Welcome Public Employee Benefits Board (PEBB) Members.
You have chosen the DeltaCare® - Managed Care/HMO Plan
GROUP #03100
| DeltaCare® - Managed Care/HMO |
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Requires primary care dentist (PCD) from the DeltaCare® network |
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DeltaCare® PCD must refer you for any specialized care |
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Unlimited coverage for fillings, root canals, crowns & other services |
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No coverage for out-of-network care |
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Responsive, local customer service |
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COPAY: On the DeltaCare plan, you pay a fixed dollar amount for each treatment you receive.
Here's how to get the most from your coverage
| Easy, secure access to all your custom dental benefit information on your phone or desktop! |
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Print your ID card |
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Endorse your favorite DeltaCare dentist |
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Review your coverage |
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Accounts are available for subscribers and their dependents ages 18+ |
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STEP 2
Find a primary care dentist (PCD) from the DeltaCare® network
| You MUST select a general practice, primary care dentist (PCD) from the DeltaCare® network within 50 miles of your residence to manage all of your dental care needs. |
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Find a Dentist Tool |
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Select 'DeltaCare' to filter your search results |
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Contact the dental office to confirm they're accepting new patients |
| If you want to change your PCD, you can do so at any time. |
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Find A Dentist from the DeltaCare® network |
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Call us at (800) 650-1583 and we'll make the change |
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Make your request by the 20th of the month to start seeing your new PCD on the 1st of the following month |
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STEP 3
Review your DeltaCare® costs
| ANNUAL COSTS |
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| Plan maximum |
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No annual maximum |
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| YOU PAY PER SERVICE |
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| Cleaning and exam every 6 months |
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$0 |
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| Complete x-rays every 3 years |
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$0 |
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| Root canals (endodontics) |
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$100 to $150 |
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| Treatment of gum disease (periodontics) |
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$15 to %100 |
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| Tooth extractions |
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$10 to $50 |
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| Orthodontia |
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up to $1,500 per case |
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| Nonsurgical TMJ |
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30% up to $1,000 per year or $5,000 lifetime annual maximum. Patient pays any cost exceeding lifetime annual maximum. |
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