Delta Dental
Dental coverage is an important part of your benefits package and regular dental care is key to your overall health. The County is pleased to offer Delta Dental PPO as your dental plan option.
The Delta Dental PPO plan allows you to visit any licensed dentist or specialist of your choice in both the PPO and Premier Networks nationwide. Participating dentists have agreed to accept pre-negotiated fees for dental procedures, and are prohibited from billing a patient above the predetermined amount (balance billing). This arrangement results in protection and savings for patients. The benefits are the same if you visit an out of network provider but you will pay the difference between what Delta Dental deems is reasonable and customary and the amount the provider charges for the service (balance billing), in addition to any participant copays.
Dentistry has changed in recent years and continues to change on a regular basis. Much of this change is due to new materials, new technology, and new scientific discoveries, as well as changes in the way dentists run their practices. It’s the dentist’s responsibility to inform the patient of the reasonable and appropriate services that are available, regardless of the patient’s dental coverage. It’s the patient’s responsibility to ask the right questions about these options and treatment.
Always request a pre-treatment estimate from your dentist. Provide this predetermination of benefits to Delta Dental before having major dental work done. Don’t be afraid to ask questions! Do not agree to any treatment unless you fully understand what condition is being treated, why it is being treated, and the costs of that treatment.
Customer Service, Group Numbers and General Information
Customer Service and Locating an In-Network Dentist
To learn more about Delta Dental's plan benefits, health and wellness library, and MemberPerks program visit www.DeltaDentalIns.com.
Employee
Delta Dental PPO - (888) 335-8227
Retiree
DeltaCare USA - (800) 422-4234
Delta Dental PPO - (888) 335-8227
Locating an In-Network Dentist
Find a dentists in-network to get the the most savings:
Group Numbers
Employees
Delta Dental PPO - 03126
Retirees
DeltaCare USA - 70247
Delta Dental PPO - 03136
No ID Card Needed!
If you’ve been looking for your dental plan ID card, we have good news for you: You don’t need one!
When you visit the dentist, simply tell the dental office staff that you are covered by Delta Dental. You will need to provide the following information:
- Your name
- Your date of birth
- Your social security number (or enrollee ID number)
- Employer name
Family members covered under your plan will be required to provide your details.
Prefer to have a ID card in your wallet?
Computer
Go to deltadentalins.com, and log in to Online Services. (Click Register to sign up if you haven’t already.) Click on My ID card in the left column. A new window with your ID card should pop up, which you can print out for your records. (If nothing happens, check whether your browser is blocking pop-ups.)
Smartphone
Go to deltadentalins.com, log in to your account and select My ID card from the main menu. You can pull up this electronic ID card at your dental office.
Why Choose an In-Network Dentist?
Employees and Retirees enrolled in Delta Dental PPO
Delta Dental will pay the same amount whether you visit an in network or out of network provider.
In network PPO and Premier providers agree to offer services at lower negotiated rates. The amount you pay will be based on the negotiated rate and not the rate the dentist may charge otherwise. This is typically the most cost savings option for you. You will be responsible only for your copay at the time of service. The PPO and Premier network dentists will manage claims and negotiated reimbursements with Delta Dental.
If you go out of network, you will receive the same benefits but will be responsible for the difference between what the provider charges and what Delta Dental pays. This is called balance billing. You will generally be responsible for the full cost of the visit upfront and will be reimbursed by Delta Dental for the amount they deem reasonable and customary. Some dentists may submit the claims on your behalf, or you may need to submit the claims on your own to Delta Dental, and wait for reimbursement. Learn more about your PPO plan.
It is always recommended that you get a cost estimate or prior authorization prior to having any dental work completed.
Balance Billing Example:
| In-Network Cleaning | Amount | Out of Network Cleaning | Amount |
| Provider Charges | $100 | Provider Charges | $100 |
| Delta Dental Reasonable and Customary Charge | $80 | Delta Dental Reasonable and Customary Charge | $80 |
| In Network Plan Coverage | 100% | In Network Plan Coverage | 100% |
| Patient Responsibility | $0 | Patient Responsibility (difference between what Delta Dental pays and the provider charges) | $20 |
Retirees enrolled in DeltaCare USA
DeltaCare® USA: To receive coverage, you must visit a DeltaCare USA general dentist at your selected dental facility. When you visit your DeltaCare USA general dentist facility, you’ll pay set copayments for each covered service, and you won’t need to submit any claim forms. For more details, refer to the FAQs about DeltaCare USA on this page, or visit the DeltaCare USA members page.
