Skip to main content

Delta Dental get to know your plan

Get to know your plan

Need help understanding your Delta Dental plan? Log in or create your online account to find plan-specific information. 

Understand your plan

Delta Dental offers a variety of benefit plans, each with different features. While you may have 100% coverage or no copayments for checkups and cleanings, your friend who also has a Delta Dental plan may have different covered benefits. Understanding your plan is the key to unlocking all of the benefits it can offer to you and your family.

Delta Dental offers both group plans and individual plans. Group plans are those typically sponsored by your employer or another organization, while individual plans are purchased by you independently. Delta Dental provides two types of dental plans — fee-for-service and HMO-type plans. Both provide reliable dentist networks and affordable preventive care.

Delta Dental PPO™ is our fee-for-service plan that allows plan members to visit any licensed dentist, anywhere. Covered services are paid based on a percentage, called a coinsurance. For example, if fillings are covered at 80%, you pay the remaining amount. Plans may have an annual maximum and deductible. Plan members get the most plan savings by visiting a PPO dentist.

DeltaCare® USA is our HMO-type plan in which members choose a skilled primary care dentist from the plan network to visit for care. This dentist will coordinate any referrals to a specialist. Covered services provided by the primary care dentist have preset copayments (listed in the plan booklet) and no maximums or deductibles.

Learn more about networks and what they do.

Not sure what network your plan uses? Log in to your online account and click Get to know your plan or Benefits. This will give you an overview of your plan type and let you see the network your plan uses. 

The best way to understand how your dental coverage works is to log in to your online account to see your specific coverage details. You can also check your plan booklet or policy to find the specifics of your coverage. No two benefit plans are the same. Most dental plans work within a benefit period, typically one year, that is not necessarily a calendar year (e.g., Nov. 1, 2019 to Oct. 31, 2020).  

You can also learn more about how dental benefits work by reviewing some important terms in our insurance terminology glossary.

If you and/or your family members are covered under two different dental plans, you will want to let your dental office know. Depending on your plan's coordination of benefits (which you can find in your plan booklet or policy), Delta Dental will coordinate with your other carrier to share the cost of your treatment. One plan will be considered your primary carrier and pay a larger portion of your benefits, leaving a smaller amount to your secondary carrier. Note that dual coverage doesn’t mean your benefits are doubled — but it can mean added savings on dental costs. Log in to your account for more information on dual coverage. 

If you or a family member needs help in a language other than English, Delta Dental can help. Language assistance is offered free of charge to members and provides customer service phone assistance in more than 170 languages, professional interpretation services to help you communicate with your dentist, written materials in non-English languages and more. 

As a Delta Dental member, you have access to preferred pricing on hearing aids and LASIK vision services through Amplifon or QualSight. To get the discounts, simply call Amplifon or QualSight. A dedicated representative will walk you through the program and help you pick a provider, make an appointment and receive your discount. Note that these are not plan benefits.

Visit our Health Care Exchange (Marketplace) FAQs to check your enrollment status, manage your exchange plan and learn more about how Marketplace plans work. 

Delta Dental now offers vision care benefits in partnership with VSP® for our Small Business Program. If you have a DeltaVision plan, you can learn more about your vision care benefits, find a network doctor or contact customer support at vsp.com when you create an account.

Find details about your plan

Get more details about your specific plan type and how best to use your benefits.

DeltaCare USA

Your DeltaCare USA plan offers budget-friendly costs you'll know ahead of time when you visit a general dentist at your selected primary care dental facility.

Delta Dental PPO

The Delta Dental PPO plan gives you the flexibility to visit any dentist while offering the most savings when you visit a dentist in our PPO or Premier networks.