Dental Benefits
Dental insurance offers coverage for preventive care like routine exams, cleanings, and X-rays as well as basic and major services like fillings, extractions, root canals and crowns.
Keep in mind that your costs will generally be lower if you choose an in-network dentist. To find an in-network dentist, please visit www.deltadentalins.com.
Out-of-Network Providers & Balance Billing
*Under Delta Dental, the plan pays the same amount to out-of-network providers as it would for in-network providers. Please note that providers that do not participate with your insurance plan can “balance bill” you for any difference between their charge and what the plan pays. Therefore, using nonparticipating providers may result in significant patient liability.
Visit deltadentalins.com for locating providers, monitoring the status of claims, and for viewing your Member ID Card.
1. Visit deltadentalins.com and click Find a Dentist in the top toolbar.
2. Enter the location you would like to search and a provider’s or office name if you wish.
3. For Network, you can select Delta Dental PPO or Delta Dental Premier.
*Delta Dental PPO and Premier dentists are all in network with the same coverage levels. Delta Dental PPO providers have slightly better discounts, allowing you to stretch your annual plan maximum a bit further.
PPO Network |
Premier Network |
Non-Participating |
|
|---|---|---|---|
Calendar Year Deductible (Individual/Family) |
$50 / $150 |
$50 / $150 |
$75 / $225 |
Calendar Year Annual Maximum Benefit per Person |
$1,500 |
$1,500 |
$1,500 |
Type I - Preventive Services |
0% Deductible |
0% Deductible |
0% Deductible |
Type II - Basic Services |
10% After Deductible |
10% After Deductible |
20% After Deductible |
Type III - Major Services |
40% After Deductible |
40% After Deductible |
50% After Deductible |
Type IV - Orthodontia Services |
50% After Deductible |
50% After Deductible |
50% After Deductible |
Orthodontia Lifetime Maximum |
$1,000 |
$1,000 |
$1,000 |
Provided By
Delta Dental of California
Provider Website
Customer Service