Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates
Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates
DeltaCare® USA
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Affordable dental coverage
With your DeltaCare USA plan, when you visit a network dentist, you get:
- Coverage for 350+ procedures
- Low or no-cost cleanings and exams
- All-inclusive, predefined copayments per procedure that represent lower negotiated dentist fees
- No deductibles, no waiting periods, no annual maximums and no paperwork for you to submit
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Find a dentist
Note: To receive benefits under your plan, make sure you visit a general dentist at your selected facility.¹ If you need to select or change your facility, log in to your account or contact us.
Get started
Prepare for a seamless visit to the dentist by creating an account and becoming familiar with your benefits.
Review your plan information anytime by creating a secure account (you may need to wait 4 hours after enrolling before you can register). You'll need your enrollee ID number — find this in your welcome letter or email. If you can't locate your enrollee ID number, enter your Social Security number with no dashes or spaces. Having trouble? Contact us.
When you log in, you can:
- Check eligibility and coverage for you and your family members
- Find a dentist and select or change your general dentist facility
- Get your plan ID card (though you don't need one to get care)
- Review details about past visits
- Choose to go paperless and receive plan documents online
Benefits and costs
To receive coverage, you must visit a DeltaCare USA network general dentist. If you selected a DeltaCare USA general dentist during open enrollment or when you purchased your plan, that is your assigned dentist you will need to visit to receive benefits.
You can find your assigned general dentist or facility by logging in to your online account or checking your welcome letter. If you have not yet been assigned to a DeltaCare USA general dentist, you can do so by visiting any DeltaCare USA general dentist that is accepting new patients. When your selected dentist files a qualifying claim, you will be added to their roster, and they will become your assigned DeltaCare USA general dentist. Once assigned, you must visit this dentist for future general dentist visits to receive benefits.
If you live in one of the states listed, you do not need to be assigned to a general dentist, but you must visit a dentist from the DeltaCare USA network in your state: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT or WY.
You can review details about your benefits and what's covered, including cost, prior to visiting the dentist by logging in to your online account. After each dental visit, you will be able to view visit details, including treatment information and copayments, in your online account or Explanation of Benefits (EOB).
Need to change your assigned dentist? Log in to your online account or contact us.
Plan overview
Coverage: You’re covered for more than 350+ procedures² - including low or no cost for preventative services (cleanings and exams). You pay fixed prices (also known as copayments) for each covered procedure.
In-network dentist: You must visit your assigned DeltaCare USA general dentist to receive benefits. Services provided by an out-of-network dentist will not be covered (except for emergencies and if you live in certain states¹). For additional information, please see the FAQ on this page, "How do I know what dentist I can visit?"
Specialty care: When specialty dental care is needed, your general dentist will refer you to a trusted specialist in the network.
Pediatric specialist: Dependent children covered under a DeltaCare USA plan have the option to seek dental care from a pediatric dentist through the age of 13, whether or not the child has an assigned general dentist. Referrals to visit a pediatric specialist are not required. If the pediatric dentist determines that additional specialty care is needed, they may refer pediatric patients directly to other specialists, such as an orthodontist. At age 14, covered dependent children must obtain care from their assigned DeltaCare USA general dentist.
Orthodontics: Your assigned DeltaCare USA general dentist will coordinate your referral to an in-network DeltaCare USA orthodontic specialist. Your plan covers children and adults for all phases of orthodontics. If you (or a dependent) began orthodontic treatment under a previous dental plan, you may be able to continue treatment with the same orthodontist if tooth movement has begun. For additional information, see the Orthodontic coverage section on this page.
No deductibles: Your plan starts paying right away – no need to pay this out-of-pocket cost for your coverage to start.
No maximums: There is no annual maximum to limit your coverage.
To find a dentist, log in to your online account and select Find a dentist. From there, note the facility name of your chosen dentist and return to the home page in your account to select or change your general dentist facility (you can always log in anytime if you forget your facility name). You can visit any DeltaCare USA general dentist at your selected dental facility as long as they are in the DeltaCare USA network.
Contact the dental facility to schedule your appointment and confirm that the general dentist you will visit is part of the DeltaCare USA network. Note: Not all dentists at a facility may be an in-network DeltaCare USA general dentist.
To select or change your general dentist facility, log in to your online account, then:
- In the Your dental facilities section, choose Select facility (or Change facility if you already have one).
