Dental | UCNet

Your share of the cost of services depends on whether you use a dentist in the Delta Dental PPO network or an out-of-network dentist. Delta has more than 43,700 PPO dentists in California and 234,000 dentists nationwide. To view a list of Delta Dental PPO dentists, visit the Delta Dental website.

Your total annual benefits per person (including preventive, basic, major and restorative dental services) are $1,700 if you see a Delta Dental PPO dentist, or $1,500 if you see an out-of-network dentist. A $50 deductible applies to certain services.

Dentists in the Delta PPO Network Agree to receive reduced service fees and will complete and submit all claim forms at no charge to you.

  • Preventive services (inspections and cleanings) are free with no deductible.
  • After the deductible is met, basic dental services such as fillings and extractions are covered 80% of the time.
  • After you meet your deductible, most other dental care is covered at 50%.

Delta's top dentist Not in the PPO network, but has agreed to receive reduced service fees and will also complete and submit a claim form for you. If you use a premium dentist, Delta Dental will cover 75% of basic dental expenses after the annual deductible, up to a maximum of $1,500 per year.

If you visit a dentist that is not affiliated with Delta Dental, you may be required to pay the dentist's full fee and then submit a claim form to Delta Dental for reimbursement. Delta cannot guarantee that you will be able to pay a percentage of the fees charged.

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