Dental

Tri-County Schools Insurance Group (Group No. 7084) offers two very distinct dental programs through Delta Dental Plan of California

To view the dental plan document select the following link: Delta Dental Plan. Acrobat Reader is needed to view this document.

In addition, Joint Powers Board approved on April 13, 2006, add an enhancement to the Delta Dental Premier program by adding an additional $250 to the annual benefit when you use the services of a Delta DPO/PPO dentist. For an example, if you have an annual maximum of $2,000 you have an additional $250 to use above your annual maximum, if you use a Delta DPO/PPO dentist.

The first is the long standing, popular plan referred to as the Delta Premier Plan. Under this program, Delta pays 70 percent of the approved fees for covered diagnostic, preventive, basic, cast and crown benefits during the first year you are eligible. This percentage will increase 10 percent each year (to a maximum of 100 percent) for each enrollee, provided that person visits the dentist at least once during the year. If any enrollee does not use the program during a calendar year, the percentage remains at the level reached the previous year. If an enrollee becomes ineligible for benefits and later regains eligibility, the percentage will drop back to 70 percent.

The second option was approved by the Executive Committee on March 28, 2000, and is referred to as the Delta Preferred Option (DPO). Under this program, Delta pays 100 percent of the approved fees for covered diagnostic, preventive, basic, case and crown benefits provided that the eligible enrollee has these services furnished by a dentist participating in the Delta Preferred Option (DPO) program through Delta Dental Plan of California. If the services are provided by a non-participating provider, covered benefits will only be reimbursed at fifty percent.

Phone: (530) 822-5299 or Toll-Free (866) 822-5299

Last modified: 04-22-08

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