City's contribution for active/retiree is up to $1,200 per month in 2019. Code: 351-008 Party Code Total Premium Party Code 1 $52.87 Party Code 2 $104.06 Party Code 3 $146.18 Delta Dental Preferred Provider Option (PPO)—Excluded and Represented Employees Group Number: 9946 Dental Org. Title IX, and Uniform Complaint Procedures and forms. Social Security Number or CalPERS ID: Last Name First Name MI Gender . Group # Social Security Number. 30059426-001: 800-877-7195: Retirement Plans. CSU Guidelines for Enrolling Family Members are as follows: Spouse: o 28 - Change of dental plan. *All fields are required. Sacramento, CA 95899. Looking for a new plan? Primary Dental+First Dental Health EPO/PPO Network. Initial Enrollment: Employee must complete and submit the Dental Plan Enrollment Authorization (STD. . Product About Create Free Account. Eligible Employees To be eligible for dental coverage: An employee must be appointed at least half-time (equivalent to 7.5 Weighted Teaching Units for academic year appointments) for more than six months, or; If employed in an R03 Lecturer or Coach Academic Year position, employee must be appointed for at least six (6) weighted teaching units for at least one semester, or two or more . Active Members & Retirees. Box 942715 - Sacramento, CA 94229-2715 If you need assistance, please contact CalPERS at (888) 225-7377. Delta Dental Virtual Visits Beginning January 1, 2022. A cost-savings alternative to traditional dental insurance. DeltaCare USA Contact Client/Customer Service Number: (800) 422-4234 For additional information, please refer to the . Call. You can change your DeltaCare USA dentist at any time.³ (Changes requested between the first and 15th of the month are effective immediately; changes . Box 997330. In addition, we are a nonprofit company with a mission to improve oral health in Colorado. Create an account. Forms to the State Controller's Office must be stapled together. Your member ID card will not be mailed. Retirees should visit Retiree Plans & Rates for dental and vision coverage information. Dental Office Fresno. Group Number: Phone Number: Delta Dental (PPO) 7046: 1-800-765-6003: DeltaCare USA (HMO) 00793-0001: 1-800-422-4234: United Concordia (DHMO . Please write down your number, and print your Member ID card. Find a provider. CalPERS - Health Account Management Division P.O. Call toll-free: 888-335-8227 (TTY/TDD 711) Monday through Friday between 8:00 am and 8:00 pm, Pacific time. Medical Plans Group Number Phone # Web Site Anthem Blue Cross Select HMO CSU (855) 839-4524 . A $85 deductible per child per year; $50 deductible per adult per year. Invite your dentist to become part of the Delta Dental PPO network by completing this form. Call toll-free: 800-422-4234 (TTY/TDD 711) Monday through Friday between 5:00 am and 6:00 pm, Pacific time. Basic plan. Delta Dental PPO Contact Client Services Department Number: (800) 765-6003. . No annual maximum for children under 18; $1,250 annual maximum for members 19 and older. Contact Us; PORAC; Legal Defense Fund; Retiree Medical Trust; . . Calendar year deductible (waived on Preventive & Diagnostic) Per person. 1-888-225-7377 www.calpers.ca.gov. The TRICARE Retiree Dental Program covers: Exams, routine cleanings, fluoride treatments, and x-rays. CONTACT US Delta Dental of Colorado 4582 South Ulster Street, Suite 800 | Denver, Colorado 80237 | www.deltadentalco.com UnitedHealthcare Dental. Delta Dental Dentist Fresno. Oral surgery and tooth extractions. Retired Members have Dental Benefits through CalPERS. Delta Dental . 12. . As a Delta Dental member, you have access to preferred pricing on hearing aids and LASIK vision services through Amplifon or QualSight. o 41 - Cancelling health/dental to enroll in cash in lieu of benefits. Contact information, including phone number, email address, and mailing address for Delta Dental locations across the United States. Delta Dental: (800) 225-3368 Verification of Coverage 403(b) and 457(b) Forms. Phone Number: (800) 765 - 6003; . Dentist Reviews Fresno. If you need additional information, our Member Services team will be happy to help. The maximum annual contributions for HCRA will increase to $2,750. Dentist in Folsom CA on Riley St. (Now Open) Make an Appointment (916) 605-0468. The official video