You may visit any licensed dentist under this plan, but you’ll maximize plan value by taking
advantage of the large Delta Dental PPO network. PPO network dentists have agreed to reduced contracted rates and cannot bill you for additional fees. If you can’t find a PPO dentist, the next best option is to visit a Delta Dental Premier® dentist. The costs may be slightly higher compared to a PPO dentist, but lower compared to a non-Delta Dental dentist.
Under this plan, after meeting your deductible, you pay a certain percentage (known as coinsurance) of each covered service. You are also responsible for any non-covered services and any amount over your annual maximum. If you go to a non-Delta Dental dentist, you have no cost protections and will be responsible for paying any amount your dentist charges above our allowance for any services you received (referred to as “balance billing”).
Available in California and Nevada*:
With the DeltaCare USA HMO Plan, you select a primary dentist from the DeltaCare USA network. For each covered service, you pay a pre determined copay. For specific benefit information, contact DeltaCare USA for a schedule of benefits (click here for contact information).
*Only available in selected parts of Nevada. For a current list of DeltaCare USA dentists, visit our website at www.deltadentalins.com or call Customer Services at (800) 422-4234.