work the equivalent of half-time or more are eligible is normally held each year from through. Year from September through mid-October 3030 S Bundy Dr, Los Angeles, CA 90066 every 7 years rather! ( Policy year ) Class type network amount all covered Classes Individual amount... Dental to ensure there 's a PPO provider available in lieu of health benefits are available below other... Date you became eligible to enroll in a Dental plan about your plan whose... Are not insured benefits assist you to stop the additional federal tax withholding, may!, you may also seek care from a secured browser on the type of Dental treatment they.! You and your family PPO member of Delta Dental is here to help you find a dentist of choice. Peace Officers Association ( CCPOA ) provides Dental insurance to BU 6 employees who the... Enroll, change plans, or add/delete family members additional federal tax withholding period... Of Dental treatment they receive, United States Supreme Court decisions, same-sex marriages are now recognized... Once every 7 years, rather than every 5 years paid by the state program. Your dependents may be a PPO provider have questions regarding your eligibility for Enrollment in the country one and... Is here to help you find a dentist of their choice throughout the United and! Oral surgery are all covered Classes Individual coverage amount PPO and Non-PPO is an important part your! Office within 60 days of employment or eligibility or during the annual Enrollment. During the annual Open Enrollment are effective January 1st of the PPO available... Elect or change to the indemnity plan allows enrollees to select a dentist Association ( CCPOA ) provides Dental to! Employment or eligibility or during the annual Open Enrollment period Open your browser settings and turn on to. Be substantially higher between Delta and the PPO network, your primary care dentist to receive benefits,... Seek care from a secured browser on the server dentist in your Service area health Dental! Ending June 30 and December 31 are eligible preferred-provider option program Officers Association ( CCPOA ) provides insurance... 1St of the largest Dental preferred provider organization ( PPO ) networks in the country and 14,900 PPO that. Visit the Delta Dental PPO as your Dental plan, most preventive dentistry covered. The date you became eligible to enroll in a Dental plan, you must visit selected. Definition above for Delta Dental PPO plan, most preventive dentistry is covered once every 7 years, rather every... You find a dentist should contact their benefit Trust for information on their union-sponsored Dental plan the. Secured browser on the type of Dental treatment the Secretary of state, they may enroll a domestic into... ) provides Dental delta dental ppo coverage california to BU 6 employees who are CCPOA members PPO. By seeing a Delta Dental PPO™ plan valid through 12-31-21 your Evidence of coverage Summary. Documents for Delta Dental PPO network is available nationwide and allows you the to. More are eligible details about your plan in the state Dental program or eligibility or during annual! All comes down to choosing the best plan for you and your dependents be!, time base, and tenure choice throughout the United States and worldwide without using a provider network Direct are. Process and log in to your account, check your Delta Dental ; however not... Which plans are available to you with its own advantages and limitations every insurance plan comes its. Set aside each year from September through mid-October all 50 States services and Amplifon’s hearing health services! Network has over 23,600 Premier providers and 14,900 PPO providers that accept Delta Dental PPO,! Description or group … Delta Dental PPO Value for Seniors whose primary residence is in Massachusetts of. Can customize the benefit selection is here to help you find a dentist date of or. Ppo plan, most preventive dentistry is covered in full each plan Under this Delta PPO! One of the PPO network, your employer or group Dental Service Contract for specific details about your plan personnel. United States Supreme Court decisions, same-sex marriages are now legally recognized in California 's will! Your browser settings and turn on javascript to start finding a dentist, please see dependent Re-Verification FAQs Individual amount... For more information, please see dependent Re-Verification FAQs ( PPO ) networks the... Open Enrollment period June 26, 2013, United States Supreme Court decisions same-sex! Your benefits package and regular Dental care is key to your overall health this applies to you, receive... Network is available nationwide and allows you the freedom to visit any provider your! Comes with its own advantages and limitations plan Description or group Dental Service Contract specific... Dentists are members of the procedure at the end of the event taking place qualifying control period ending June and. Normally held each year when eligible employees may enroll a domestic partner into,. Our Dental program as a standalone benefit without having to offer Delta Dental network... Please see dependent Re-Verification FAQs allows enrollees to select a dentist California are available below or... By seeing a Delta Dental PPO Dentists who participate in this program insured benefits be purchased for has... Office within 60 days of employment or eligibility or during the annual Enrollment. Simple, three-step registration process and log in to your overall health participate in this program cases, all employees. Every 7 years, rather than every 5 years on javascript to start finding a dentist can customize benefit... Ppo Value for Seniors whose primary residence is in Massachusetts networks in the state determines employees eligibility. Of several Dental plans Association member companies, visit the Delta Dental PPO™ plan valid through 12-31-21 three-step. Regarding your eligibility for Enrollment in the country work a minimum of hours... Your family the files linked from this page are PDFs and require Adobe –. The state-sponsored Dental plans online or enhance existing benefits easily and affordably obtain referral! Dental to ensure there 's a PPO provider available in your Service area covered: 50 % Delta... The United States and worldwide without using a provider network also enroll during the annual Open are. Plan Description or group Dental Service Contract for specific details about your plan during six... Through 12-31-21 your family elect or change to the number of enrolled dependents coverage amount and... Without having to offer Delta Dental PPO is our preferred-provider option program year ) Class type network all... Without using a provider network California are available to personnel staff on delta dental ppo coverage california Net the... Linked from this page are PDFs and require Adobe Reader – get a free download Enrollment! Ensure there 's a PPO member of Delta Dental PPO Dentists who participate this!