Frequently Asked Questions About the Dental Plans

What are the major plan design changes for 2014?

  • Periodontal maintenance cleanings are being increased to 2 per benefit year in addition to regular cleanings.
  • The limit for sealants (to age 16) is decreasing from once in a lifetime to once every 5 years.
  • Fluoride treatments (to age 19) are increasing to 2 per benefit year.
  • The limitation for crowns and prosthodontics is increasing (for Delta Premier II) from 5 to 7 years.
  • Limitation for full-mouth and panoramic x-rays will increase from 3 to 5 years
     

Will there be an increase in rates?
There will be no rate change for 2014.

Coverage Tier

Delta Dental
Premier I

Delta Dental
Premier II

Employee only

$10

$14

Employee + one minor child

$20

$26

Employee + spouse

$20

$26

Family

$33

$42

How do I get my dental insurance card(s)?
If you are a new Delta Dental member or are an existing member making coverage changes, you should receive your new card in late December. If you are maintaining your Delta Dental coverage and making no changes, you should continue to use your current card. If you have not received your Delta Dental cards and your dental insurance premiums are being deducted from your pay, you should first contact Delta Dental at (800) 237-6060 in order to verify your current address and to check to see if your cards have been sent.
You may obtain additional ID cards by calling Delta Dental’s Benefit Services Department at (800) 237-6060 or you can print a copy by visiting their website at www.deltadentalva.com.

How do I know which Delta Dental plan I have, Premier I or Premier II?
Log in to Employee Self Service (ESS) and click on the RHS Current Benefits tab. This will provide you with a detailed listing of your current benefit plans and coverage. If you elect Premier II, you are required to maintain coverage for a minimum of 2 years.

Can I use the new Discovery Benefits Flexible Spending Account debit card for dental expenses?
No.  You will need to file claims forms either electronically or by paper to be reimbursed for qualified dental expenses.  The limited-use debit card is limited to Riverside participating providers and pharmacies participating in the Inventory Information Approval System, which includes most major chain pharmacies.

Where can I find a list of participating dentists?
A complete list of participating dentists can be found on the Delta Dental web site at www.deltadentalva.com or can be obtained by calling 1-800-237-6060.

 


 

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