Delta Dental Insurance FAQs

Please complete the  HIPAA Authorization form.

Yes. If you elect the Delta Dental PPO™ option, within approximately 14 business days from the date OCC Human Resources enters your enrollment in the Delta Dental eligibility system, you will receive an email from Delta Dental welcoming you to the program. The email will contain links to this website and to the Consumer Toolkit, which allows you to print your ID card and access other program information.

If you elect the DeltaCare® USA DHMO option, Delta Dental will mail you a welcome packet that will include your DHMO ID card and information regarding the DHMO option in your area.

If you are enrolled in the PPO option, your ID number is assigned to you by Delta Dental.

If you are enrolled in the DHMO option, you are assigned a unique ID referred to as your Member Number that you can use when making a dental appointment, when contacting Delta Dental’s customer service department and when registering on the Delta Dental website.

If you did not enroll your spouse or child when they were first eligible, your next opportunity to enroll them is during Open Season, which takes place in the fall. Contact the OCC Human Resources department for the exact dates of the next Open Season.

You can change your election during the next Open Season, which takes place in the fall. The exact dates for the next Open Season will be announced by the OCC Human Resources department.

Coverage for dependent children who are unmarried will end automatically at age 22 but can be extended up to their 25^th birthday if they are a full-time student pursuing a degree from an accredited college or university recognized by the U.S. Department of Education.

Approximately 90 days before your child’s 22nd birthday, Delta Dental will send you a notice by email (or by U.S. mail if there is no email address on file) requesting that you provide documentation to verify that your child is enrolled as a full-time student in the spring or fall semester, whichever is applicable. Each subsequent July, Delta Dental will send you a request for documentation verifying that your child is enrolled in the upcoming semester as a full-time student. The annual request to provide student verification will continue until your child graduates, gets married or reaches age 25, whichever occurs first.

There is no age limit for orthodontic coverage under the program as long as you and your eligible dependents remain enrolled.

Two cleanings are covered in a calendar year. Use the online Consumer Toolkit to help you track your cleanings to date and when you’re eligible for your next one.

Yes. If you are enrolled in the PPO option, you can visit any licensed dentist, but you’ll maximize plan value by taking advantage of Delta Dental’s large PPO network because these dentists have agreed to contracted rates.

The Delta Dental Premier^® network also provides cost protections for PPO members. Premier dentists’ contracted fees are typically higher than PPO dentists’ fees, but they can usually help you save on out-of-pocket costs.

An out-of-network dentist can charge you his or her customary fees for services provided, and you will usually be required to pay the dentist in full as well as to submit your own claims to Delta Dental. Delta Dental will pay for covered services performed by an out-of-network dentist based on the dentist’s usual and customary fees and the plan’s coinsurance amount.

However, when you receive services from a network dentist, you are not required to pay the dentist up front (other than your estimated copayment) or to submit your own claims. A network dentist will submit claims to Delta Dental and receive payment directly from Delta Dental based on plan’s contracted fees and coinsurance amount. Also, you will not be “balanced-billed” for any costs above Delta Dental’s contracted fees.

The time it takes to process a claim depends on the type of services performed. Delta Dental processes claims quickly and efficiently — 99% are processed within 10 business days. If Delta Dental requires additional information in order to process a claim, it may take longer.

Your DHMO contract dentist will coordinate your specialty care needs for oral surgery, endodontics, periodontics or pediatric dentistry with an approved contract specialist. If there is no contract specialist within your service area, a referral to an out-of-network specialist must be preauthorized by Delta Dental.

Looking for your dental plan ID card? Good news: You don’t need one! All you have to do is tell your dental office the Delta Dental company you get your benefits from (such as Delta Dental of California) and provide your name, date of birth and member ID or Social Security number. Find your member ID by signing in to your online account.

Family members covered under your plan should provide your details when they visit the dentist.

If you’d prefer to have an ID card, you can:

• Print one from your computer. Log into your OCC DeltaCare account or OCC PPO account and follow the instructions to print your ID card. 
• Download the Delta Dental app (by the Delta Dental Plans Association) from the App Store or Google Play. Log in to your account and see your ID card on the home screen.
• Access your ID card when you log in to your account from our website on your mobile phone's browser.