deltacare usa fee schedule 2022

You can also check your expected costs for covered procedures ahead of time, before you visit the dentist. Contact your selected primary care dental facility to schedule your appointment (if you don't have one or need to change it, follow the steps to select or change your primary care facility). Texas (English) | Texas (Espaol) Find plan brochures by state to share with your individual clients. How do I get registered/appointed to sell with Delta Dental? If we receive your request after the last day of the month, youll need to pay your dental premium for the following month. UNIQUEMENT AUTORIS POUR LES INITI DE LA TARIQAT TIJANIA. Delta Dental members can sign up for access to preferred pricing on hearing aids and hearing care, as well as LASIK vision services. MKK 4` 6E8SgeoQ1!/3Odrsr2a\PR'Q1 Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Source : https://www.deltadentalin.com/Dentist/Help/Participation-FAQs/PPO 3. Findflyers, informationand more to help you start selling to individual clients. 0000035039 00000 n Depending on the service you receive, you pay either a set dollar copayment or no copayment at all. If your DeltaCare USA plan is through your employer, notify your employer first, then contact us so we can be sure your benefits are up to date. Cookies must be enabled to properly use this website. 2) DeltaCare USA Fully Insured Dental HMO Plan (pages 19 - 20): Leurs mes Dis: le monothisme pur , la fathia est une prire les secrets de sourate al fatiha 114 fois!, pardonne les nous, nous croyons ce que nous allons voir plus bas quelle. v'Pue)L30}MLc0^ 9Azbz!TW1!0F1TY^-I*u8n^lYYm_,1t& >3=>#. New York (Espaol) If you need to select or change your facility, log in to your account or contact us. [PDF] 2022 Dental plan benefit summary Author: www.deltadentalor.com Publish: 19 days ago Rating: 1 (1259 Rating) Highest rating: 4 Lowest rating: 3 hb```b``se`e` @16L@P iS;~1fm,Jxo0~e d {@ O ka$31b0;p7AyFCt+?:ro@MoCOW{\\uKs[Y. hb```$n1 1G\/Z7i.6t/X;am gl,g&Ez7J-=:zwwbZ^\u^\KxqM%n+S |t& Washington, D.C. 0000005119 00000 n Ask your dentist if theres a less expensive procedure option available. If you wish to review that information in advance of your enrollment, please contact the Delta Dental Customer Service department at 844- DeltaCareUSA plans are underwritten in these states by these entities: CA Delta Dental of California; DC (Policy I-P-DC-dc-20) and FL Delta Dental Insurance Company; MD and TX Alpha Dental Programs, Inc.; UT Alpha Dental of Utah, Inc.; NY Delta Dental of New York, Inc.; NV Alpha Dental of Nevada, Inc.; PA Delta Dental of Pennsylvania. \J~R7UX:9FZ&ky[md7)F\Zd@. Members can see any licensed dentist. However, their health insurance plan benefits are richer if they see a Delta Dental PPO provider. What does my adult dependent need to do to authorize me to select a facility for them? Log into your account. Awards and recognition are subject to change each year. This link connects your individual clients directly to our instant quoting and enrollment flow, automatically crediting you for the sale when your clients enroll online. In TX, three weeks is a reasonable amount of time to wait for a routine, non-urgent appointment. Preventive care like routine cleanings and exams is covered at little or no cost. When you enroll, you select a contract dentist to provide services. If you cant find your link or need more guidance, email us atproducerservices@delta.orgor call866-760-4080. 0000002090 00000 n After the effective date in your membership packet, you may obtain dental services which are Benets. Your DeltaCare USA plan is a copayment plan. %%EOF From there you can get your ID card and print it out, or you can show the mobile version to your dentist's office when you go in for treatment. Texas (Espaol) 0000081041 00000 n Enrollment is time sensitive. endstream endobj 301 0 obj <>stream 0000027703 00000 n One additional oral exam and either one additional routine cleaning or one additional periodontal scaling and root planning per quadrant if pregnant. Find out how to make the most of your no-cost transportation benefit. trailer 0000037948 00000 n These companies are financially responsible for their own products. If you require a specific time of day for your visit, you may need to wait longer. Having trouble? The DeltaCare program focuses on preventing dental problems and assuring the delivery of quality dental care. