EMPLOYEE BENEFITS / DENTAL

Recent Updates

We’ve enhanced the following:

Dental Plans (Effective January 1, 2022):

  • Diagnostic and Preventive Waiver means you can get your exam, cleaning, and x-ray without affecting your annual maximum
  • Additional Exam per year
  • Cone beam CT coverage added when needed
  • Sealant and space maintainer age limits increased
  • Congenitally missing teeth coverage added

Delta Dental Customer Service: (866) 499-3001

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

Tri-County Schools Insurance Group (Group No. 7084) offers 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.

Delta Dental Image
where id card

Where’s My ID Card?

If you’ve been looking for your dental plan ID card, we have good news for you: You don’t need one!

Just tell your dental office the Delta Dental company through which you receive benefits and provide your name, your date of birth, your enrollee ID number (or Social Security number) and the name of your employer.

Got dependents on your plan? Tell them to provide your details.

Want an ID card anyway?

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Print one from your computer
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Pull it up on your smartphone
  • Download the Delta Dental app (by the Delta Dental Plans Association) from the App Store or Google Play
  • Log in > Select My ID card

Why Get Dental Coverage?

Thinking of signing up for dental benefits? Here’s why you should say yes to dental.

Why get dental coverage

Take care of your teeth:

  • You’re more likely to visit the dentist if you have dental insurance. Only half of people without dental coverage visit the dentist at least once a year. With coverage, that number jumps to almost 80%. Delta Dental Oral Health and Well-Being Survey, 2014
  • Stop decay before it starts. When you visit the dentist for regular cleanings and exams (covered at low or no cost under any dental plan), you’ll cut your risk of cavities and help identify problems before they get painful and expensive.
  • Prevent serious oral health risks. Your dentist can also catch major problems like gum disease and oral cancer.

Stay healthy:

  • Protect your teeth, protect your body. Keeping your gums healthy can lessen the impact of systemic illness, such as diabetes, heart disease, and rheumatic arthritis.
  • Identify disease early. The mouth is a mirror, reflecting information about your whole body. Your dentist can identify signs of dozens of medical conditions with oral symptoms, from osteoporosis to acid reflux.

Save money:

  • Invest in preventive care. Left untreated, a small cavity can balloon into a pricy problem, requiring a crown, root canal, or dental implant. Dental coverage makes it easy to get the exams and cleanings you need to save you money down the road.
  • Pay less for dental needs. From basic to major procedures, insurance lets you pay a fraction of the cost you’d have to pay if you weren’t covered.
  • Don’t miss out. Did you know that employed adults lose more than 164 million hours of work each year due to oral health problems? When you treat dental issues in time, you avoid racking up hours in unpaid leave.

Feel better:

  • Get peace of mind. When you have dental insurance, you’re prepared for the unexpected.
  • Look better. Maintaining your dental health can improve your overall appearance and boost your confidence.
go pro dental

WHY CHOOSE A PPO DENTAL PLAN

Go PPO! 6 great reasons to stay in-network

Your Delta Dental PPO™ plan lets you visit any licensed dentist, but you’ll maximize plan value by taking advantage of our robust, nationwide PPO network.1 Here are six great reasons to “go PPO”:

1 Greater savings. PPO dentists have agreed to reduced fees, which leaves more money in your pocket. You can find a PPO dentist at deltadentalins.com.

2 Quality assurance. Make sure your smile gets the care it deserves. We monitor PPO dentists to ensure proper licensing, cleanliness, and safety procedures.

3 No balance billing. PPO dentists can't charge you more than their set fees. Out-of-network dentists may bill the difference between their usual fee and Delta Dental's contracted rate — a process known as "balance billing."

4 Avoid unbundling. PPO dentists agree not to "unbundle" services that are part of a treatment, like tooth preparation or local anesthesia. Out-of-network dentists may charge for these services separately, making overall costs higher.

5 Less paperwork. PPO dentists handle all claim forms and other paperwork for you. If you choose an out-of-network dentist, you may need to submit a claim yourself.

6 No prepayment required. When you choose a PPO dentist, you'll pay only your portion of the bill. We'll pay our share directly to your dentist. Out-of-network dentists may require you to pay the full cost of treatment upfront and request reimbursement from Delta Dental.