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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