Refer to the FAQs for an overview of the main differences between the two plans. IMPORTANT: Please review the Plan Highlights & Benefit Information for both dental plans offered to you BEFORE enrolling in either. The enrollment deadline for coverage effective November 1, 2023 through October 31, 2024 is October 10, 2023. The total cost for coverage is as follows: Students currently enrolled in the Total Choice Plan who are re-enrolling for the new policy year have already satisfied their 3-month waiting period. This plan is a Total Choice PPO plan. Note: All services outside of Massachusetts are considered out-of-network.īENEFIT WAITING PERIOD: There is a 3 month waiting period on Type 2 (Basic Restorative) and Type 3 (Major Restorative) services. Be sure when looking up providers to select ' Total Choice PPO ' as your plan. Do not assume that because a dentist accepts 'Delta Dental' that he/she accepts all Delta Dental plans. You will receive the greatest out-of-pocket savings when visiting a Massachusetts Total Choice PPO network provider. PARTICIPATING PROVIDERS: This plan utilizes the Massachusetts Total Choice PPO network. You do not need to select a primary care dentist. The PPO network is a Massachusetts network only. Please note : The Total Choice PPO Plan does not require enrollees to select a primary care dentist. *an administrative fee is included for system processing, platform management and credit card processing. The enrollment deadline for coverage effective November 1, 2023 through August 31, 2024 is October 10, 2023. The total cost for coverage is as follows: For example, a dentist who accepts Delta Premier may not accept other Delta plans, such as DeltaCare or Delta Dental PPO. DO NOT SELECT ANY OTHER PLAN on the provider search page. When looking for providers, be sure to select 'DeltaCare' as your plan. A list of general dentists and their facility ID numbers can be found by clicking 'Participating Providers' under the DeltaCare section on the left of this page. You must choose a General Dentist located in Massachusetts who participates in the DeltaCare plan as your PCD. The Total Choice Plan does not require enrollees to select a primary care general dentist.ĬHOOSING A PRIMARY CARE DENTIST (PCD): This plan is a Dental HMO plan. Please refer to the participating provider list on the website for a complete, up to date, list of participating providers. Your enrollment form will not be accepted without this election. Do NOT Choose 'DELTA CARE USA' as your network when searching for a provider. NOTE: The ' DELTA CARE' network is a Massachusetts network only. If you do not choose a DeltaCare General Dentist as your PCD, Delta Dental will choose one for you that is closest to your area. Please note: As part of the enrollment process for the 'DeltaCare' Dental Plan, you (and any dependents you choose to enroll) must select a ' DELTA CARE' General Dentist that is accepting patients as your Primary Care Dentist (PCD). The premium cost, which includes an admin fee, for each coverage option is as follows: The most up-to-date copayment schedule can be found on at any time during the policy year. The copayments on the DeltaCare flyer and the Total Choice flyer are subject to change. If you are a student at a college or university other than in Massachusetts, go back to the home page and type in your school to see if they offer a voluntary dental plan.Īs with any insurance plan, please make sure that you have read the Plan Highlights & Benefit Information before enrolling in either dental plan. You may enroll in these plans on a VOLUNTARY basis they are not required insurance. University Health Plans is pleased to offer students attending colleges and universities in MA and their dependents a choice of two dental insurance plans ( DeltaCare and Total Choice PPO). For Massachusetts Students 2023-2024 Policy Year

Delta dental copay