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Texas A&M University SystemDental Benefits Program2 Options: PPO & DHMOWelcome to Delta Dental!
WhyDelta Dental?
Click to editMaster title styleTogetherwe shine98%of enrollees are satisfiedwith Delta Dental99%of enrollees stay withDelta Dental
Learn aboutyour plans
TAMUS PPO PlanYour Network OptionsThe Delta Dental Difference
DeltaDentalClick toeditPPOMaster title styleThe Delta Dental Difference Delta Dental PPODelta Dental Premier Non–Delta Dental
NetworkadvantageClick to editMaster title styleThe Delta Dental Difference 2 levels of savings:PPO network41%average discount 160,000 network dentistsPremier network 352,000 locationsaverage discount 8 in 10 U.S dentists are in theDelta Dental PPO or Premiernetwork29%
Choosesave title styleClick toPPOedittoMasterClaim example: crown, covered at 50%Delta DentalPPODelta DentalPremierNon–DeltaDentaldentistDentist charges 1,095 1,095 1,095Plan allowance 677 825 1,095Your plan pays 339 413 548You pay 338 412 547This is for illustrative purposes only. Assume no maximums or deductibles apply.
Texas A&M University SystemDental PPODelta Dental PPO
YourcoverageClickPPOto editMaster title styleDeductibles and maximumsDelta Dental PPODeductiblePer plan year 75 per person 225 per familyWaived for D&P servicesAnnual maximum 1,500 per personOral Surgery 1,500 per personOrthodontic 1,500 per personPer plan year for Basic & Major servicesLifetime maximumLifetime maximumD&P services waivedfrom annual maxLifetime 1xLifetime 1x
YourcoverageClickPPOto editMaster title styleWhat’s covered: Diagnostic and preventive careDelta Dental PPODental exam(3x per plan year)Cleaning(3x per plan year)Sealants(under age 16)Plan pays 100%Plan pays 100%Plan pays 100%
SavebenefitdollarswithtitleD&PstyleMaximum Waiver Clickto editMasterVisit your dentist for diagnostic and preventive care without affecting your annual maximumDentaltreatmentDelta DentalpaysYou payMaximumremainingWithout D&PMaximumWaiver 350 0 1,150With D&PMaximumWaiver 350 0 1,500
YourcoverageClickPPOto editMaster title styleWhat’s covered: Basic servicesDelta Dental PPOYour plan paysAmalgam (silver) filling, backtoothPlan pays 80%Resin (white) filling, front toothPlan pays 80%Root canal, back toothPlan pays 80%Oral surgeryPlan pays 80%Night GuardPlan pays 80%
YourcoverageClickPPOto editMaster title styleWhat’s covered: Major services and prosthodonticsDelta Dental PPOYour plan paysCrownsPlan pays 50%Complete upper denturePlan pays 50%Complete lower denturePlan pays 50%BridgePlan pays 50%Dental implantPlan pays 50%
YourcoverageClickPPOto editMaster title styleWhat’s covered: OrthodonticsDelta Dental PPOYour plan paysComprehensiveorthodontics (child)Comprehensiveorthodontics (adult)Plan pays 50%Plan pays 50%
Pre-treatmentestimateClick to edit Mastertitle styleIt’s easy to plan for dental expenses
Click to editcoverageMaster title styleEmergency
PPOPlanClick to edit Master title styleContact Customer ServiceGet help by phone or online Call us toll-free at 800-521-2651 Speak to a Customer Servicerepresentative Monday throughFriday, 8 am to 8 pm EST For simple questions, use ourautomated phone system, available24/7 Ask online: Go to deltadentalins.com Contact Us. Then follow the promptsor fill out the Customer Service Form.
DeltaCare USA – Dental HMO Plan
ltaCare USA - Dental HMO Plan: a prepaid, fixed copayment planOnce enrolled, select a primary dentist fromthe DeltaCare USA network to start enjoying: Set copays No annual maximums No deductibles No claims Low premiums For a complete list of copays & limitations visit:https://www.deltadentalins.com/tamus/ Not all locations offer Dental HMO so please askyour HR representative if in doubt.
HowUSA – DentalHMO Plan worksClickDeltaCareto edit Mastertitle styleGetting dental care is easy
Specialtyand emergencyClick to editMaster titlecarestyleDeltaCare USA - Dental HMO Plan If you need specialty care, yourprimary care dentist will refer you Your primary care dentist requestsauthorization for specialty services Plan includes out-of-networkcoverage for emergencies
Howor changeClicktotochooseedit MastertitleyourstyleDental HMO dentistDeltaCare USA networkGo to deltadentalins.com Browse the DeltaCare USA network for a dentists near you in one of the following states only:California, Colorado, District of Columbia, Florida, Georgia, Maryland, Minnesota, New York, Tennessee, Texas, Utah. Write down the facility number of the primary care dentist you would like to see. **To submit your request for a primary provider or change your provider by: Calling Customer Service: 800-422-4234 (recommended) Online: Create an online account at deltadentalins.com through yourmember portal and submit facility number Any PCP dentist changes made by the 21st of a month will take effect onthe first of the following month. (providing approval is met)**If changing your primary PCP, informing Delta Dental is required prior to setting an appointment.Not all states are eligible for a provider change on the TAMIS Dental HMO plan.
