Delta Dental Plan of California (PPO)
Management and Certificated staff who are scheduled to work more than 50% and Classified employees who are scheduled to work more than 30 hours per week are eligible for SVUSD's dental plan, free of charge.
Dental benefits are provided through Delta Dental of California, the nation's largest, most experienced dental benefits system with more than 11,300 PPO dentist locations in California. Delta provides you with a wide choice of participating general dentists and specialists.
Your identification number is listed on your Delta Dental Insurance Card or you may use the primary subscriber's SSN.
Below are summaries of the benefits and coverages for the dental plan. Accessible Alternative Version (AAV) of the available medical plans can be viewed utilizing the accordion navigation below.
Primary enrollee, spouse and eligible dependent children to the end of the month the dependent turns 26.
Deductibles: $50 per person/$150 per family each calendar year. Deductible waived when seeing an in-network provider.
Maximums: $1,500 per person each calendar year. Diagnostic and Preventive services count towards this maximum.
Waiting Periods: There are no waiting periods.
Benefits and Covered Services:
|Benefits and Covered Services||Delta Dental PPO Dentists||Non-Delta Dental PPO Dentists|
|Diagnostic & Preventative Services (D & P) i.e. Exams, cleanings, x-rays||100%||100%|
|Basic Services i.e. Fillings and basic||100%||100%|
|Endodontics (root canals)||100%||100%|
|Periodontics (gum treatment)||100%||100%|
|Major Services i.e. Crowns, inlays, onlays, and cast restorations||100%||100%|
|Prosthodontics i.e. Bridges, dentures, and implants||100%||100%|
|Orthodontic Benefits - Adults and dependent children||100%||100%|
|Orthodontic Maximums||$1,000 Lifetime||$1,000 Lifetime|
|Accident Rider Benefits - Per person each calendar year|
- Limitations or waiting periods may apply for some benefits; some services may be excluded from your plan. Reimbursement is based on Delta Dental maximum contract allowances and not necessarily each dentist's submitted fees.
- Reimbursement is based on PPO contracted fees for PPO dentists, Delta Dental Premier contracted fees for Premier dentists and the program allowance for non-Delta Dental dentists.