Dental Benefits
Delta Dental Premier PPO
Group Number 00470 - Bus Operators
Group Number 00339 - All Others
Customer Service: 800-765-6003
Website: www.deltadentalins.com
COVERED SERVICES
- Preventive Services (70%-100%) include oral examinations (2 per calendar year), x-rays, tests, cleanings (3 per calendar year) and flouride treatments
- Basic Services (70%-100%) include fillings, extractions, periodontal treatment, root canals and sealants
- Crowns, Jackets, Inlays and Cast Restoratoin Benefits (70%-100%)
- Prosthodontic Benefits (50%) include construction or repair of fixed bridges, partial dentures and complete dentures, implants
- Orthodontic Benefits (eligible children only - 50%) include procedures using appliances or surgery to straighten or realign teeth which otherwise would not function properly
Annual Maximum: $3,000
Lifetime Maximum for Orthodontic: $1,000
PLAN INFORMATION & NEWSLETTERS
For more information, please contact the HR Hotline at 415-257-4526 or email benefits@goldengate.org .