- Search by ZIP code, select a facility by entering the six-digit facility ID, or have the system automatically assign the facility closest to your address.
- Submit your selection.
You can change your facility at any time. If you submit a selection or change from the first through the 15th of the month, you can start visiting the new facility right away. If it's the 16th of the month or later when you submit your change, you can start visiting the new facility on the first day of the next month.
Note: You and your dependents can choose different DeltaCare USA general dentists.
If you have dependents on your plan, you can also select or change their facility in one of two ways:
- To select the same facility for all: On the Select a facility page (step 2), check the box next to each dependent's name in the Add other members (optional) section.
- To select a different facility for each dependent: From the home page, choose the dependent's name from the drop-down list and then Select facility or Change facility. Follow the same three steps to submit the facility selection.
Note: For adult dependents, they'll need to make their own selection or authorize you first (for more details, see Frequently asked questions).
Visiting the dentist
When you need dental care, contact your selected facility to schedule an appointment with your general dentist³. If you choose to visit a facility other than your selected facility, even if the dentist is a DeltaCare USA dentist, you won’t receive any plan benefits (unless you live in certain states¹).
When specialty dental care is needed, your general dentist will refer you to a trusted specialist in the network. If you visit a specialist without a referral from your general dentist, you'll need to pay out of pocket, even if the specialist is in the DeltaCare USA network (except in certain states¹). Children can see a pediatric specialist through age 13 without a referral.
If you experience a dental emergency, your plan includes emergency dental service coverage for out-of-area emergencies⁴. For details, refer to your Evidence of Coverage or plan booklet. In certain states, you can visit any licensed dentist and receive out-of-network benefits¹. Any other out-of-network care is not covered.
Orthodontic coverage varies depending on your plan, so be sure to log in to your account to review your coverage. To begin treatment, you'll need a referral to a DeltaCare USA orthodontist from your general dentist at your selected facility or for pediatric members through age 13, their pediatric specialist. Your orthodontist will submit any paperwork that's needed for pre-authorization, and they'll give you an initial estimate of costs with your treatment plan. Whenever you visit your orthodontist, you'll simply pay the copayment for covered services and you won't need to submit any claims.
If you (or a dependent) began orthodontic treatment under a previous dental plan, you may be able to continue treatment with the same orthodontist if tooth movement has begun. Not all plans include orthodontic treatment in progress coverage, so be sure to review your Evidence of Coverage or plan booklet. If your plan does include this coverage, ask your orthodontist to complete and mail the DeltaCare USA continuous orthodontic coverage form (PDF, 27 KB). Spanish version: Cobertura continua de ortodoncia con su plan DeltaCare USA (PDF, 36 KB).
Frequently asked questions
Find more information and answers to common questions about DeltaCare USA plans.
Log in to your account. From there you can get your ID card and print it out, or you can show the mobile version to your dentist's office when you go in for treatment. Keep in mind that you don't need an ID card to get care — the dentist office can look you up in the system and they'll know you're covered.
If you have an assigned DeltaCare USA general dentist: Contact your selected general dentist’s dental facility to schedule your appointment.
You can visit any general dentist at your selected dental facility, but ensure the dentist is in the DeltaCare USA network.
If you are new to DeltaCare USA and are not yet assigned to a general dentist, you can select a general dentist online by logging in to your account and using the Find a dentist tool to choose your dentist, then return to the home page of your account to select the facility associated with that dentist.
Or, if you are not assigned to a DeltaCare general dentist or facility, you can schedule an appointment with any DeltaCare USA general dentist that is accepting new patients. When your selected dentist files a qualifying claim you will be added to their roster and they will become your assigned DeltaCare USA general dentist. Once assigned, you must visit this dentist for future visits to receive benefits.
For Pediatric members see the “Need a Specialist” FAQ.
If you live in one of the states listed, you do not need to be assigned to a general dentist, but you must visit a dentist from the DeltaCare USA network in your state: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT or WY.
Not sure if you have an assigned general dentist or you can’t recall which facility you selected? Log in to your account or check the welcome letter that was mailed to you. You can also contact us.
If you want to change your assigned DeltaCare USA general dentist: You can change your general dentist anytime online or by phone. If you would like to make a change, follow the steps in the “I have a DeltaCare USA plan. How do I choose my dentist?” FAQ to select a new general dentist facility.
