Glossary of Terms
Delta Dental logo
 
Getting Started My Costs My Benefits
My Dentist Claims Policies/Legal Enroll/Renew
 
Getting Started
 
 

Evidence of Coverage
Disclosure Form

Eligibility for Benefits
How do I enroll?
How to use the DeltaCare Program / Choice of Contract Dentist
Special Needs
Facility Accessibilty

 
 
 
HOW DO I ENROLL?  
 

First, please read all the information contained in this Evidence of Coverage (particularly the Schedule of Benefits and Copayments, Limitations and Exclusions). This way you will know what procedures are covered and what your Copayments and Premium will be. Second, from the network directory, choose a dental facility that is convenient for you and for your family's treatment. Third, complete the Enrollment and Payment Authorization Form and indicate which contract facility you have chosen.

 
 
 
 
HIPAA Notice of Privacy Practices | Web Site Privacy Notice
© 2006 Delta Dental