eligibility with the DeltaCare USA program. No change in administrative fees and a 15.3% increase in self -funded total cost rates from 2022 to 2023, which includes a recommended design change to exclude claim costs from Diagnostic & Preventive services from application to a member's $2,500 annual benefit maximum. After we receive your request to disenroll, disenrollment will start on the first of the following month. DeltaCare USA Plan All about your plan Your prepaid, fixed copayment dental plan is similar to a health maintenance organization (HMO) plan. Need to find your unique broker link? producerservices@delta.org Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. *Star rating applies to all plans in California offered by SCAN Health Plan 2018-2023 except SCAN Healthy at Home (HMO SNP) and VillageHealth (HMO-POS SNP) plans. New York (Espaol) All non-listed services are available with your selected Contract Dentist or Contract Specialist at 75% of their filed fees. This way, you can meet the dentist and the office staff before deciding if youd like to make a follow-up appointment for a cleaning or any recommended procedures. hmo0_n'XYFXV}R%~gd;w;?. In the following states, you can change your dentist any time without contacting Delta Dental: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT, WY. 0000155926 00000 n 0000009926 00000 n Appointment timing depends on how many states you've requested appointment in and the response times from each state's Department of Insurance. Louisiana You can use ourFind a dentisttool (orlog into your account)to search your DeltaCare USA network by your dentist's name or the practice name. %PDF-1.7 % Home; CONSULTING; Lead Generation Menu Toggle. Examples include: teeth prepared for crowns, root canals in progress, . The plan covers a wide array of services, and preventive care like routine cleanings and exams is covered at little or no cost. Learn how the plan works Plan ahead and stick to your budget with DeltaCare USA, an HMO-type plan. endstream endobj startxref 4993 0 obj <> endobj xref If you purchased your own plan, you canlog into your account to update your address or contact us. \7'QmU"'u/%\;tny+ j1IIum9kp%-#O@>,mtC2Zva`#w)\52[+ef$Mj .c4-D&.7.TbVLHW Vet>l Once you are registered, you can log in to theonline broker portalto apply for appointment and manage your account preferences and information. All rights reserved. Cookies must be enabled to properly use this website. If you require a specific time of day for your visit, you may need to wait longer. When you enroll, you select a contract dentist to provide services. 0 _P.JvvA$0 S,\&b,\u3J4RO]1HqVcdG!^" 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 Orthodontic care is 50% covered, meaning you would have to pay half of the fees out-of-pocket. 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. Find out how to make the most of your no-cost transportation benefit. Your adult dependent can print, complete and submit a signedHIPAA authorization form(PDF, 38 KB). Share the VSP Individual Vision Plans webpage with your clients in Florida and New York or in all other states.. To find a provider, check the Delta Dental PPO website, or call (888) 335-8227. What do I need to do to update my address? The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health. 0000026266 00000 n All plans are effective your date of hire. Nevada Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates. Florida If you experience a dental emergency, your plan provides limited out-of-network benefits to relieve pain. 0000022178 00000 n California (English) 0000001604 00000 n Log in to your online accountand select theBusiness informationtab. 4993 37 You have the right to refuse any procedure for any reason whether its included in your Delta Dental benefits or not. 0000027448 00000 n Although your teeth might look and feel fine, there could be hidden problems that need attention. 0000037759 00000 n Your orthodontist will submit any paperwork that's needed for pre-authorization, and they'll give you an initial estimate of costs with your treatment plan. 0 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 0000010024 00000 n 0000033685 00000 n HL_DCU_CAA17_GSB_1986_V14_09.18.2014 _f_G7 N7&D9[0ZyeSco~o2X:{'zaQvpabQ{Cu$5P9*6q0YJ*X zj8 To receive benefits, you must visit a DeltaCare USA general dentist at your selected primary care dental facility. %%EOF 0000007717 00000 n 0000022643 00000 n Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using FAQ_DCU_USA_CRT #131886G (rev. *&/-p(, G?}@J~HR+)$3|T{:};k1=SX!](k{1nDR3^Uyvl$ls Verify that the dentist is your selected DeltaCare USA primary care dentist before each appointment. H\n@~Y&so,YHET0@-2(|`fwwOCs;w};>5u?>-osUym;c8u=]~|?fxN}5|Ythn?5~>FW,i6S_bVcdo%z?^[b!8.%xG= Alabama No, you can select different facilities for different family members. 3 Exceptions may apply. Texas (English) You can also send aweb support request. Any rate and/or plan changes are made annually for anAugust 1 effective date. MKK 4` 6E8SgeoQ1!