AllaboutbracesClickto editMaster title styleDeltaCare USA – Dental HMO Plan Orthodontic coverage for children and adults All phases of orthodontic treatment arecovered Pre-and post-records Tooth extractions Coverage for in-progress treatment
What’sClick tocoverededit Master title styleYour DeltaCare USA – Dental HMO planDeductibles and maximumsNoneDiagnostic and preventive servicesCleanings (once each 6 months) 5Exams 0Bitewing x-rays 0
What’s(continued)Click tocoverededit Mastertitle styleYour DeltaCare USA – Dental HMO planBasic servicesAmalgam fillings (one surface) 8Root canals (Anterior, excluding final restoration) 125Scaling and root planning 60(per quadrant, limited to 4 per 12 consecutive months)Major servicesCrown (porcelain/ceramic substrate) 395Complete Denture (maxillary) 365
What’s(continued)Click tocoverededit Mastertitle styleYour DeltaCare USA – Dental HMO planComprehensive orthodontic treatmentChildren(Child or adolescent to age 19)Adults(including dependent adultchildren covered to age 25) 1,900 copayment plus preand post-treatments costs 2,100 copayment plus preand post-treatments costs
DeltaCare USAClick to edit Master titleDentalstyleHMO Plan Limitations DeltaCare USA Network: Only DeltaCare USA network providers within states covered by the TAMUS dentalHMO plan are available to administer services. Initial enrollment: The member can select a Dental HMO Primary Care Provider (PCP) or upon the initialenrollment, Delta Dental will assign a Dental HMO PCP dentist. Delta Dental must be notified and approveany PCP changes following the initial assignment. Designated PCP: Enrollees must use their assigned PCP to receive benefits from the Dental HMO plan. The member must reside in one of the following states to participate in the TAMUS Dental HMO plan:California, Colorado, District of Columbia, Florida, Georgia, Maryland, Minnesota, New York, Tennessee, Texas, Utah
DeltaCare USA – Dental HMO PlanClick to edit Master title styleContact Customer ServiceGet help by phone or online Call us toll-free at 800-422-4234 Speak to a Customer Servicerepresentative Monday throughFriday, 5 am to 6 pm PST For simple questions, use ourautomated phone system, available24/7 Ask online: Go to deltadentalins.com Contact Us. Then follow the promptsor fill out the Customer Service Form.
Web and mobileresources
It’s easy to keep your smile with Delta Dental!31Video
CheckoutyourcustomtitlewebsiteClick toeditMasterstyle Get answers to common questions about your dental plan on your custom Delta Dental website:deltadentalins.com/tamus
Value-added featuresSavings you can see and hear
Accessaid andtitleLASIKdiscountsClick tohearingedit MasterstyleNow available to you and your dependentsAmplifon HearingHealth CareQualSight62% average savings off retailhearing aid pricing40-50% off traditional LASIKeye surgery
AmplifonprogramfeaturesClick to editMastertitle styleamplifonusa.com/deltadentalins Access to the best hearing aid prices, guaranteed Choice of top hearing aid brands Thousands of hearing care providers1 Industry-leading support for your purchase1Amplifon Hearing Health Care provider file, February 2019
tyleSimply call or register onlineCall Amplifon at888-779-1429.A Patient CareAdvocate willguide you.Amplifon willactivate yourhearing aiddiscounts.
QualSightprogramfeaturesClick to editMastertitle stylequalsight.com/-delta-dental Access to 40-50% off traditional LASIK pricing1 1,000 LASIK locations2 Experienced and credentialed LASIK surgeons Pre- and postoperative visits are includedRefractive Quarterly Update, Market Scope LLC, November 2018.Discounts or savings may vary by provider.2 QualSight provider file, February 2011
Clickto editMastertitle styleGetstartedwithQualSight Save up to 50% off traditional LASIK pricing1 1,000 LASIK locations2 Experienced credentialed LASIK surgeons Pre- and postoperative visits are includedRefractive Quarterly Update, Market Scope LLC, November 2018. Discountsor savings may vary by provider.2 QualSight provider file, February 20191
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Texas A&M University System Dental Benefits Program . 2 Options: PPO & DHMO . Why . Orthodontics. Delta Dental PPO. Your plan pays. Comprehensive orthodontics (child) Plan pays 50%. . Colorado, District of Columbia, Florida, Georgia, Maryland, Minnesota, New York, Tennessee, Texas, Utah .