channel of the California Public Employees' Retirement System. CalPERS; Deferred Compensation Plan; Retiree Medical; . Pay less when you visit a dentist from the Delta Dental PPO network. Delta Dental . Dentist's phone number* - -. Spouses/Domestic Partners and IRS Dependent children up to age 25 are eligible to enroll in Delta Dental. P.O. VSP.com (800) 877-7195. Delta Dental PPO Information; Delta Dental FAQ; . State* Zip* -. • Dental Insurance | Delta Dental The County contracts with Delta Dental for dental insurance for employees, eligibl e Give them a call during regular business hours at 888-715-0760 or email customerservice@premierlife.com. 2 Services may require a referral from your doctor. Call Delta Dental's customer service: 888-335-8227. Call our benefits department at (800) 686-2562 . Phone: 888-225-7377 | TTY: (877) 249-7442 | Intl: +1 916-795-3000 MetLife Dental (SafeGuard) . You can contact the Delta Dental PPO plan dedicated phone line at (800) 626-3108 or the DeltaCare USA DHMO plan at (844) 519-8751. Dental Plans Group Number Phone # Web Site Delta Dental Plan of California 4018 (888) 335-8227 . Choose from CalPERS PPO and HMO medical plans, Delta Dental HMO and PPO plans, and either VSP or EyeMed vision plans. January 29, 2021. Contact. • Form is signed and dated by Personnel Specialist. The plan limits the amount of paid coverage for each specific type of dental treatment. Website. VSP. Orthodontia. Do you need to contact CalPERS regarding long-term care? Box 997330 Sacramento, CA 95899 (800) 765-6003 www.deltadentalins.com. Currently, in 2022, Delta Dental of Washington offers five individual dental plans on the private market, starting from $29 to $69 depending on the plan.*. That said, individual factors play a . All Employees must complete the 2021 Dependent Care/Health Care Reimbursement Account Plans Enrollment Authorization form to enroll in either program for 2021 regardless of participation in 2020. City*. network of dental providers. (866) 859-7525 www.westerndental.com/state-of-ca Indemnity Option: Delta Dental PPO plus Premier - Group #9949 An indemnity plan allows enrollees to select a dentist of their choice throughout the United States and worldwide without using a provider network. Get Directions. Close. Frequently Asked Questions about Fig Garden Dental Group. The Delta Dental PPO Group Plan Numbers are listed below: Delta Dental PPO - Basic; Delta Dental PPO Group Plan Numbers; CalPERS Annuitants: 4018-2071: Delta Dental PPO - Enhanced Level I; Delta Dental PPO . Delta Dental PPO Voluntary Enhanced II(#4018- 12071) NEW Retiree only: $15.70 : Retiree + 1: . Congratulations. Important note: In order to receive benefits . A representative can answer your plan questions, give you guidance on how to access care, and address any concerns you may have. If the problem persists, please contact Customer Service using the Contact Us tool. Fax: (800) 959-6545. International Calls: +1 916-795-3000. Work History. Questions about your plan? Please keep this information close by so you can refer to it when necessary. MEDICAL, DENTAL AND VISION BENEFIT CONTACT NUMBERS Benefits Office - Human Resources Phone 510-231-1159 Fax 510-236-0171 CALPERS Phone 888-225-7377 0187 077 Website calpers.ca.gov DELTA DENTAL Phone 800-765-6003 ID #: your SS # Website deltadental.com Group #: 927-0003 VISION SERVICE PLAN (VSP) Please note: If you have recently registered on the Delta Dental of Michigan website (Consumer Toolkit), registration may take a few minutes to sync for access to the Delta Dental National Portal and Mobile app. Dental Plans. No claim forms when you visit Delta Dental network providers. Once you retire, CalPERS becomes your Healt h Benefits Officer for your medical insurance, CalPERS Health Benefit Services Division is your contact for information regarding your medical insurance benefits at . Forms & Applications. Phone number (559) 227-0027. Gum/periodontal surgery. We're closed on state holidays. Monday: To speak to a VSP customer service representative, call 1.800.877.7195. Code: 351-018 Resources. You must visit your selected primary care network dentist to receive benefits . Thousands of Massachusetts businesses of every size come to - and stay with - Delta Dental for their employees' benefits. Service. P.O. Box 