Be sure that your facility change has taken effect before you visit the new dentist, or you may not be covered. If you submit your selection from the first to the 15th of the month, you can start visiting the facility right away. If you submit your selection or change from the 16th to the end of the month, you can start visiting the facility on the first of the following month.
No, you can select different facilities for different family members⁵. When you log in to your account to select or change a facility, you'll have the option to add other family members to your selection. Or you can select a different facility for them by choosing their name from the drop-down list on the home page. You do not need to select a general dentist facility for your pediatric dependent if they are seeing a DeltaCare USA pediatric specialist for routine care (through age 13).
Note: Adult dependents must select their facility through their own online account, unless they authorize you to view their information and select or change their facility.
Your adult dependent can print, complete and submit a signed HIPAA authorization form (PDF, 38 KB). They can also log in to their online account (they'll need to register first), select My account and then choose Yes for the statement, Enrollee can view my treatment details. After they select Save, you'll be able to log in to your account and select a facility for your adult dependent, as well as view their treatment details.
Check to see if your dentist is in your DeltaCare USA network. You can use our Find a dentist tool (or log in to your account) to search your DeltaCare USA network by your dentist's name or the facility name.
If the dentist is in your network, before you schedule an appointment, you'll need to log in to select your dentist's facility as your general dentist facility¹. If your dentist is not in the network, you'll need to find a new DeltaCare USA network general dentist. You can select a new in-network general dentist by following the steps in the “I have a DeltaCare USA plan. How do I choose my dentist?" section to select a new general dentist facility.
Two to four weeks⁶ is a typical amount of time to schedule a routine, non-urgent appointment. If you require a specific time of day for your visit, you may need to wait longer. Most DeltaCare USA dentists are in private group practices, which generally offer better appointment availability and may offer extended office hours.
To look for a facility that has extended hours, follow the steps to select or change a facility and search by ZIP code, then choose View to check out each facility's office hours and other details. You can also search our Find a dentist tool (enter your location, choose your DeltaCare network from the drop-down list and select the search icon) then choose Refine search to filter by extended office hours. Just make sure you've selected that dentist's facility as your general dentist facility before you visit.
Your plan covers some diagnostic and preventive services, like cleanings and exams, at low or no cost, and other covered services require that you pay set copayments for each procedure. To find out how much a specific treatment will cost at any time, refer to the list of covered procedures and copayments in your Evidence/Certificate of Coverage or plan booklet. You can also log in to your account and select Benefits details.
For most dental treatment that's in progress when your DeltaCare USA coverage begins, you or your previous carrier are responsible for the cost of completing the treatment. This includes, but is not limited to, root canals, crowns or bridge work.
For orthodontic treatment, some DeltaCare USA plans include a treatment-in-progress provision that may allow active treatment (tooth movement has begun) to continue with the current orthodontist at your previous plan's copayments and fees. Find more details in the Orthodontic coverage section on this page.
If your DeltaCare USA plan is through your employer, notify your employer first, then contact us so we can be sure your benefits are up to date. If you purchased your own plan, you can log in to your account to update your address or contact us. Note that moving to another state may affect your premium and the dentist selection process.
Need to contact us?
If you have other questions or need help finding a facility, contact DeltaCare USA Customer Service by phone. You can also send a web support request.
800-422-4234 (TTY/TDD: 711)
- If you are in the state of WY, you do not need to select a general dentist dental facility, but you must visit a DeltaCare USA dentist to receive benefits. If you’re in any of the following states, you do not need to select a general dentist facility, and you can maximize your savings when you visit a DeltaCare USA dentist, although you may visit any licensed dentist and receive out-of-network coverage: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT. If you're in the state of ID, you do need to select a general dentist facility, and, while you can maximize your savings when you visit a DeltaCare USA dentist, you may visit any licensed general dentist and receive out-of-network coverage. Refer to your plan booklet for details about out-of-network benefits.
- The number of covered procedures varies by plan.
- Verify that the dentist is your selected DeltaCare USA general dentist before each appointment. In the following states, you can change your dentist any time without contacting Delta Dental: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT, WY.
- You may have to complete a claim form if you visit an out-of-network dentist, such as for limited emergency treatment or if you live in the following states: AK, CT, ID, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT.
- In MA, you cannot select more than three general dentist facilities per family.
- In TX, three weeks is a reasonable amount of time to wait for a routine, non-urgent appointment.
DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania; VA — Delta Dental of Virginia. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.