DENTAL CARE BENEFITS
Active employees who enroll in any one of the City’s health plans automatically receive dental coverage. You have the choice of two dental plans:
Delta Dental Plan – This plan allows you to use any dentist of your choice. Your out-of pocket costs are determined by the dentist you use:
It is to your advantage to select a Delta dentist or a dentist who participates in the DPO network. For care from DPO dentists, you pay no deductible, and the plan pays a plan year maximum of $2000.
When you use a Delta dentist or an out-of-network dentist, you first pay a deductible ($50 individual / $150 family). Then the plan pays a percentage of your costs up to a plan year maximum of $1000.
With the Delta dental plan you have the option to go to a specialist of your choice without preapproval, and you may change your dentist at any time without preapproval. Claim forms are required only if you receive care from out-of-network dentists. Please note dental cleaning are based on a calendar year.
Delta pays DPO and Delta dentists directly. You are responsible only for your share of the bill. If you go to a non-Delta dentist, you are responsible for the dentist’s entire bill and Delta will reimburse you directly for the portion of the bill that is covered.
United Healthcare Dental Plan – When you enroll, you choose a dentist who belongs to the United Healthcare network of dental providers. When you use the dentist you select at the time you enroll, most treatments are covered at 100%. However, if you use any other dentist, you receive no benefits.
NOTE: You must select a member dentist and ALL services must be provided by the dentist you selected or approved by United Healthcare Dental Plan.