997330 Sacramento, CA 95899 (800) 765-6003 www.deltadentalins.com. Folsom, California. That's because we are dedicated to delivering the best every day. With over 60 years of experience, and 62 million smiles covered in all 50 U.S. states and Puerto Rico, you can rely on . Management & General Employees. Contact; Search Submit. P.O. Office Hours. PO Box 997330. NASHVILLE, Tenn. - (January 26, 2021) - Delta Dental of Tennessee (Delta Dental) today announced the appointment of Melissa Huschke as Chief Operating Officer. Plan group number: Group 100323. Flexible Spending Account (FSA). Sacramento, CA 94229-2715 If you are a retired state employee and have any questions regarding your eligibility, contact CalPERS, Health Account Management Division toll free at: (888) 225-7377/ TTY (877) 249-7442 or visit the CalPERS website. Select a skilled primary care dentist from the DeltaCare USA network.¹ Your primary care dentist will provide most of your treatment and coordinate any necessary specialist referrals.². Enroll today in one of our Individual and Family Plans. Dental HMO plan benefits are provided by: SafeGuard Health Plans, Inc., a California corporation in CA; SafeGuard Health Plans, Inc., a Florida corporation in FL; SafeGuard Health Plans, Inc., a Texas corporation in TX; and . Dental Managed Care Plan benefits are provided by Metropolitan Life Insurance Company, a New York corporation in NY. Since 1958, we have offered high-quality, cost-effective dental plans to help you stay healthy and smiling. The two plans options are: Delta Dental PPO (Indemnity Plan) DeltaCare USA (Prepaid Plan) Delta Dental Contact Information. Diagnostic and preventive services, like cleanings, x-rays and exams, are covered at 100% for adults and children. Retirement Plans; Plan Phone Number; CalPERS (opens in new window) 888-225-7377: PST (Part-time, Seasonal & Temporary)through . The changes to your plan for 2022 include an additional fluoride treatment and the Oral Health Enhancement benefit. Invite your dentist to become part of the Delta Dental PPO network by completing this form. My member dashboard; Edit your profile; . What forms of payment are accepted? Crowns and dentures. Phone Number - Enrollee Classification VERY IMPORTANT - Please Print Legibly Address . MEDICAL, DENTAL AND VISION BENEFIT CONTACT NUMBERS Benefits Office - Human Resources Phone 510-231-1159 Fax 510-236-0171 CALPERS Phone 888-225-7377 0187 077 Website calpers.ca.gov DELTA DENTAL Phone 800-765-6003 ID #: your SS # Website deltadental.com Group #: 927-0003 VISION SERVICE PLAN (VSP) Employees may also sign up by phone at (888) 335-8227 to speak to a Customer Service representative Monday through Friday; 8:00 a.m. to 8:00 p.m. PST. Human Resources 300 E. Chapman Ave. Orange, CA 92866 (714) 744-7255 . Simply call the dental facility to make an appointment. Identification Cards Two identification cards from Delta Dental will be mailed Dentist's phone number* - -. Email (Verified) v**@delta.org. and Telephone Number 5. City*. Dental Plans. Delta Dental PPO Plus Premier™. $50. Dental Providers; Provider Name Group Number Phone Number; Delta Dental PPO (opens in new window) 4018: 800-765-6003: DeltaCare USA (opens in new . EAP - Managed Health Network (800) 327-0449. mhn.advantageengagement.com. 3 Delta Dental refers to Delta Dental of California. If you need assistance, please contact CalPERS at (888) 225-7377. Preventative and diagnostic treatment are covered at 100 percent, and all other services are subject to an annual deductible . Do you need to contact CalPERS regarding long-term care? Phone: 888 CalPERS (or 888-225-7377) TTY: (877) 249-7442. Delta Dental HMO and PPO plans, and either VSP or EyeMed vision plans. 2022 Retiree Dental Plan Premiums 2022 Dental Benefits Handbook for Retired Employees Monday-Friday, 7 a.m. to 7 p.m., Central Time. Click here to learn about Retired Dental options. CalPERS Health. affordable care act (ACA) . Eligible CSU employees have two dental plans to choose from, for themselves and their eligible dependents. *All fields are required. Departmental personnel offices must follow the certification process in . Insurance is for employee and their dependents. If you encounter any difficulties in scheduling your first appointment, please contact Delta Dental directly. Shop Plans. Recommend your dentist form. Delta Dental PPO plus Premier Enhanced Plan—Excluded Employees Group Number: 9949-2101 Dental Org. Employers & Business Partners. Delta PPO Plan 70% -100% Incentive Plan with Child Ortho . Regional Offices are open for appointments. MetLife Dental (SafeGuard) . If you need to find a dentist, review benefits or download any forms, please visit Delta's website. 