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Download the flyer BrushSmart This oral wellness program is available exclusively to Delta Dental members. Delta Dental makes the vision corrective services program and hearing health care services program available to provide access to the preferred pricing for LASIK surgery and for hearing aids and other hearing health services. Montana HL_DCU_CAA17_GSB_1986_V14_09.18.2014 hb``b``d`c``b@ !V(G )>? 131 0 obj <>/Filter/FlateDecode/ID[<7AA186984EA1E541AA571A507B8AE030><21240BCEDD1BC249B1C44EBFB6F10AE2>]/Index[119 21]/Info 118 0 R/Length 72/Prev 364782/Root 120 0 R/Size 140/Type/XRef/W[1 2 1]>>stream You can cancel your supplemental dental coverage at any time. Starting Sep 1, 2021,there are no administrative processing fees. The AARP Dental Insurance Plan, administered by Delta Dental Insurance Company, offers individual or family coverage for the most common dental procedures. Appointment timing depends on how many states you've requested appointment in and the response times from each state's Department of Insurance. Orthodontic coverage varies depending on your plan, so be sure tolog into your account to review your coverage. All aboutDelta Dental PPO and Delta Dental Premier networks. During this appointment, the dentist will only examine your teeth and go over a recommended treatment plan with you. Your plan covers some diagnostic and preventive services at low or no cost, and other covered services require that you pay set copayments for each. 0000020376 00000 n With your DeltaCare USA plan, when you visit a network dentist, you'll: You also have no deductibles, waiting periods orannual maximums (yearly limits on what your plan pays) for covered services. 0000013474 00000 n Whenever you visit your orthodontist, you'll simply pay the copayment for covered services and you won't need to submit any claims. Orthodontic care is 50% covered, meaning you would have to pay half of the fees out-of-pocket. Please make sure the name on the letter is correct. Learn More or, call Delta Dental at 1-866-583-2085 DeltaCare USA is a dental program that provides you and your family with quality dental benets at an affordable cost. Virtual Consult Review details about your benefits and what's covered by logging in to your account. * Your dental plan is underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and administered by Delta Dental of California. 2 10. . 0000001055 00000 n 362 0 obj <>stream You have the right to refuse any procedure for any reason whether its included in your Delta Dental benefits or not. All rights reserved. With the DeltaCare USA program, there are no deductibles and no claim forms. s#t8#p>#O|O>={*T_2WbtV8 Fo7 Fo7 Fb'p(p}"t7pgyt|[rnqb>~Uati_ +# Log in to your online accountand select theBusiness informationtab. Interested in sellingour plansfor individuals, but not sure where to start? If the dentist is in your network, before you schedule an appointment, you'll need tolog intoselect your dentist's facility as your primary care facility. %S04gl7Z!M UodIYlKb6cn$S6tHwQ@'zFMv9 ^/]5_\"!jTo[=1Wv}%JHuoC#$qhLs(mZvGj2&f\a]:}iB>h=w-)(sD.tlCS[ u.S_xE$!cB.\_Bq]~H!ei~nBN4SZ5| =QJ.2* Louisiana Access our broker webinars to learn valuable information about selling to individual clients. SCAN offers dental coverage through Delta Dental. This chart is a summary of benefits in the two dental insurance plans. Texas *&/-p(, G?}@J~HR+)$3|T{:};k1=SX!](k{1nDR3^Uyvl$ls If youre new to SCAN, you can enroll in Delta Dental within two calendar months of the day your SCAN coverage starts. 119 0 obj <> endobj )8L $o* 9D10U 3O Log in to your accountand navigate to theBusiness informationtab thenPayment informationto sign up for direct deposit online. 0000001961 00000 n Select a skilled primary care dentist from the DeltaCare USA network using ourFind a Dentisttool. 2022 Dental Coverage Monthly Premium CAC 44 N/A $ 0.00 Included as part of plan benefit package Classic, Signature, Plus, Heart First, Balance and Compass CAC 72 N/A $ 0.00 Included as part of plan benefit package Prime, Classic and Balance To provide a more personalized experience, please select a state where SCAN is offered. 