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Summary of Dental Plan Choices

Prepaid Plans

Prepaid plans provide services through member dentists throughout California. These plans are not available outside of California. You may change dentists upon request and/or change plans if you move and your plan is no longer available.
 
All prepaid dental plans have continuation of orthodontic care should you have this treatment in progress and you decide to change dental plans.
Premier Access and Western Dental offer a dental implant benefit.
 
All prepaid dental plans have continuation of orthodontic care should you have this treatment in progress and you decide to change dental plans.
 
Monthly premiums for these four pre-paid plans are fully paid by the State. You have no monthly premiums, deductibles, or maximum annual benefit limits. Many services are provided at low or no cost to you. For more information on benefit coverage for these plans, please review the Overview:  Prepaid, Indemnity, and PPO PlansCoverage and Costs for Certain Procedures:  Prepaid Plans, and Coverage and Costs for Certain Procedures:  Indemnity and PPO Plans.
 
Before you enroll in a prepaid plan, first check with the plan to make sure it has member dentists in your area. For more information or to obtain a list of each plan's member dentists please call or visit the websites of the plans listed below:
 
DeltaCare USA 1-800-422-4234
Premier Access 1-888-534-3466
SafeGuard 1-800-880-1800
Western Dental 1-866-859-7525
 
You may also obtain a listing of the dentists in your area on the dental plan websites:
 

Delta Dental Plans

Delta Dental (Delta) offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier and the Delta Dental Preferred Provider Option (PPO). If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. Both plans are summarized below. Additional details are available by contacting Delta at 1-800-225-3368 or visiting Delta online at www.deltadentalins.com/state.

 

Delta Dental PPO plus Premier

Delta Dental PPO plus Premier features full access to specialty care and guaranteed benefits through member dentists. Your present dentist may be a member of Delta Dental PPO plus Premier. It is to your advantage to select a Delta dentist; a lower percentage of the dentist's billed fees may be covered by this program if you select a dentist who does not contract with Delta. However, you can see any dentist worldwide and still be covered.
 
Delta dentists submit your treatment authorizations and claim forms to Delta. If you receive services from a non-participating dentist, your reimbursement is based on the fee charged by that dentist or the fee that satisfies the majority of Delta's participating dentists, whichever is less. If you live outside of California or the United States, you can be reimbursed by submitting either an itemized receipt or a standard claim form to Delta. Reimbursement for services provided by non-participating dentists will be paid directly to you. Services provided by a non-participating provider may result in higher out-of-pocket costs to you. 
 

Delta Dental Preferred Provider Option (PPO)

The PPO provides higher benefit levels for you and your dependents when you receive services from a PPO provider. Your costs are based on a discounted fee agreement between Delta and the PPO provider. This fee agreement will result in lower out-of-pocket costs to you when you visit a PPO network dentist. PPO network dentists submit your treatment authorizations and claim forms to Delta. To locate a PPO dentist in your area, contact Delta Dental at 1-800-225-3368 or visit Delta online at www.deltadentalins.com/state.

 
Although you can receive services from any dentist worldwide, the PPO plan is not recommended if you are unable or unwilling to select a PPO network dentist. If you receive services from a Delta dentist who is not a PPO dentist, your coverage will be reduced and you will be responsible for the balance of fees. If you receive services from a dentist who is not a Delta dentist, your reimbursement will be substantially lower. Any reimbursement for services provided by non-Delta dentists will be paid directly to you.
 
  Updated: 8/28/2017
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