Dental

The A&M Dental PPO and the DeltaCare USA Dental HMO premiums are paid by the employee for the cost of dental coverage on a before-tax basis. The FY 19 benefit plan year are effective September 1,2018 and are subject to change each FY benefit plan year.

Benefit Type

Vendor

Contact Number

To Request a Card

Dental PPO and HMO

Delta Dental

800-336-8264

Ordering a new card and printing a temporary card can be done online: www.deltadental.com

From your mobile device, you can use the Delta Dental app to view your ID Card at any time.

The Group ID# is:
4170-0001

The A&M Dental PPO and the DeltaCare USA Dental HMO premiums are paid b the employee for the cost of dental coverage on a before-tax basis. The FY 16 benefit plan year are effective September 1,2016 and are subject to change each FY benefit plan year.

Monthly Premiums

Open Enrollment 2018-2019

The Delta Dental PPO Plan highlights the eligibility, deductibles, benefits and covered services. While dental health care costs are generally lower than medical health care costs, it is to your advantage to understand how to use your dental plan so that you can enjoy potentially lower out-of-pocket costs and user-friendly payment of approved claims. The cost for dental services (and your potential out-of-pocket expense) is determined by where you receive your treatment. Listed below are the different network options to choose from: Delta Dental PPO, Delta Dental Premier Dentists, and the Non-Delta Dental Dentists.

The Delta Dental HMO Plan is a pre-paid type plan compared to the PPO plan that is a fee-for service, preferred provider plan. The HMO plan has over 300 covered procedures, including tooth bleaching and posterior composites. The plan has no copayments or low copayments for most diagnostic and preventive services. Out-of-area coverage is limited to emergency care provisions. The enrollee must select a dentist from a list of network dental facilities and must visit this dentist to receive benefits. The HMO plan does not require claim forms to be completed, however specified copayments are due at time of visit. After enrollment is complete, the enrollee will receive a membership packet that includes an identification card, and an Evidence of Coverage that fully describes the benefit of the dental plan. Also included in the packet are the name, address and phone number of your contract dentist. Simply call the dental facility to make your appointment. See the “Description of Benefits and Copayments” for a list of the benefits.




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