2023SCAN Health Plan. 3rX,N1Q-T '**kP)(HV ed~vZ>'GxPlmT$%QmG To look for a facility that has extended hours,follow the steps toselect or change a facilityand search by ZIP code, then chooseViewto check out each facility's office hours and other details. Delaware The benefit booklet lists all the covered services by a code, description and copayment. Our dental PPO is available to companies of any size starting at just 2 employees whether benefits are employer-paid or voluntary. Pennsylvania . 0000006090 00000 n Members will pay for dental services in accordance with a copay schedule that Delta has negotiated with the dentists. After we receive your request to disenroll, disenrollment will start on the first of the following month. 0000067089 00000 n Delta Dental. %PDF-1.6 % Under a DeltaCare USA plan, your primary care dentist handles all your dental care, including referrals. Alternatively, you can fill out a direct deposit form (PDF, 90 KB) and scan a voided check. Most DeltaCare USA dentists are in private group practices, which generally offer better appointment availability and may offer extended office hours. 0000037689 00000 n . Alabama PMI has contracted with a network of dental offices. Get paid easily and on schedule with direct deposit, which sends payments directly to your account by the 10th business day of the month. Keep in mind that you don't need an ID card to getcare the dentist office can look you up in the system and they'll know you're covered. I'm already appointed to sell Delta Dental group plans. Maximize your health, wherever you are! 0000026398 00000 n If youre an existing Delta Dental member and your dentist hasnt changed, you wont get a new card unless you ask for one. y'sb{b(E-X`4g\C?^Qb&K^ kxx@v1=BOAWhc|Qn 152 0 obj <>stream Maryland 0000155887 00000 n Yes. Teeth Cleaning is limited to one procedure each six month period If youre new to Delta Dental, youll receive a welcome letter along with your ID card. Delta Dental Plan Options for Massachusetts Students 2022-2023 Policy Year. <<9599EFBFEF439149ADDF03306CAE3058>]/Prev 261803/XRefStm 1604>> We've designed our mobile app to make it easy for you to make the most of your dental benefits. Caregivers for SCAN Members can receive help with their login credentials here. %PDF-1.7 % And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. %PDF-1.6 % Check out Virtual Consult, Check out our new DeltaVision plans This plan allows you to choose your favorite dentist from the largest state and nationwide networks. Find more details in theOrthodontic coveragesection on this page. If your plan does include this coverage, ask your orthodontist to complete and mail theDeltaCare USA continuous orthodontic coverageform (PDF, 27 KB). USA Dental Health Maintenance Organization (DHMO) The Texas Employees Group Benefits Program (GBP), through ERS, offers two dental insurance plans to employees. Ask your dentists office staff if they are part of Delta Dental DeltaCare USA plan. What do I need to do to update my address? All plans are effective your date of hire. 4 In TX, there is no exception for work in progress for covered DeltaCare USA benefits. The plan covers a wide array of services, andpreventive care like routine cleanings and examsis coveredat little or no cost.. You can find your Delta Dental benefit booklet here. Based on the results of your exam, your dentist will talk to you about the treatment plan that he or she feels is best for you. Find out how this prepaid plan works, and learn how. Contact the facility to schedule your appointment, and be sure the general dentist is part of the DeltaCare USA network. 3 Exceptions may apply. If you elect to become a member with this plan, you'll be reimbursed based on a geographical area-specific fee schedule. Delta Dental administers both plans. They can alsolog into their online account (they'll need to register first), selectMy accountand then chooseYesfor the statement,Enrollee can view my treatment details. If your dentist is not in the network, you'll needto find a new dentist at your selected facility, or search for a new facility by logging in to your account. Delta Dental administers the DeltaCare USA DHMO and the State of Texas Dental Choice plans. Find more information and answers to common questions about DeltaCare USA plans. 