Benefits and costs
To receive coverage, you must visit a DeltaCare USA network general dentist. If you selected a DeltaCare USA general dentist during open enrollment or when you purchased your plan, that is your assigned dentist you will need to visit to receive benefits.
You can find your assigned general dentist or facility bylogging in to your online account or checking your welcome letter. If you have not yet been assigned to a DeltaCare USA general dentist, you can do so by visiting any DeltaCare USA general dentist that is accepting new patients. When your selected dentist files a qualifying claim, you will be added to their roster and they will become your assigned DeltaCare USA general dentist. Once assigned, you must visit this dentist for future visits to receive benefits.
If you live in one of the states listed, you do not need to be assigned to a general dentist, but you must visit a dentist from the DeltaCare USA network in your state: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT or WY.
You can review details about your benefits and what’s covered including cost prior to visiting the dentist by logging in to your online account. After each dental visit, you will be able to view visit details, including treatment information and copayments, in your online account or Explanation of Benefits (EOB).
Need to change your assigned dentist? Log in to your online account or contact us.
Plan overview
Coverage: You’re covered for more than 350+ procedures² – including low or no cost for preventative services (cleanings and exams). You pay fixed prices (also known as copayments) for each covered procedure.
In-network dentist: You must visit your assigned DeltaCare USA general dentist to receive benefits. Services provided by an out-of-network dentist will not be covered (except for emergencies and if you live in certain states¹). For additional information, please see the FAQ on this page, “How do I know what dentist I can visit?“
Specialty care: Your assigned DeltaCare USA general dentist will coordinate your care and refer you to an in-network specialist.
Pediatric specialist: Children can see a Pediatric Specialist through age 13. If your child has not been assigned a general dentist, they can visit a DeltaCare USA pediatric dentist without a referral. If your child already has a general dentist assigned, they will need to obtain a referral to a DeltaCare USA Pediatric Dentist from their assigned general dentist.
Orthodontics: Your assigned DeltaCare USA general dentist will coordinate your referral to an in-network DeltaCare USA orthodontic specialist. Your plan covers children and adults for all phases of orthodontics. 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 tooth movement has begun. For additional information, see the Orthodontic coverage section on this page.
No deductibles: Your plan starts paying right away – no need to pay this out-of-pocket cost for your coverage to start.
No maximums: There is no annual maximum to limit your coverage.
