With the Dental Health Maintenance Organization (DHMO) plan through Delta Dental, you are required to select a primary care dentist to provide your dental care. You will contact your primary care dentist for all of your dental needs, such as routine check‐ups and emergency situations. If specialty care is needed, your primary care dentist will provide the necessary referral. For covered procedures, you'll pay the pre‐set copay or coinsurance fee as outlined in the DHMO summary. The summary plan will outline the applicable copays for all dental services covered under the plan. Please refer to the summary plan when utilizing your dental care.

Member Services (800) 422-4234​

Evidence of Coverage

• Delta Care - Evidence Of Coverage 2023​

Summary Plan Description

• DeltaCare Dental HMO Summary 2023
  

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