Founded in 1955, Delta Dental is the nation’s largest and most experienced dental benefits provider. As a not-for-profit health care service plan, Delta Dental offers members a full spectrum of plan designs including HMO, PPO, and managed fee-for service options.
The Delta Difference benefits members through lower out-of-pocket costs in utilizing an extensive provider network, free pre-determination of services to ward off financial surprises,
guaranteed co-payments that preempt balance billing, and the convenience that comes from Delta’s handling of all claims paperwork.
The Delta Program of Strategies for Small Businesses offers two choices:
Classic Plan Designs for 5-49 employees
Options Plan Designs for 50-99 employees
Both programs make available 4 plan designs to address employer and employee needs:
- Delta Dental Premier (FFS)
- Delta Dental PPO
- DeltaCare (HMO)
- Delta Dental Voluntary PPO
Delta Dental Premier (FFS)
A managed fee-for-service plan, Delta Dental Premier offers optimal freedom of choice through agreements with over 91% of dentists in the state of California. Members may visit any licensed dentist; out of pocket costs are kept to a minimum by visiting a Delta dentist. Delta Dental Premier can solve employer needs for out-of-state and worldwide coverage.
Delta Dental PPO
Delta Dental PPO offers the advantages of a fee-for-service plan with significant in-network provider savings. Members save money by utilizing over 12,200 Delta PPO locations in California, or can access any non-contracted provider at a higher rate for services provided.
DeltaCare*
A value-added DHMO plan with zero to no co-payments, and no deductibles or annual maximums, DeltaCare provides up to three cleanings a year, comprehensive orthodontia treatment, and orthodontia takeover from other plans. A full service, affordable option for dental care, the DHMO network provides access to over 2,300 dentist locations in California.
Delta Dental Voluntary PPO
Available to groups of 5-99 employees, the Voluntary Plan is open to all industries. Waiving the $50 annual deductible for diagnostic and preventive services, and offering optional child orthodontic coverage to groups of 25+ enrollees, this plan from Delta presents another way to enhance the group benefits portfolio.
Delta also offers the opportunity puts together the value of a dental HMO with the freedom of a managed fee-for-service plan. Combining a flexible dual-choice product with one blended premium, members have the opportunity to move from one dental plan design to another – and back – throughout the existing plan year.
Serving as a resource to benefits managers, enrollees, brokers, dentists, the public and media, Delta Dental’s website offers information about Delta products & services; dental health information, education & trends; and online customer service. It offers the dentist directory, online identification cards, Spanish enrollment pages, and more.
Defining new options for complete benefits packages, small groups with Delta Dental plan coverage may now choose to place EyeMed Vision Care for each Delta enrollee.
A leader in vision plan administration, EyeMed provides competitively priced coverage, comprehensive plans, and access to over 23,000 providers at over 12,000 California locations.
Providing convenient locations, extended hours and one-hour service through name brand outlets - such as LensCrafters, Site for Sore Eyes, Sterling Optical and other recognizable names - members now manage to add quick, efficient, professional and affordable vision care into their budget and busy day.
An affordable, high-value plan, EyeMed plans include these key features:
- Up to 45% overall savings on eye care & eyewear.
- Choice of any frame, with no restrictions on brand or manufacturers
- New frames may be purchased every plan year
- Frames and contact lenses may be purchased in the same plan year
- 15% discount on Lasik surgery
- Secondary Purchase Plan offers up to 45% off additional eyewear purchases after initial plan has been used
EyeMed provides phone access to live customer service 7 days a week; along with automated phone lines to help locate providers and list member benefits.
Online, members can view eye care and eyewear information, view their specific benefits package, see what services are available to them, and locate a provider by zip code.
Contact Claremont Insurance Services at 800.696.4543 or info@claremontcompanies.com
for more details.