0 A capitated dental health maintenance organization (DHMO) Cost-effective program for employers with employees nationwide Enables members to receive appropriate dental care at an affordable price Network Access In MA, you cannot select more than three primary care dental facilities per family. How do I enroll in a DeltaCare USA plan? 0000023974 00000 n Members will receive a plan booklet from DeltaCare DHMO with defined copayments for covered services. Box 997330 Sacramento, CA 95899 (800) 777-5854 DeltaCare USA When you enroll in the DeltaCare USA Dental Health Plan, many services cost nothing, while some require a co-payment. 0000000016 00000 n {zc1bUf+2}jMe`JlY#pfk, SfnZ}n"sSkR;}m:fwPT'u]\M/brU}"Kd-';[# @@}7\3fW6]nzq=f|If:UB 9fOK5gT~ H'`i)eY6gN -Yu^i5~5%hX{E;P=`P3T?L>l@{C.j9_d[D5D{DK $%\=HhVj8U9A$WT |1X.Jj`6[X`8w&?&=SoV~GWLTAqCJ@54FeD z:NnzR'" If youre not sure about a procedure your dentist says you need, call Delta Dental and ask if theyll authorize a second opinion. and pay a pre-specified copayment that you will find on your Schedule of Benefits. DeltaCare USA offers services in dental specialty areas, too, including periodontics, endodontics, and oral surgery procedures. 0000031542 00000 n How long will it take to get an appointment with my general dentist? Remember to use your unique individual broker link when sharing quotes with your clients. Do I have to be appointed separately to sell Individual and Family plans? California Louisiana Broker booklets will be updated prior to that timeframe. For the most up-to-date list of dentists, visit deltadentalins.comand select DeltaCare USA. Send both by email toproducer-commissions@delta.org. Learn about marketing on-exchange plans. Options range from value-based plan . b$Jq>foZ0uA`jYM>n $D>~f~]`(s>SAs>P 6M 09QLWF=(y>#vG6;Vllk`qJeo;l"jx%9%aq+K&{kCGU& %n\wIqs7g3 Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. 4 In TX, there is no exception for work in progress for covered DeltaCare USA benefits. Contact us. _f_G7 N7&D9[0ZyeSco~o2X:{'zaQvpabQ{Cu$5P9*6q0YJ*X zj8 Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. Or call Customer Service at 800-422-4234 for help in finding a DeltaCare USA dentist. As an enrollee in the DeltaCare program, you select one office for your entire family's needs. The plan covers a wide array of services, and preventive care like routine cleanings and exams is covered at little or no cost. Learn how the plan works Plan ahead and stick to your budget with DeltaCare USA, an HMO-type plan. x:20>geB Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. My DeltaCare USA plan is through an employer, DeltaCare USA continuous orthodontic coverage, Cobertura continua de ortodoncia con su plan DeltaCare USA, Know your costs for covered procedures up front, Get preventive care (like cleanings and exams) at low or no cost, Check eligibility and coverage for you and your family members, Find a dentist and select or change your primary care dental facility, Get your plan ID card (though you don't need one to get care), Choose to go paperless and receive plan documents online. In California, DeltaCare USA is underwritten by Delta Dental of California and administered by Delta Dental Insurance Company. California (English) | California (Espaol) Dear Massachusetts Students, University Health Plans is pleased to offer students attending colleges and universities in MA and their dependents a choice of two dental insurance plans (DeltaCare and Total Choice PPO).You may enroll in these plans on a VOLUNTARY basis; they are not required insurance. 148 0 obj <>stream 8 a.m. - 7 p.m. Once you select a dentist, you'll need to call Delta Dental to switch to the new dentist. [Effective Date] [Revised] Combined Evidence of Coverage and Disclosure Form ("EOC") Provided by: Delta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company Find everything you needright here. California (Espaol) West Virginia, Alabama Delaware Once you are registered, you can log in to theonline broker portalto apply for appointment and manage your account preferences and information. :>_S#EQ]oH:6ov94pLHQeGszQop`. The Benefits Schedule allows the provider to charge a fee (up to a maximum of $25) for any broken or cancelled appointment without twenty-four (24) hours' notice. Check to see if your dentist is in your DeltaCare USA network. Note that moving to another state may affect your premium and the dentist selection process. A wider array of options than ever before. Brochures and information to help clients learn about Delta Dental's individual plans. u]`ga5p qNxPGpt$CDt`6 Jb&lKk2Im New York (English) | New York (Espaol) Your oral health is important to Delta Dental and to your overall health! 