Added Benefits
Delta Dental members have access to perks like educational articles and exclusive product discounts.
SmileWay
The health of your teeth and gums is tied to your overall wellness. If you've been diagnosed with a chronic medical condition and have a higher risk of gum disease, you may benefit from additional teeth and gum cleanings throughout the year with SmileWay Wellness Benefits. To learn more or sign up for SmileWay, login to your Delta Dental account and 'opt in'.
LASIK
Get access to preferred pricing on LASIK vision services through QualSight. QualSight provides discounts of up to 35% off the national average price of LASIK at over 800 LASIK locations nationwide.
For more information visit https://www.qualsight.com/-delta-dental or call (855) 248-2020
Hearing Aides
Get access to savings on hearing care and hearing aids, as well as complimentary follow-up care, through Amplifon Hearing Health Care. Amplifon offers an average 66% savings off retail hearing aid pricing with a network of 6,000+ hearing care providers.
For more information visit https://www.amplifonusa.com/deltadentalins or call (888) 779-1429
LifePerks
Save on products and services that help you live a healthy, balanced lifestyle. As a Delta Dental member, you can sign up for LifePerks and get unlimited access to discounts on oral care, fitness, groceries and meal delivery, as well as travel, entertainment, pet insurance, child care and more.
To sign up, login or create an account, at https://www1.deltadentalins.com/memberperks.html
Employee Dental
Premiums
2025-2026 Employee Semi-Monthly Premium Rates
Bargaining Units: All (except ESC, Local 39, SCLEA, SCLEMA, SCPDIA and WCE)
|
Semi-Monthly Employee Contribution |
Semi-Monthly County Contribution |
Total Semi-Monthly Premium Rates |
|
$14.13 |
$45.15 |
$59.28 |
Bargaining Unit: ESC, Local 39, SCLEA, SCLEMA, SCPDIA
|
Semi-Monthly Employee Contribution |
Semi-Monthly County Contribution |
Total Semi-Monthly Premium Rates |
|
$13.04 |
$46.24 |
$59.28 |
Bargaining Unit: WCE
|
Semi-Monthly Employee Contribution |
Semi-Monthly County Contribution |
Total Semi-Monthly Premium Rates |
|
$25.00 |
$34.28 |
$59.28 |
Plan Highlights
2025-2026 Delta Dental PPO Plan Highlights
|
Dental Services |
Benefit |
|
Diagnostic & Preventive |
Plan pays 100% of allowable charges |
|
Basic Dental Services |
Plan pays 80% of allowable charges |
|
Crowns & Cast Restorations |
Plan pays 80% of allowable charges |
|
Prosthodontics |
Plan pays 80% of allowable charges |
|
Orthodontics |
Plan pays 50% of allowable charges; up to a lifetime maximum of $6,000 per member |
|
Deductible |
None |
|
Calendar Year Maximum Dental Benefit |
$3,000 per person, per calendar year |
Retiree Dental
Premiums
2025-2026 Retiree Monthly Premium Rates
DeltaCare USA Monthly Premium Rates
|
Retiree Only |
$28.84 |
|
Retiree + 1 |
$49.05 |
|
Retiree + 2 or more |
$72.59 |
Delta Dental PPO Monthly Premium Rates
|
Retiree Only |
$47.06 |
|
Retiree + 1 |
$89.88 |
|
Retiree + 2 or more |
$149.15 |
Plan Highlights
2025-2026 Retiree Dental Plan Highlights
|
Dental Services |
DeltaCare USA |
Delta Delta PPO |
|
Diagnostic & Preventive |
Plan pays 100% of allowable charges |
Plan pays 100% of allowable charges - No deductible |
|
Basic Dental Services |
You pay set co-payments ranging from $0 to $250 for most services |
Plan pays 80% of allowable charges |
|
Crowns & Cast Restorations |
You pay set co-payments ranging from $0 to $90 for most services |
Plan pays 50% of allowable charges |
|
Prosthodontics |
You pay set co-payments ranging from $0 to $175 for most services |
Plan pays 50% of allowable charges; coverage for implants is included under the plan |
|
Orthodontics |
$1,600 per child to age 19 and $1,800 |
Not covered |
|
Deductible |
$0 |
$50 per individual |
|
Calendar Year Maximum Dental Benefit |
None |
$1,500 per individual |
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