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When you enroll, you select a DeltaCare USA network dentist to provide your dental care. With DeltaCare USA, you must visit your selected primary care dentist in order to receive benefits. When you need specialty care, your primary care dentist can obtain a referral. 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 will receive a schedule of copayments, which lets you know your copayment responsibility for each service, as well as which services are covered.
Call Customer Service at 800-422-4234. We have multilingual representatives 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.
When you enroll in DeltaCare USA , you select a primary care dentist from the list of participating dentists. With almost 2,600 general and specialist dentists, our network is one of the largest in California.
No, you must receive treatment from your selected DeltaCare USA dentist. Please note that not all Delta Dental dentists are necessarily DeltaCare USA dentists.
DeltaCare USA dentists are reviewed for quality, availability and safety before joining the network, as well as periodically thereafter.
Yes. You may call Customer Service at 800-422-4234 to change your network dentist. If you contact us by the 21st of the month, the change will take effect the first day of the following month.
You can also submit a request using the online Customer Service Request Form.
Your benefits depend on your dental plan's design. Every DeltaCare USA enrollee is mailed a Combined Evidence of Coverage and Disclosure Form (EOC) booklet within 30 days of enrollment as part of a welcome packet that also includes ID cards. You may request electronically a list of your benefits by submitting the online Customer Service Request for DeltaCare USA. You may also use this online form to change your dental office assignment or your mailing address, as well as request additional ID cards or Evidence of Coverage booklets. Our goal is to respond to each request within 24 hours.
DeltaCare USA plans do not include any deductibles.
You are responsible only for your copayment for covered services. There are no deductibles and no annual or lifetime maximums for basic services, such as teeth cleanings.
Yes, treatment for pre-existing conditions such as extracted teeth is not excluded under the DeltaCare USA program. However, benefits are not provided for any dental treatment started before joining the program. The exception to this is orthodontic treatment started with another dental HMO program.
Yes. Your primary care network dentist will coordinate your specialty care needs with an approved network specialist. There is no additional charge to you for receiving covered services from a specialist, other than applicable copayments. If there's no network specialist within your service area, we will authorize a referral to an out-of-network specialist at no extra cost, other than the applicable copayments for covered services. If you or your dependent is assigned to a dental school clinic for specialty services, those services may be provided by a dentist, a dental student, a clinician or a dental instructor.
These types of procedures would be covered if your employer purchases these benefits, which are in addition to the comprehensive benefits already included in our dental plans. To determine whether your benefits includes these procedures, check with your benefits administrator or your Evidence of Coverage booklet.
When you enroll in DeltaCare USA , you select a primary care dentist from the list of participating dentists. With almost 2,600 general and specialist dentists, our network is one of the largest in California.
No, you must receive treatment from your selected DeltaCare USA dentist. Please note that not all Delta Dental dentists are necessarily DeltaCare USA dentists.
Obtain benefit and eligibility information, claims status, and more.
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