0000228307 00000 n 0000004419 00000 n 0000005788 00000 n Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. Not all plans include orthodontic treatment in progress coverage, so be sure to review your Evidence of Coverage or plan booklet. 0000018554 00000 n Members can virtually consult with a dentist by phone or video from a smartphone, tablet or computer anywhere, anytime. Texas (English) When your clients become Delta Dental members, they get access to exclusive perks that promote oral health and overall wellness. To find out how much a specific treatment will cost at any time, refer to the list of covered procedures and copayments in your Evidence of Coverage or plan booklet. Click here to watch a short video on how your coverage through Delta Dental will keep you and your teeth healthy. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using Eligible Dependents :}OL FAQ_DCU_USA_CRT #131886G (rev. Alabama 0000022643 00000 n DeltaCare DHMO is a closed network product that features set copayments, no annual deductibles, and no maximums for covered benefits. 0000006889 00000 n Connect with a doctor 24/7; a great option for urgent care. 0000008139 00000 n There is no annual or lifetime limit on services. Select a DeltaCare USA dentist Receive your welcome materials Or, you can select a different facility for them by choosing their name from the drop-down list on the home page. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Nevada (Changes requested between the first and 15th of the month are effective immediately; changes received on or after the 16th of the month will be effective on the first of the next month.). If its easier for you, you can also ask for an ID card by calling Delta Dental customer service at 1-855-830-6583 (TTY: 711). Florida (English) | Florida (Espaol) ****DeltaCare USA plan: If you enroll in the DHMO option, you will be sent complete information on covered services, policy limitations and benefit exclusions for the DeltaCare USA plan in your area. Review the list of copaymentsin your Evidence of Coverage or policy document. When youregister for an online account, select "Broker" from the drop-down menu and fill out the required information to create an account. For orthodontic treatment, some DeltaCare USA plans include a treatment-in-progress provision that may allow active treatment to continue with the current orthodontist at your previous plan's copayments and fees. 0000001604 00000 n DeltaCare USA is underwritten in these states by these entities: AL Alpha Dental of Alabama, Inc.; AZ Alpha Dental of Arizona, Inc.; CA Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VT, WA, WI, WY Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV Delta Dental ~#'3#kpA.JV LOO%o/\A0W+ You'll have a list of copayments for every covered procedure so you know all your costs for preventive, basic and major services up front. hbbd``b` B H0m,@" Hl9KH``bd`q Once I'm officially appointed by Delta Dental, can I start selling immediately? Pennsylvania Mississippi If youre in any of the following states, you do not need to select a primary care facility, and you can maximize your savings when you visit a DeltaCare USA dentist, although you may visit any licensed dentist and receive out-of-network coverage: AK,CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT. West Virginia. Start quoting dental + vision plans for small business. Utah GENERAL DENTIST FEE SCHEDULE ALL PROCEDURES Effective from 06/01/2022 D1351 Sealant - Per Tooth $36 D1352 Preventive Resin Restoration In A Moderate To High Caries Risk Patient - Permanent Tooth $35 D1353 Sealant Repair - Per Tooth $35 D1354 Interim Caries Arresting Medicament Application - Per Tooth $29 0000000016 00000 n Click here to read the full disclaimer. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. ETM - F. Visit the Insider Update blog for the latest Delta Dental broker news and subscribe to email notifications about new posts. endstream endobj 336 0 obj <>/Filter/FlateDecode/Index[23 268]/Length 31/Size 291/Type/XRef/W[1 1 1]>>stream 0000033685 00000 n No, as long as you have an existing appointment with Delta Dental, you can also sell our plans for individuals in the states/entities for which youve received appointment. 