/3Odrsr2a\PR'Q1 0000016709 00000 n 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. If youre an existing Delta Dental member and your dentist hasnt changed, you wont get a new card unless you ask for one. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using Yes, you can start selling immediately in the states you're appointed in once you receive your official email confirmation and your assigned broker number. Learn about marketing on-exchange plans. Kd%(3DbZoG6+_ uyt!^,@+:%|d8,}X9Oc9#-E. Check out Virtual Consult, Check out our new DeltaVision plans 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. To do so, call Delta Dental. s#t8#p>#O|O>={*T_2WbtV8 Fo7 Fo7 Fb'p(p}"t7pgyt|[rnqb>~Uati_ +# Brochures and information to help clients learn about Delta Dental's individual plans. For more information call Delta Dental at 1-888-335-8227 (toll free). Virtual Consult You can also find the most up-to-date plan rates by visiting. Whenever you visit your orthodontist, you'll simply pay the copayment for covered services and you won't need to submit any claims. How long will it take to get an appointment with my general dentist? After each dental visit, you'll also be able to view visit details, including treatment information and copayments,in your online account or Explanation of Benefits. You also need a referral to see a dental specialist. Our dental PPO is available to companies of any size starting at just 2 employees whether benefits are employer-paid or voluntary. *ph5C)MXpyJ@o6q.g='J -savP*U~r wBSZ>G(-L/-\4ya*Tu2-b"de<>5vJOzN29jk Your plan also covers many other dental services at a set copay. For most dental treatment that's in progress when your DeltaCare USA coverage begins, you or your previous carrier are responsible for the cost of completing the treatment. Review your plan information anytime bycreating a secure account(you may need to wait 4 hours after enrolling before you can register). With the DeltaCare USA program, there are no deductibles and no claim forms. 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). 2 10. . Find more details in theOrthodontic coveragesection on this page. Log in to your accountand navigate to theBusiness informationtab thenPayment informationto sign up for direct deposit online. Youll review costs and decide what to do next. Find answers here. Florida (Espaol) Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Select a DeltaCare USA dentist Receive your welcome materials \J~R7UX:9FZ&ky[md7)F\Zd@. 0000014888 00000 n }5-A)ZJC]P@oU,%.wY&dGRt>(wi=F H!R8[.hi%Y2F_t;Sy*}07021KLGBb$^d>7 %yw[&nuHml1u$KYaG.m A'-NhdH~p;TH^ = %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* If youre new to SCAN, you can enroll in Delta Dental within two calendar months of the day your SCAN coverage starts. PMI's network of dental . FAQ_DCU_USA_CRT #127361C (rev. Pennsylvania These extra benefits are called routine" or "supplemental benefits. Some supplemental benefits may come with an additional monthly premium. DeltaCare USA is a dental program that provides you and your family with quality dental benets at an affordable cost. Looking for Provider Login or Agent/Broker Login? Find email and social media templates that you can use to promote Delta Dental individual plans to prospective clients. 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. 0000008367 00000 n Delta Dental members can sign up for access to preferred pricing on hearing aids and hearing care, as well as LASIK vision services. If you are in the state of WY, you do not need to select a primary care dental facility, but you must visit a DeltaCare USA dentist to receive benefits. :>_S#EQ]oH:6ov94pLHQeGszQop`. Not all plans include orthodontic treatment in progress coverage, so be sure to review your Evidence of Coverage or plan booklet. hbbd```b``` DrYHpX"9: In certain states, you can visit any licensed dentist and receive out-of-network benefits. 0000193059 00000 n Enrollment is time sensitive. 0000006889 00000 n %PDF-1.5 % This resource helps your clients find a dentist in their area. We've designed our mobile app to make it easy for you to make the most of your dental benefits. 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. 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. Click here to access a transcript of this video. Delta Dental administers both plans. 01/20) 2 In TX, there is no limit on the number of miles or on the dollar amount per emergency. 