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Dental Insurance

Dental

Delta Dental DPO (Dental Provider Organization) plans allows you to see any dentist nationwide. Under the DPO plans, you and your covered family members can receive additional savings by utilizing a Delta Dental contracted dentist. To locate a contracted dentist, download the mobile app or visit www.deltadentalins.com and select “PPO Network” or call 800-521-2651.

Delta offers 2 DPO plans:

DPO Low Plan – This plan covers preventive, basic and major services.

CategorySemi-monthly Premium
Employee$11.67
Employee + Spouse/Domestic Partner$23.24
Employee + Child(ren)$28.46
Employee + Family$37.73

DPO High Plan – This plan covers preventive, basic and major services. It also covers adult and child(ren) orthodontics and implants.

CategorySemi-monthly Premium
Employee$12.82
Employee + Spouse/Domestic Partner$25.61

Employee + Child(ren)$34.86

Employee + Family$45.30

Download Summary of Dental DPO Coverage

Download Mobile App/Online Flyer

DeltaCare USA DHMO (Dental Health Maintenance Organization) Plan 13B  requires you and your covered family members to select a general dentist from the DeltaCare USA provider network. Your selected primary dentist will refer you to a specialist (Pediatric, Orthodontist) for extended services if needed. To locate a contracted dentist, download the app or visit www.deltadentalins.com and select the “DeltaCare USA” network or call 800-422-4234. This plan does not cover Implants or temporomandibular.

CategorySemi-monthly Premium
Employee$6.50
Employee + Spouse/Domestic Partner$10.45
Employee + Child(ren)$14.47
Employee + Family$16.45

Download Summary of Dental HMO Coverage

Download Ortho Takeover Form