Dental

Dental 

Introduction
This summary is not designed to serve as Evidence of Coverage. If you have specific questions regarding benefit structure, limitations or exclusions, contact Delta Dental's Customer Service (see contact information below). Under this program you may use any dentist you wish. It is to your advantage to select a dentist who is a Delta dentist, since his/her fees will have been accepted in advance by Delta.

Contact Human Resources immediately to report any change in dependent status. A new child must be added within 31 days of birth.  A spouse or registered domestic partner must be added within 31 days of marriage or the issuance of a Declaration of Domestic Partnership by the State of California, or a similar declaration issued by another state. Dependents will be removed from benefits at the age of 26. Spouse or registered domestic parter must be removed within 31 days of termination of marriage or registered domestic partnership.

Using Your Delta Program
To use the program, call the dental office of your choice and make an appointment. Your provider will find you and your enrolled dependents under your Social Security Number in the Delta Dental database. The Delta Dental program allows you to:

• Change dentist at any time without preapproval
• Go to a specialist of your choice without preapproval
• Have each member of your family go to a different dentist
• Receive dental care anywhere in the world

 During your first appointment, give your dentist the following information:

• The Delta group number: 07018
• The employee's (primary insured) social security number

Delta pays Delta dentists directly. You are responsible only for your share of the bill. A Delta dentist may not charge you for amounts payable by Delta. If you go to a non-Delta dentist, you are responsible for the dentist's entire bill. Delta will reimburse you directly. 

Delta Dental Plan 1

Delta Dental Plan 10

Dental Accident Benefits
100% of Delta dentist's fee. Separate $1,000 maximum per person. Cracked teeth due to chewing or biting on something are not covered.

Contact Information
Butte Schools Self-Funded Programs (BSSP)
(530) 879-7438
http://www.bsspjpa.org/dental

The Delta Dental Plan
P.O. Box 997330 Sacramento, CA 95899-7330
Customer Service: (866) 499-3001
DeltaDentalIns.com