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. Interested in sellingour plansfor individuals, but not sure where to start? %PDF-1.6 % 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). To find the most current listing of DeltaCare USA dental offices you can: Visit our website at deltadentalins.com/ enrollees. Delta Dental PPOplans are underwritten by Delta Dental Insurance Company in AL, DC (Policy IENT-P-CORE-DC-R22), FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA Delta Dental of California; PA, MD Delta Dental of Pennsylvania; NY Delta Dental of New York, Inc.; DE Delta Dental of Delaware, Inc.; WV Delta Dental of West Virginia, Inc. If you need to see a specialist, your general dentist will refer you and coordinate all your care. Call Delta Dental's Customer Service Department toll-free at 1-877-644-1774(TTY 1-800-735-2929), Monday through Friday, 5 a.m. to 6 p.m. Delta Dental is always expanding its network and adding new dentists and areas. :}OL All cover age levels and plan benefits will remain the same for the 2022 plan year. Pennsylvania Individual Broker Resources webinar 1/27/2022, Individual Product Overview webinar 8/1/2022, Individual Member Resources webinar 3/30/2022, Individual Broker Marketing Resources webinar 5/25/2022. Nevada 0000000016 00000 n To provide a more personalized experience, please select a state where SCAN is offered. Nevada Check out Virtual Consult, Check out our new DeltaVision plans This also makes it easier for you to budget for the remainder . Get 24/7 help using your computer, tablet, or smartphone for health-related purposes. 2022 Vision Service Plan. Welcome to DeltaCare USA quality, convenience, predictable costs DeltaCare USA is a dental program that provides you and your family with quality dental benefits at an affordable cost. endstream endobj 301 0 obj <>stream trailer <]/Prev 806005/XRefStm 2090>> startxref 0 %%EOF 5029 0 obj <>stream A wider array of options than ever before. To begin treatment, you'll need a referral to a DeltaCare USA orthodontist from your general dentist at your primary care facility. 2) DeltaCare USA Fully Insured Dental HMO Plan (pages 19 - 20): Yes. 0000037689 00000 n They should then enter your broker number in the Broker Number field. Outside of daily care, the best way to avoid bigger, more expensive and painful dental problems is to see your dentist regularly. If you (or a dependent) began orthodontic treatment under a previous dental plan, you may be able to continue treatment with the same orthodontist if banding has already been completed. 0000019063 00000 n Vision corrective services and Amplifons hearing health care services are not insured benefits. Select a skilled primary care dentist from the DeltaCare USA network using ourFind a Dentisttool. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 0000023974 00000 n Learn More or, call Delta Dental at 1-866-583-2085 0000081041 00000 n Download the flyer BrushSmart This oral wellness program is available exclusively to Delta Dental members. You'll need your enrollee ID number find this in your welcome letter or email. The DeltaCare program focuses on preventing dental problems and assuring the delivery of quality dental care. When you need dental care, contact your selected facility to schedule an appointment with your general dentist. The plan covers a wide array of services, andpreventive care like routine cleanings and examsis coveredat little or no cost.. Find more information and answers to common questions about DeltaCare USA plans. DeltaCare USA Dental Health Maintenance Organization (DHMO) Schedule of Benefits Effective January 1, 2021 SCHEDULE A Description of Benefits and Copayments The Benefits shown below are performed as deemed appropriate by the attendingContract Dentist subject to the limitations and exclusions of the Program. 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. 8 a.m. - 7 p.m. If you can't locate your enrollee ID number, enter your Social Security number with no dashes or spaces. Simply complete the enrollment process as directed by your benefits administrator. 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$JMjVKbiun%H XV8Un*>stream If your plan does include this coverage, ask your orthodontist to complete and mail theDeltaCare USA continuous orthodontic coverageform (PDF, 27 KB). v'Pue)L30}MLc0^ 9Azbz!TW1!0F1TY^-I*u8n^lYYm_,1t& >3=>#. 0000016133 00000 n When you enroll, you select a contract dentist to provide services. Washington, D.C. You can also use the Find a Dentist search tool on theDelta Dental websiteor call Delta Dental customer service at 1-855-830-6583. The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health. No commission is provided for the VSP Individual Vision Plans vision insurance offer. View Spanish version of PPO and Premier video. 338 0 obj <>/Filter/FlateDecode/ID[<61CE24CEE64C4AF2FC4831445310A6C6>]/Index[314 49]/Info 313 0 R/Length 110/Prev 391739/Root 315 0 R/Size 363/Type/XRef/W[1 3 1]>>stream West Virginia. w eA$w fe"Ad&Cnp:n@L'jx@ m 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 0000022322 00000 n To find a new dentist or change to another one, visit theDelta Dental website. In California, DeltaCare USA is underwritten by Delta Dental of California and administered by Delta Dental Insurance Company. The packets below describes the benefits provided under the DeltaCare USA Dental HMO Plan. 0000005480 00000 n Access our broker webinars to learn valuable information about selling to individual clients. DeltaCare USA Family Dental HMO for Small Businesses [Group Name] [Group No.] Under Find a dentist, select DeltaCare USA as your network. 