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Archive for the 'Delta Dental DeltaCare' Category

Delta Dental Insurance, Using Your Plan.

Jun. 1st 2015

According to a study done by Delta Dental they found that a third of children ages 6-18 area at higher risk for tooth decay, and of those children

* More than 70 percent are not receiving two fluoride treatments a year
* More than 60 percent ages 6-9 did not receive sealants on their first molars
* More than 80 percent ages 11-15 did not receive sealants on their second molars

It is important to have dental insurance to help save money off your dental care cost but using it is equally important. Make sure you are taking advantage of what your dental insurance plan has to offer.

Posted by California Dental | in Delta Dental DeltaCare | Comments Off on Delta Dental Insurance, Using Your Plan.

Delta Dental Insurance Plans of California

May. 5th 2015

In California our website offers over 40 dental insurance options for your review. A Few of the dental insurance options we provide would be though Delta Dental. Many people who are looking for a PPO or free choice of provider plan finds that Delta Dental fits their needs since often times their dentist is a provider of most Delta Dental plans.

Review your plan options just by entering your zip code in the quote box provided on our website. If you should have any questions about any of our dental insurance plans please call our member services at 310-534-3444 as we will be happy to help you find the best plan for your dental care needs.

Posted by California Dental | in Delta Dental DeltaCare | Comments Off on Delta Dental Insurance Plans of California

California Delta Dental Plan DD55 HMO DeltaCare Review

Aug. 19th 2010

The California Delta Dental Plan DD55 HMO DeltaCare policy is a good plan to consider in California. California Dental Insurance website sells this plan for individuals and families . The cost to join runs as low as $6.73 but you will need to pay the full year up front as this is required by the dental company.

Some of the exclusions and limitations are posted on the website but here are a few:

This dental insurance plan provides coverage for one year. To enroll yourself or other eligible dependents you pay the annual premium and a one time enrollment fee. You choose your dentist from the online dentist directory during enrollment. Coverage is effective for 12 months and renewal is required to continue coverage.

Delta Dental must receive the enrollment materials by the 21st day of the month for coverage to be effective the first day of the following month. If Delta Dental receives the enrollment materials after the 21st day of the month, coverage will become effective the first day of the second month. This Enrollment and Payment Authorization Form and your check or money order, if applicable, must be received by the 21st day of the month for your coverage to be effective on the first day of the following month.

Disclosure Form/Contract

Detailed disclosure of plan co-payments, limitations and exclusions.

  • See the Delta Dental insurance disclosure form —  click on the “Download Schedule of Benefits” image above.

A full refund of Premium, including the one time enrollment fee, is available if the written request for refund is made within the first month of the Contract Term. Thereafter, requests for Premium refund will be pro-rated based upon the number of months remaining in the Contract Term subject to the following conditions:

  1. The one-time enrollment fee is not refundable after the first month of coverage.
  2. You, or your covered dependents, have not received any Benefits under the DeltaCare® USA program.
  3. There is at least one month remaining in the Contract Term.
  4. Coverage is based on a full calendar month. There are no partial month refunds.

Coverage for an enrollee will terminate as of the date enrollment is cancelled under the terms of the Disclosure Form/Contract. However, we will continue to provide benefits for completion of any treatment in progress (less any applicable co-payment). Cancellation of enrollment of a primary enrollee will automatically cancel the enrollment of a dependent enrollee. Any cancellation is subject to the written notification requirements set forth in the Disclosure Form/Contract. If coverage is voluntarily discontinued, you and your eligible dependents may not re-enroll during the 12-month period immediately following the voluntary termination.

DeltaCare® USA is underwritten in these states by these entities: AL Alpha Dental of Alabama, Inc.; AZ Alpha Dental of Arizona, Inc.; CA Delta Dental of California; AR, CO, IA, ME, MI, OK, OR, RI, SC, SD, WA, WI, WY Dentegra Insurance Company; NH and VT – Dentegra Insurance Company of New England; AK, CT, DE, FL, GA, KS, LA, MS, MT, TN, WV and Washington, D.C. Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX Alpha Dental Programs, Inc.; NV Alpha Dental of Nevada, Inc.; UT Alpha Dental of Utah, Inc.; NM Alpha Dental of New Mexico, Inc.; NY Delta Dental of New York; PA Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states, except CA. These companies are financially responsible for their own products.

You must receive treatment from your selected network facility in order to receive benefits. Your facility may refer you to a network specialist for specialty care treatment. Specialty care treatment received from a dental school clinic may be provided by a dental provider, a dental student, a clinician or dental instructor.

You will receive a list of up to 100 DeltaCare USA network offices nearest to you. The number of dental providers displayed depends on the address and availability of dental providers in that area. After making a selection from the results list, note the office number to include on your enrollment application. Once you are eligible on the plan, you will receive an identification card and an Evidence of Coverage booklet describing your benefits.

You can make an appointment once you have received confirmation of your enrollment.

  • If you are currently enrolled in the DeltaCare USA program, you may transfer to another facility by completing the online customer service request form.
  • Delta Dental must receive the DeltaCare USA enrollment materials and/or facility change request by the 21st day of the month for coverage to be effective the 1st day of the following month.
Posted by Zoe K | in Delta Dental DeltaCare | Comments Off on California Delta Dental Plan DD55 HMO DeltaCare Review

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