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FOR INFORMATION: Call Nour Sayegh at 800-272-7732, Extension 6212

Delta Enrollment Form: Click HERE!

In an age of rising health care cost, Delta Care offers an alternative way to provide for you and your family's dental care need economically and conveniently through the Delta Care Dental program. Delta Care was founded on the principle of delivering quality dental care and preventing dental problems before they start.

Delta Care has contracted with a network of private dental offices. As an enrollee in the Delta Care Dental program you select one office from any of the participating dental offices for your and your family's needs. This network of dental offices is composed of established dental practices. It has been found that most people feel more secure if the same dental office is providing for their family's treatment.

Who Can Join - If you meet the eligibility requirements for dental coverage you can enroll in Delta Care. This means you must be a current paid Associate Member, dues are $45.00 annually. You can also enroll your eligible dependents, which include your lawful spouse and unmarried children; including step-children, legally adopted and foster children to the limiting age as specified by the Plan.

Emergency Services - You are also covered for out-of-area dental emergencies. This program will pay dental expenses incurred up to a maximum of $100.00 during each 12 calendar months. "Out-Of-Area means 35 miles or more from your PMI Delta Care dental office.

Summary Of Benefits - The Delta Care Dental program provides all reasonable and customary dental care ( subject to the master contract provisions, limitations and exclusions) if care is rendered by your Delta Care panel dentist. There is no cost for covered services except for co-payments on certain procedures.

If you need more information before enrolling, call Delta Care 1-800-422-4234 for Group #01022-001

PLAN BENEFIT SUMMARY
Benefits Facts
Maximum Per Patient Per Calendar Year
No Max.
Deductible Per Patient Per Calendar Year
$0.00
Deductible Per Family Per Calendar Year
$0.00
Oral Exam
100%
Cleaning
100%
Other Basic Care
Covered*
Crowns, Jackets and Cast Restorations
Covered*
Prosthodontics
Covered*

*Please note: refer to DeltaCare's Brochure coverage breakdown for specfiic co-payments.

QUARTERLY RATES**
Rate Type
Quarterly Amount
Member Only
$114.00
Member + 1 Dependent Only
$192.00
Member + 2 or More Dependents
$284.00

**Please note: Delta Dental's DELTACARE Plan is to be paid quarterly. Please remit the first quarter payment, check or money order made payable to "PSEA", along with your enrollment application. A letter of confirmation will be mailed to you.

FAQs - Frequently Asked Questions:

What is the cost of the Plan?
See TABLE B Above

Can I go to any dentist?
You may only use those dentists listed with the DeltaCare programs

Where can I find the location of Plan dentists?
If you would like to find a Delta Dental doctor near you click HERE!

What does the Plan coverage pay for?.
This list will be mailed, call the above number.