0000005788 00000 n If any emergency care is needed, that will be listed first. y'sb{b(E-X`4g\C?^Qb&K^ kxx@v1=BOAWhc|Qn Please make sure the name on the letter is correct. 0000040598 00000 n During this appointment, the dentist will only examine your teeth and go over a recommended treatment plan with you. Depending on the service you receive, you pay either a set dollar copayment or no copayment at all. 337 0 obj <>stream How do I get started using my DeltaCare USA plan? 0000007678 00000 n p,?"^d[t@4i=J:;l5dn0!i:l.#OjF&`X+64vUju:/=uqbG 0.cdr4#PjiLZb)s z#(6x eB`2 R5083#2&_zP'GJb" UTuLB Eu\b`al&0d}U64~\~e+-=t=LF*2]ei:h,6j++)3%Vio4;=T]+*+U9JU*P:R2RFV[+o!DkMjZ@=8Qand4UF)5*[xQ ,A ]t%V1pi(sWQjDb9cBAQen F(mc)dmP:SxRZ\*&Gfjk=FiCcHVKhT6 e-d)]vQYkJja8R''(ot61UGaN=oc~vd7x -2{& b! Options range from value-based plan . Utah Louisiana These companies are financially responsible for their own products. Your Delta Dental clients can save money on products and services that promote a healthy, balanced lifestyle. hb```$n1 1G\/Z7i.6t/X;am gl,g&Ez7J-=:zwwbZ^\u^\KxqM%n+S |t& Have clients who are looking for individual vision insurance? The patient fee is set for each service. USA, you select a conveniently located network dentist to provide dental care for you and your family. Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. Log into your account or check the welcome letter that was mailed to you. Ask your dentist if theres a less expensive procedure option available. x:20>geB Standard Plan DeltaCare USA (DHMO) Code . 291 47 Manual:Clients who elect to fill out a printable enrollment form (found on every Plan Details page in theonline enrollment application) should add your Delta Dental information in the Agent/Producer Information section, including your broker number. The page you requested could not be found. Do I have to be appointed separately to sell Individual and Family plans? You must go through your general dentist, who will refer you and coordinate your care. 4 In TX, there is no exception for work in progress for covered DeltaCare USA benefits. [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 There are no annualmaximums and no deductibles. Looking for Health Care Exchange (Marketplace) plans? Be sure to note the facility name your chosen dentist is associated with, and follow the steps in the next section to select or change your dental facility. New York (English) | New York (Espaol) 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. California (Espaol) Procedure Copayment Office visit . Delta Dental PPO (Group #18066-0601) P.O. Interested in learning more about our plans? However, their health insurance plan benefits are richer if they see a Delta Dental PPO provider. Orthodontic coverage varies depending on your plan, so be sure tolog into your account to review your coverage. Delta Dental covers 75 percent of basic dentistry costs after annual deductible if you use a Premier dentist, up to $1,500 per year. Delaware 0000077030 00000 n Please check back periodically to ensure you have the most current information. o7$[+g0{"We}tW%rgufQ0{`{X9hj,%HV_uhjZQUNF6U,GlIpW7D >'~bv:;O$}c4~&&OqFW:$=* -^PNgeKD_WV?Jn)s\yu#&O)V!}1,d)wx`D$\X2=RZK+[Pl]v )WO8:+-=eTOp1E8q`L!iPY?J|.Wa1&T.~$/T030 aQC W`7o/cYg@sU@g!CC{lJH[9;/iyC OOO5Jo#2q4nciNx&f6?W,w i^ Maximize your health, wherever you are! If you submit a selection or change from the first through the 15th of the month, you can start visiting the new facility right away. 0000035039 00000 n Brochures and booklets for NY have a September 1, 2022 effective date. DeltaCare DHMO is a closed network product that features set copayments, no annual deductibles, and no maximums for covered benefits. Member perks for your smile and beyond 866-760-4080 Note:Adult dependents must select their facility through their own online account, unless they authorize you to view their information and select or change their facility. 0000001961 00000 n 0000027703 00000 n 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 you cant find your link or need more guidance, email us atproducerservices@delta.orgor call866-760-4080. 0000066826 00000 n 0000026961 00000 n Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using 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). s\A0W+ Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates. 0000010743 00000 n Contact us. You can find your Delta Dental benefit booklet here. 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. 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 Delaware Online:On theonline enrollment application, tell clients to select "Yes" for the question "Are you working with an insurance agent or broker?"