0000077071 00000 n Member perks for your smile and beyond The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what dental benefits your plan will cover, or your out-of-pocket costs. Dental Coverage for You & Your Family Plans and pricing can be found on the Delta Dental website. Elle est l'une des plus petites sourates du Saint . The Find a Dentist search tool lets you search by distance, location, dentist name, practice name or keyword. Choose your primary care dentist In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Any other out-of-network care is not covered. The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health. Delta Dental members qualify for discounts on hearing aids from Amplifon, as well as discounts on LASIK eye surgery from QualSight. 0000008254 00000 n *ph5C)MXpyJ@o6q.g='J -savP*U~r wBSZ>G(-L/-\4ya*Tu2-b"de<>5vJOzN29jk To do so, call Delta Dental. For details, refer to your Evidence of Coverage or plan booklet. *Star rating applies to all plans in California offered by SCAN Health Plan 2018-2023 except SCAN Healthy at Home (HMO SNP) and VillageHealth (HMO-POS SNP) plans. x+ne Fpj`.ak;'nZ%:Dr^5mL0s!K)/N'PV&H|%T|7wJ,* /bRi6_ i/Y3L&y{W|@m}^l All your clients need to do to get started is to call. Log into your account and searchFind a dentist. Washington, D.C. hb```f``a`e``[ @1VLp16`=iK.NH\`x f startxref 0 0000031989 00000 n This is why many people who havent been to the dentist in a while are surprised when a checkup shows they need additional dental work beyond a cleaning, which can be expensive. Have questions about selling Delta Dental plans to individual and families? If you purchased your own plan, you canlog into your account to update your address or contact us. In AK, CT, LA, ME, MS, MT, NH, NC, OK, SD, VT and WY, DeltaCare These extra benefits are called routine" or "supplemental benefits. Some supplemental benefits may come with an additional monthly premium. The packets below describes the benefits provided under the DeltaCare USA Dental HMO Plan. 2022 SCAN Benefits Guide Page 3 of 15 Benefits Information Eligibility You are eligible to participate in the benefit program if you are a regular full-time employee (working 40 hours per week) or a regular part-time employee (working 20 hours per week or more). This dentist provides most of your treatment and coordinates any necessary specialist referrals. 0000004968 00000 n 0000016709 00000 n You can choose a different dentist at any time. Share these videos with your clients to help them learn more about Delta Dental plans after they become members. This includes, but is not limited to, root canals, crowns or bridge work. 0000009926 00000 n QUwn/#X?ox8uB{!n%AXbXj *H"UpyHHyAr>T2XckHcYd|Q8.MTNgxb8uS{O`|w""Ml@u^#(^3Q{GQ5z" R)/OU]w.NYa9D4TH;5 6vg{&- -k:\D YH4KCl-:\y0\oIqKSRH@pTa.K }Vqeu}OHi0oY@ph_+yB^+v`3 The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health. endstream endobj 292 0 obj <>/Metadata 21 0 R/Outlines 14 0 R/Pages 20 0 R/StructTreeRoot 23 0 R/Type/Catalog/ViewerPreferences<>>> endobj 293 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 -918.0 -396.0]>>/PageUIDList<0 4282>>/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/Tabs/S/Thumb 18 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 294 0 obj [289 0 R] endobj 295 0 obj <> endobj 296 0 obj [/ICCBased 317 0 R] endobj 297 0 obj <> endobj 298 0 obj <> endobj 299 0 obj <> endobj 300 0 obj <>stream 0000008456 00000 n The number of covered procedures varies by plan. You can visit any general dentist at your selected facility, but be sure to confirm that the dentist is in your DeltaCare USA network (some dentists at the facility may not be). J9de|o0q0 '0-&%yra"V q!>Ta R@v*@oXCPC'{VQK.$N9cVaz|r>QI(Ri#Q2`0dDdJAXH%4J*IKyvLq_8G4\h]&V{{jk1.p*YPcc Mr|/]6$JMjVKbiun%H XV8Un*>stream No. 0000066826 00000 n Search by ZIP code, select a facility by entering the six-digit facility ID, or have the system automatically assign the facility closest to your address. West Virginia. 0000019063 00000 n These companies are financially responsible for their own products. Try refining your search, or use the navigation above to locate the post. New York (English) View Spanish version of PPO and Premier video. Simply complete the enrollment process as directed by your benefits administrator. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements.

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