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We offer an
individual or voluntary dental plan through
DeltaCare PMI.
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With DeltaCare, you select one conveniently
located network dentist to provide dental care for you and your
family. You pay a small copayment or, for some services, no
copayment. There are no deductibles or maximums and virtually no
claim forms to worry about. |
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Please read the following
information so you will know how to get dental care under the DeltaCare
program.
Please follow this link to search for DeltaCare Providers.
About DeltaCare
PMI offers a dental HMO program, DeltaCare, to take care of the dental
care needs for you and your family. The DeltaCare program focuses on
preventing dental problems and assuring the delivery of quality dental care.
PMI has contracted with a
network of dental offices.
Please follow this link to search for DeltaCare Providers. As an
enrollee in the DeltaCare program, you select one office for your entire
family's needs. PMI's network of dental offices is composed of established
dental practices.
Who Can Join
As a California resident, you are eligible to join the Small Business
Benefit Plan Trust, Wolfpack Insurance Services DeltaCare program.
Your eligible dependents include your lawful spouse and unmarried children
under 19 years old (up to 23 if a full time student), including stepchildren
and children placed with you for adoption or foster care. An unmarried
child 19 years of age or older may continue to be eligible as a dependent if
incapable of self-support because of physical handicap or mental retardation
that commenced prior to age 19, provided that the person is legally residing
with and dependent upon the eligible member, and PMI received notice of the
disability.
No Claim Forms
The dental location you choose provides all primary dental services. There
are no claim forms to complete or percentage of usual charges for you to
pay.
No Deductibles
With the DeltaCare program, there are no required deductibles so pay, so
your benefits begin immediately.
No Dollar Limit of Dental
Benefits
No annual maximum
No Pre-Existing Condition
Restrictions
Pre-existing conditions are not excluded in the DeltaCare program.
Exception: work in progress.
Prepaid Program Saves on
Dental Costs
Your out-of-pocket savings could be substantial. You know the exact cost
prior to treatment, allowing you to predict future dental expenses.
When you enroll in this program, you are enrolling for a period of one
year. This does not apply if your employment is terminated.
Emergency Services
Out-of-area dental emergencies are covered up to a maximum of $100.00. "Out
-of-area' means 35 miles of more from your PMI participating dentist's
office.
Quality Review of Dental
Providers
On-site audits of participating dental locations ensure that established
standards of quality are maintained.
Specialty Services
The DeltaCare program offers services in dental specialty areas. These
include periodontics (treatment of diseased gums and bone), endodontics
(root canal therapy) and oral surgery procedures. If an enrollee is
assigned to a dental school clinic for specialist services, those services
may be provided by a dentist, a dental instructor a clinician or a dental
student under the supervision of a dentist.
The DeltaCare program provides all reasonable and customary dental care
(subject to the provisions, limitations and exclusions and governing
administrative policies shown in the Combined Evidence of Coverage and
Disclosure Form) if care is provided by your assigned PMI network dentist.
When you enroll in
DeltaCare,
Please follow this link to search for DeltaCare Providers and select a
DeltaCare Provider to take care of the dental needs for you and your
family. After you have enrolled, you will receive a Combined Evidence of
Coverage and Disclosure Form that fully describes the benefits of your
dental program, and a DeltaCare membership card. This card will have the
address and telephone number of your participating network dentist. To
receive all necessary dental care covered by the program, simply call you
selected dental office to make an appointment.
Remember to always contact
your network dentist. Dental services which are not performed by this
dentist or are not authorized in advance by PMI will not be covered under
the DeltaCare program. |