Benefits
Dental Plans
Contact
Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330
Tel: (888) 335-8227
www.deltadentalins.com
Information
A dental plan is available to employees and dependents through Delta Dental of California. This program covers two cleanings each year at 100% when seeing a Delta Dental PPO provider. Cleanings by Delta contracted and all other dentists are covered at 80% after the $50 annual deductible. To find a PPO dentist, visit www.deltadentalins.com or call (888) 335-8227. The following chart provides an overview of our Dental Plan.
| Service | PPO Delta Dentist | Delta Premier Dentist | All other Dentists |
|---|---|---|---|
| * Of "Reasonable and Customary" Charges | |||
| Deductible (Per Person) |
$50 (Waived for Diagnostic and Preventative Services) |
$50 | $50* |
| Diagnostic & Preventative Services Exams and Cleanings (2 per 12 month period) |
100% | 80% | 80%* |
| Basic Benefits Oral Surgery, extractions, filings, endodontic and periodontal |
80% | 80% | 80%* |
| Major Benefits Crowns, jackets, cast restorations and implants |
50% | 50% | 50%* |
| Orthodontic Benefits (Dependents up to age 19) |
50% | 50% | 50%* |
| Maximum Benefit Per year per person |
$1500 | $1500 | $1500 |