the Group Dental Plan Contract Administrative Services Only (hereinafter “Group Dental Plan Contract” or “Contract”) Number 765351 between Group and DDMN ASO, LLC (“Delta Dental”) (PLAN). Does your employer offer Delta Dental? ... Delta Dental offers an array of dental benefit plans to employers. Questions Regarding Your Plan If you have questions regarding your dental benefits plan, you may call: Delta Dental of Washington Customer Service 800-554-1907 The Program has been established and is administered in accordance with the provisions of a Group Dental … This booklet is subject to the provisions of the Group De ntal Plan Contract. Your Benefit Booklet will provide you with additional information about your plan, including information about plan exclusions and limitations. 00186, 00187 . AN EMPLOYEE BENEFIT BOOKLET OF THE DENTAL PROGRAM FOR ELIGIBLE EMPLOYEES AND RETIREES OF THE UNIVERSITY OF CALIFORNIA . Delta Dental PPO Schedule of Benefits For Group # 12026 CU HEALTH PLAN – CHOICE DENTAL PLAN This Schedule of Benefits should be read in conjunction with your Benefit Booklet. If you are not satisfied with this plan Delta Dental PPO Schedule of Benefits For Group # 12026 CU HEALTH PLAN – ESSENTIAL DENTAL This Schedule of Benefits should be read in conjunction with your Benefit Booklet. Please refer to your plan booklet for specific details about your plan. COVID-19 Announcement. 1 Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums.. 2 Delta Dental dentists agree to our determination of fees and won’t bill you more than your share of Delta Dental’s approved fee for a covered service. It is to your benefit to review any and all information concerning your dental program. Your Benefit Booklet will provide you with additional information about your plan, including information about plan … USING THIS BOOKLET . Although we are separate companies, CDPHP and Delta Dental work closely together to ensure your benefits are … ©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. If you wish to purchase the optional DeltaCare USA coverage, please see the enclosed DeltaCare USA booklet for enrollment and payment authorization forms. Delta Dental PPO Schedule of Benefits For Group # 12026 CU HEALTH PLAN – ESSENTIAL DENTAL This Schedule of Benefits should be read in conjunction with your Benefit Booklet. Your out-of-pocket costs will be higher when you visit a non-participating dentist. This booklet provides a summary of your dental coverage in everyday language. You might be covered for orthodontic services under your Delta Dental plan. Delta Dental pays for a panoramic x-ray provided as an individual service only after five years have elapsed since any prior panoramic x-ray was provided under any Delta Dental plan. … Covered Services.” Booklet Delta Dental Delta Delta Dental Participating If your employer offers Delta Dental of Minnesota, and you have not yet enrolled for benefits, contact your human resources department to learn how to enroll under your employer plan. Good overall health starts with a healthy mouth. WDS is a member of the nationwide Delta Dental Plans Association. Plan benefits. The State of Texas Dental Choice Plan is a self-funded, Preferred Provider Organization (PPO) plan administered by Delta Dental that focuses on prevention, early diagnosis, and treatment to help you stay healthy. This notice forms part of and must be read together with your Benefits Booklet. This booklet is subject to the provisions of the Group De ntal Plan Contract. the Group Dental Plan Contract Administrative Services Only (hereinafter “Group Dental Plan Contract” or “Contract”) Number 309761 between Group and DDMN ASO, LLC (“Delta Dental”) (PLAN). The State will cover the full premium cost of this plan 1 and, if you are enrolled, you will receive a $23.10 rebate in November 2020 2.This preventive care plan covers diagnostic exams, x-rays, and cleanings to the same extent as the State Dental Plan.