Dental Benefits

Delta Dental Insurance premiums will be paid 100% by the District for the period January 1, 2019, through December 31, 2019, for eligible employees and dependents.    

Dependent children are eligible for coverage until the end of the month of their 25th birthday.

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. 2280

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Last Update: 1/10/2019