|
Eligible CSU employees and dependents may enroll in
dental coverage that is currently paid by the CSU. Premiums are
generated through the payroll process and are paid on a monthly
basis. Two plans are available: Delta
Dental (indemnity plan) and DeltaCare USA (prepaid plan).
Delta Dental PPO (Indemnity Plan)
The CSU Delta Dental PPO Dental Program is an indemnity plan
under the Delta Dental Plan of California. There are three benefit levels
in this plan:
basic, enhanced level I and enhanced level II. The plan
sets the limits that it will pay for each specific type of dental
treatment. Members are responsible for paying any remaining balance
that might be due based on the type of dental treatment they receive.
Employees enrolled in the indemnity plan have the option of selecting
a dentist of his/her choice from either the Delta Dental Premier
Network in California, or a non-Delta dentist. Within Delta's Premier
network, there is a select group of dentists who also are members of
the Delta Dental PPO network. Dentists in the PPO network have agreed
to charge significantly lower fees than other dentists, and employees who select a dentist from the Delta Dental PPO network
will pay less out-of-pocket expenses and could save an average of 23 - 30%
on most services. Additional information is detailed in the "Two Dental Networks - Two
Ways to Save" brochure.
DeltaCare USA (Prepaid Plan)
There are two benefit levels in the prepaid plan:
basic and enhanced. The prepaid plan requires the
employee and their eligible dependents to use a dentist from a specific
list of dentists who contract with the selected prepaid carrier.
Most basic services are covered at low or no cost.
For additional infomation, please refer to the dental
administrative guide, the Delta Dental CSU specific website
or the appropriate CSU
collective bargaining agreements.
Dental Benefits
|