We’ll do whatever it takes and then some.
SCCA(STD)
Welcome to DeltaCare USA — quality, convenience, predictable costs
DeltaCare USA (administered by Delta Dental Insurance Company) provides you
and your family with quality dental benefits at an affordable cost. The
DeltaCare USA program is designed to encourage you and your family to visit the
dentist regularly to maintain your dental health.
When you enroll, you select a contract dentist to provide services. The
DeltaCare USA network consists of private practice dental facilities that have
been carefully screened for quality.
Enroll in DeltaCare USA and you’ll enjoy these features:
Quality
• Extensivebenetsfor
you and your family
• Norestrictions
onpre‑existing
conditions,exceptfor
work in progress
• Large,stablenetwork
of dentists, so you
can enjoy a long‑term
relationship with your
dentist
Convenience
• Noclaimformsto
complete
• Easyaccessto
specialty care
• Expandedbusiness
hours for toll‑free
customer service,
from 5 a.m. to 6 p.m.,
Pacific time
Predictable costs
• Nodeductibles
• Out‑of‑pocketcosts
are clearly defined
• Out‑of‑areadental
emergency coverage
up to $100 per
emergency
• Noannualorlifetime
dollarmaximums
Administered by Delta Dental Insurance Company
DeltaCare
®
USA – provided by Delta Dental of California
A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION
Find a DeltaCare USA dentist
We’ll do whatever it takes and then some.
Select from among
the many conveniently
located DeltaCare USA
contracted general
dentists. To find the
most current listing of
DeltaCare USA dental
offices you can:
Visit our website at
deltadentalins.com/
enrollees. Under Find a
dentist, select DeltaCare
USA as your network.
OrcallCustomerService
at 800-422-4234
for help in finding a
DeltaCare USA dentist.
HL_DCU_CA10A_V14_02.24.2014
HMO Dental Coverage
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"
)#%# *&
 400<55<53<"2
="">""+7?":
 ''
"
NOTE: THIS IS ONLY A BRIEF SUMMARY OF THE PLAN.
TheGroupDentalServiceContractmustbeconsultedtodeterminetheexactterms
and conditions of coverage. An Evidence of Coverage will be sent to you upon
enrollment. If you wish to review an Evidence of Coverage prior to enrollment, you
may request a copy by calling Customer Service at 800-422-4234.
In California, DeltaCare USA is underwritten by Delta Dental of California and
administered by Delta Dental Insurance Company. These companies are financially
responsible for their own products.
Customer Service
800‑422‑4234
Monday through Friday
5 a.m. to 6 p.m., Pacific time
Provided by:
Delta Dental of California
17871ParkPlazaDrive,Suite200
Cerritos,CA90703
Administered by:
Delta Dental Insurance Company
P.O.Box1803
Alpharetta,GA30023
deltadentalins.com/enrollees
A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIAT
ION
800‑422‑4234
DeltaCare USA Customer Service
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