2022 Open Enrollment ZOOM meeting: Monday, September 27, 3:00pm Presentation slides Live presentation recording, 1 hour, 9 minutes Active FT employees - Open Enrollment - Delta Dental Plans State* Zip* -. . Victorya Polk's Professional Contact Details. To learn about other opportunities to enroll at a later date, including when you experience a qualifying life event, visit Eligibility & Enrollment.. City contracts for its health benefits through CalPERS. This is a Dental Health . (844) 764-5301. Dental plan premiums are 100% by the CSU. To get the discounts, simply contact Amplifon or QualSight. Open Enrollment Flyer. If you have questions about your dentist, you can call the Delta Dental Customer Service number: Delta Dental PPO Pediatric Dental: 800-929-2309 For a list of dental providers visit the Delta . Our dental product at a glance: PPO dental plans allow members to use any licensed dentist they choose; One of the largest national dental PPOs in the U.S.—over 130,000 unique providers nationwide 2,3 —means members who use a participating dentist can stretch their dental benefits further; Active, Passive or Maximum Allowable Charge (MAC) plans available Western Dental - Folsom Dentist. Melissa Huschke Appointed COO. CalPERS maintains and is responsible for: The dental benefit enrollment records for all eligible CSU retirees and processing retirees' dental enrollments. DCRA remains the same at $5,000. Delta Dental Website Toll Free Number: 866-499-3001. Home & Auto. my |CalPERS. . Management and A&T employees Utility: 1515-0132 | Corporation: 1515-0232. Closed: Major Holidays (Interactive voice response system available) Dental. The #1 choice for dental insurance. If you need to find a dentist, review benefits or download any forms, please visit Delta's website. Coverage Highlights. If you're eligible, you have 60 calendar days from your appointment date to request enrollment in dental and/or vision coverage. Seasoned industry executive to oversee organizational strategy, client and member services. Open Enrollment 2022 Bulletin. MORE DENTISTS, MORE SAVINGS. Employees on LTD Delta Dental of Nebraska is an authorized licensee of the Delta Dental Plans Association of Oak Brook, Illinois. o 29 - Change of plan and addition/deletion of dependent(s) (may use one form). Union-represented employees IBEW and SEIU: 1515-0101 ESC: 1515-0106. To contact Delta Dental, visit Delta Dental's PG&E-specific website or call 1-888-217-5323. Dentist or practice name*. Magnolia School District participates in the CalPERS Health Benefits program for medical benefits. What is my Delta Dental group number? 1016 Riley St. Folsom, California 95630. Delta Dental's Customer Service Department for Dentists. Check out the Delta Dental Difference and what it can mean for you. Group # Social Security Number. please contact the Trust at: 1‑800‑IN‑UNIT‑6. People Also Viewed. Treva Lee, DDS. CalPERS; Part Time, Seasonal, Temporary Retirement Plan (PST) . Calendar year maximum (per person) $1,000. The Delta Dental Difference. Huschke, a longtime company executive . Delta Dental. Deductible and coinsurance for some services. PAYROLL FORMS; PAYROLL FORMS. Retirees. PERS Health Insurance Program (800) 768-7377 (toll-free) P.O. Dentist's address*. Get Email . If you have any questions or would like further assistance, please feel free to contact the Benefits Department at (916) 643-9432 or via email at benefits@scusd.edu . 692), CalHR Affidavit of Parent-Child Relationship (CalHR Form 025), Dependent Eligibility Verification Checklist (CalHR Form 781), and the required verification documents. Dentist's address*. DeltaCare USA plans are underwritten in these states by these entities: CA — Delta Dental of California; DC (Policy- I-P-DC-dc) and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; NV — Alpha Dental of Nevada, Inc.; PA — Delta Dental of Pennsylvania.