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Current Location: California State University home page > Frequently asked questions
     

Frequently asked questions

     

Below are answers to some of the most frequently asked questions from CSU employees.

Delta Dental PPO Program
(Group numbers 4018 and 4918)

DeltaCare USA
(Group number 2034)

Delta Dental PPO Program

What is the difference between a Delta Dental Premier dentist and a Delta Dental PPO dentist?

Four out of five dentists in the U.S. are in the Delta Dental Premier Network, and more than 27,000 of them are located in California. Delta Dental dentists have an agreement with Delta Dental, which means they agree to abide by Delta Dental's determination of fees, they handle claims paperwork free of charge and they call Delta directly with any inquiries. By visiting a Delta Dental Premier Network dentist, you also avoid the need to pay the entire bill up front and wait for reimbursement because Delta Dental pays the dentist directly. You pay only the patient portion of the bill which is generally about 6% less than a non-Delta dentist.

PPO dentists are a select group of Delta Dental dentists who, in addition to the above conveniences, also charge lower fees. And, when you visit a PPO dentist, you maximize your benefits. There are more than 116,500 PPO dental offices around the U.S., and more than 16,000 are located in California.

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I'd like my dentist to participate in the Delta Dental PPO Program. What do I do?

You can nominate your dentist for membership using our online form. Please note that nomination for membership does not mean that a dentist automatically joins the network.

When dentists are nominated, Delta Dental reviews each dentist's background. Then, we send the dentist a packet of information and an invitation to join the network. Ultimately, it is each dentist's decision whether or not to join the network.

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What if I have additional, specific questions?

You can contact Delta Dental's Customer Service department at 800-765-6003 or you can submit an inquiry online.

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DeltaCare® USA

Who is DeltaCare USA Dental Health Plan?

DeltaCare USA is a dental HMO that has administered Delta Dental programs for more than 30 years. DeltaCare USA contracts with network dentists, works with your employer to design your benefits program and handles all customer service inquiries.

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What is the difference between DeltaCare USA and Delta Dental?

Delta Dental offers and administers DeltaCare USA dental HMO programs and is an affiliate of Delta Dental of California.

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What if I have questions about my DeltaCare USA plan?

Call DeltaCare USA Customer Service at 800-422-4234. We have multilingual customer service available from 5 a.m. to 6 p.m., Pacific Time, Monday through Friday. Our Customer Service representatives have worked in dental offices and can answer benefits questions, as well as arrange office transfers and urgent care referrals. You can also complete and submit our Customer Service Request form.

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How can I recommend my dentist for participation in the DeltaCare USA program?

You can nominate your dentist for DeltaCare USA membership by completing an online form. When dentists are nominated, Delta Dental reviews each dentist's background. Then, we send the dentist a packet of information and an invitation to join the network. Ultimately, it is each dentist's decision whether or not to join.

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My dentist is a Delta Dental dentist but is not on the list of DeltaCare USA dentists. Can I still receive treatment from this dentist?

No, you must receive treatment from your selected DeltaCare USA dentist. Please note that not all Delta Dental dentists are necessarily DeltaCare USA dentists. Treatment provided by another dentist, even if he or she participates with the DeltaCare USA program, will usually not be covered, unless the dentist is a specialist referred by your assigned primary care dentist.

 

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What if I have additional, specific questions?

You can contact DeltaCare USA's Customer Service department at 800-422-4234 or you can submit an inquiry online.

 

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