Human Resources - Dental Benefits

Delta Dental Insurance premiums will be paid 100% by the District for the period January 1, 2016, through December 31, 2018, for eligible employees and dependents.    

There are two dental plans to select from: Delta Dental Premier and DeltaCare USA. 

Coverage varies for each plan;

Delta Dental Premier (PPO)
Coverage starts at 70% your first year on the plan and will increase 10% each year based on usage.  This Delta plan allows you freedom of choice in selecting your dental office.

  • Annual Benefit Maximum: $2,500
  • Co-payment for Basic Exam, X-ray, Preventive, Diagnostic, and Restorative Services:
    70%/30% - first year;
    80%/20% - second year;
    90%/10% - third year;
    100% - fourth year and after
  • Crowns, Jackets, and Cast Restorations:
    70%/30% - first year;
    80%/20% - second year;
    90%/10% - third year;
    100% - fourth year and after
  • Prosthodontics: 50%
  • Dental Services in Case of an Accident: 100% Coverage; $1,000 separate maximum
  • Orthodontia: For dependents to age 25 regardless of student status.  There is 50% Coverage - $500 lifetime maximum.

DeltaCare USA (HMO)
Requires you to select a dental office from their list of network offices.  Services can only be provided by the office you have selected.

  • Annual Benefit Maximum: There is no benefit maximum limit.
  • Co-payment for Basic Exam, X-ray, Preventive, Diagnostic, and Restorative Services: 100% Coverage. Enrollee pays nothing.
  • Crowns, Jackets, and Cast Restorations: 100% Coverage.  Enrollee pays nothing for basic dental procedures.  See summary of benefits.  There is a cost for high noble metal crowns.
  • Prosthodontics: 100% Coverage.  Enrollee pays nothing for basic dental procedures.  See summary of benefits.  There is a cost for dentures.
  • Dental Services in Case of an Accident: 100% Coverage of the contract dentist filed fees up to a maximum of $1,600 in a 12 month period.
  • Orthodontia:
    $350 start-up fee;
    $1,300 fee for children to age 19.
    $1,600 fee for adults ages 19 and older.

For a brief highlight of coverage select one of the above links.  For detailed information please refer to your benefits booklet or contact the Office of Human Resource Services, (562) 860-2451 Ext. 2284