FOR ENROLLMENT: Call Nour Sayegh at 800-272-7732, Extension 6212
Delta Enrollment Form: Click HERE!
With Delta Dental PPO participating dentists agree to fee schedules as payment in full. These PPO schedules provide deeper discounts that result in savings to the member. This product allows enrollees to visit any dentist but offers additional savings when visiting a PPO network dentist. Delta Dental PPO members pay 0% for in-network Diagnostic and Preventative services. Also, in-network you would pay only 20% for Basic Services and 50% for Major Services.
As a PSEA Associate member, or surviving spouse, you are eligible to join the Delta PPO dental plan. Your eligible dependents include your spouse and unmarried children to age 19, or to age 23 if enrolled as full-time student.
Most affordable dental programs restrict your choice of dentists to one from a limited network. But with Delta PPO, you may go to any licensed dentist, anywhere in the world. You and your covered dependents can even choose to go to different dentists.
To use your Delta PPO benefits, simply make an appointment with the dentist of your choice, and give the office your group number (7655-003) and your social security number.
Although you may choose any dentist, you get special advantages when you go to one of the more than 17,000 Delta dentists in California. These dentists have agreed to handle all your claims paperwork for you. Delta reimburses these dentists directly, so you are responsible only for the amount not covered. If you go to a non-Delta dentist, you are responsible for the entire bill and will receive reimbursement from Delta.
Your calendar year deductible is $50.00 per person and the annual maximum allowance is $1,000.00 per person. There is no deductible on diagnostic and preventive services for each covered enrollee per calendar year.
This is only a brief summary of the plan. Refer to the dental health plan contract to determine the exact terms and conditions of coverage. An Evidence of Coverage will be sent to your upon enrollment.
If you need more information before enrolling, call 1-800-272-7732 X 6212.
PLAN BENEFIT SUMMARY
| 
