Dental HMO Plan
Associate Faculty are eligible to participate in a pre-paid DeltaCare Dental HMO. The program requires members to go to an in-network DeltaCare primary care dentist. See instructions below.
DeltaCare HMO Group #71691-00177
Enrollment Resources
Benefit Summary Delta Care HMO Part TimeDelta Care Memo Rates Eff 01 01Deltacare EnrollmentEvidence of Coverage Delta Care HMO Part Time FacultyFind A Provider Deltacare Part Time
2024 Monthly Rates
| Participants | Cost |
|---|---|
| Employee Only | $22.76 |
| Employee plus 1 dependent | $37.54 |
| Employee plus 2 or more dependents | $57.98 |
Rates are subject to change at policy renewal each January.
Important information
- When you enroll, please be sure to note on the form your primary care dentist choice. If you do not do this, you will be auto-assigned to a primary care dentist based on your home address.
- All care must be coordinated by the primary care dentist.
- Many benefits are paid at 100%, with some benefits subject to co-payments.
- Associate faculty are eligible to enroll in the DeltaCare Dental HMO Plan within a 30-day window of the start of Fall or Spring semester.
- Within this window, applications received by the 10th day of a month, will have effective coverage beginning on the first day of the following month.
- If you miss the 30-day window, you will have to wait until the next enrollment period to begin coverage.
- Enrollment in this program requires that you submit premium payment for your first month of coverage through the end of the calendar year.