DeltaCare® A Managed Care Dental Plan for groups with 51 + subscribers
Cost Effective Coverage for the Whole Family
We're pleased to offer DeltaCare, a family friendly affordable dental plan with the largest managed dental care network (like a dental HMO) in Washington State. Members can manage their oral health stress-free with set copays, no annual maximums, and no deductibles.
DeltaCare allows enrollees to plan for expenses for every household member – orthodontia options have low copays, it offers comprehensive dental coverage for the entire family.
Choice in Dental Plan Options
Groups can choose from a selection of office copays, orthodontia care, and TMJ services. When coupled with a PPO plan, DeltaCare is a great dual option for added choice for businesses on a tight budget. Offer both comprehensive dental options for greater savings.
How is DeltaCare® different and a great choice for employees?
DeltaCare means affordable coverage with no surprises. Members are billed flat copays for services and know what the fees are upfront.
Members have a choice of Primary Care Dentist with many more access points than other managed care dental plan carriers. Included in the DeltaCare network are several large dental facilities with many General Practitioners. Plus, members can change their Primary Care Dentist as frequently as they like.**
And now changing a PCD is easier and accessible 24 hours a day through a member MySmile® account. From the dashboard, scroll down to the “change your PCD” link. Download a simple member guide here.
Contact your Sales Representative today or email smallgroupteam@deltadentalwa.com to request a flyer or find out more information.
Plan highlights
| Cleanings and examinations | Nearly all preventive and diagnostic services are covered with no cost to the patient. Members must be seen by a DeltaCare network primary care dentist.
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| Fluoride treatments | Fluoride treatments covered through age 18, Fluoride varnish treatments are covered with no age limits. |
| Sealants | Sealants are coverage with $5 copay per tooth for both children and adults. Benefit coverage for application of sealants is limited to permanent molars that have no restorations (includes preventive resin restorations) on the occlusal (biting) surface. |
| Orthodontics | Extensive orthodontic treatment for pre-set copays
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| Common procedures | Dental services have copay rates for:
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| Out of pocket costs | Minimum out-of-pocket costs:
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| Choice of Primary Care Dentist | **Choice of Primary Care Dentist (PCD) from the largest network of managed care Primary Care Dentists They will:
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**Members MUST choose their PCD within the first 60 days of the benefit year. If they do not, one will be chosen for them. Choices must be made by the 20th of each month to be effective the following month.
A DeltaCare plan option is available for small groups with 10-51 subscribers. Please visit https://www.deltadentalwa.com/producer/our-plans/Delta-Dental-DeltaCare for more information.
