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Delta Dental Plans

Delta Dental plans are not available for employees in Hawaii, Puerto Rico, or the American Territories.

Dental coverage is offered through Delta Dental. You can select from the Base PPO, Buy-Up PPO, or the DeltaCare DHMO plan options. If you select one of the PPO Plans, you can visit any licensed dentist to receive treatment under your plan, but you'll maximize your savings by visiting a dentist in one of Delta’s nationwide networks.

 

NSU/ICUBA offers the following dental plans through Delta Dental

 

Delta Dental DHMO (Dental care USA)
The DHMO plan provides flexible and affordable dental benefits with fixed copays for services, no annual maximum, and no deductibles. The DHMO is not available in all 50 states, please check coverage before making a DHMO election. You should see your DeltaCare USA primary care dentist for a referral to a DeltaCare USA orthodontist. If your plan requires pre-authorization of orthodontic treatment, your DeltaCare USA orthodontist will submit the paperwork for you.


Delta Dental PPO - Base Plan
The base plan has a $1,500.00 plan year maximum, individual and family deductibles, and coinsurance for basic and major services based on the level of network provider seen.
*Coinsurance applies after the individual deductible is met (applies per member)
You should see your DeltaCare USA primary care dentist for a referral to a DeltaCare USA orthodontist. If your plan requires pre-authorization of orthodontic treatment, your DeltaCare USA orthodontist will submit the paperwork for you.

 

 Delta Dental PPO - Buy-Up Plan
The buy-up plan has a $2,000.00 plan year maximum, individual and family deductibles, and coinsurance for basic and major services based on the level of network provider seen.
*Coinsurance applies after the individual deductible is met (applies per member).

   Download the Delta Dental Plan Brochure

 CLICK HERE FOR DELTA DENTAL FAQs

  To find a provider or for more detailed information on the plans

please contact Delta Dental at 800-521-2651

or visit their website at www.deltadentalins.com 

 

Dental Insurance from Delta will be updated on Wednesday following your new hire enrollment or the approval of the life event by the Office of Human Resources.
Example: A life event approved on Friday will be updated with Humana before the close of business on the following Wednesday and your benefit election will be active in their system on Thursday morning (actual effective dates of coverage are based on the life event documentation submitted).

2022 and 2023 Delta Dental Premiums

 

Delta Dental DHMO

Tier Monthly Bi-weekly
Employee Only $11.83 $5.92
Employee + One Dependent $23.73 $11.87
Employee + More than one dependent $36.85 $18.43

Download Delta Dental DHMO Plan Summary

Delta Dental PPO - Base Plan 

Tier Monthly Bi-weekly
Employee Only $23.80 $11.90
Employee + One Dependent $55.32 $27.66
Employee + More than one dependent $91.59 $45.80

Download Delta Dental Base Plan Summary

Delta Dental PPO - Buy-Up Plan

Tier Monthly Bi-weekly
Employee Only $41.69 $20.85
Employee + One Dependent $83.04 $41.52
Employee + More than one dependent $139.65 $69.83

Download Delta Dental Buy-Up Plan Summary

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