Welcome School Employees Benefits Board (SEBB) Members

 

You have chosen the
DeltaCare® Managed Care Plan

GROUP #09601

DELTACARE
Managed Care Plan
 
Requires primary care dentist (PCD) from the DeltaCare® network
DeltaCare® PCD must refer you for any specialized care
No deductibles
Unlimited coverage for fillings, root canals, crowns & other services
Fixed dollar copays
No coverage for out-of-network care
Responsive, local customer service
 

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

STEP 1
Find a primary care dentist (PCD) from the DeltaCare® network
You MUST select a general practice, primary care dentist (PCD) from the DeltaCare® network to manage all of your dental care needs.
 
Find a Dentist Tool
  Make sure ‘Patient’ is selected and scroll down to ‘Find a Dentist’ tool
  Click on ‘Advanced Search’ and select ‘General Practitioners’ to filter your search results
Want to change your PCD? Now you can change your PCD online!
  1. Log into your MySmile account
  2. Click “Change Assigned PCD” link
  3. Select member or dependent name, enter zip code and click “Search”
  4. Highlight the dentist you want and click “Select”
  5. Click “Confirm”
Changes made on or before the 20th of the month will be effective on the first day of the next month.
Changes made after the 20th of any month are effective the first day of the month after next.
 
STEP 2
Activate your MySmile® account
Easy, secure access to all your custom dental benefit information on your phone or desktop!
 
  Already enrolled? Watch this video for easy steps to activate your account.
Print your ID card
Change your PCD online
Review your coverage
Accounts are available for subscribers and their dependents ages 18+
 
STEP 3
Review your DeltaCare® costs
ANNUAL COSTS
 
Deductible   $0
Plan maximum   No annual maximum
 
YOU PAY PER SERVICE
 
Cleaning and exam every 6 months   $0
Fluoride treatment   $0
Complete x-rays every 3 years   $0
Fillings   $10 to $50
Crowns   $100 to $175
Root canals (endodontics)   $100 to $150
Treatment of gum disease (periodontics)   $15 to $100
Tooth extractions   $10 to $50
Orthodontia   up to $1,500 per case
Implants   $2800 per tooth
Dentures   $140 per arch
Nonsurgical TMJ   30% up to $1,000 per year or $5,000 lifetime annual maximum. Patient pays any cost exceeding lifetime annual maximum.
contact us
Need more help or
have questions?

CALL 800.650.1583 or

TEXT 833.604.1246

Need more help or
have questions?
 

Ready to enroll?