Delta Dental Plan Overview

Below, please find highlights of the dental benefits covered by Delta Dental. If you have any other questions, please contact Delta Dental at 1 (800) 932-0783.

 

Introduction to your dental coverage provided by the Buffalo Teachers Federation:

 

  • Delta Dental insurance will be your dental insurance carrier.
  • ID cards will be mailed to the teacher member only.
  • Two (2) ID cards are sent from Delta Dental with each welcome letter after you have completed and returned the enrollment cards in your new member's pack.
  • Delta Dental's website (www.deltadentalins.com) will be available for employees to register and login after your cards are received.
    • On Delta Dental's website you may check to see if your dentist participates in the Delta Dental network or you may locate any dentist who participates in the network.
    • Members may also view their eligibility, benefits, claims, and print ID cards.
  • If your dentist does NOT participate in the Delta Dental network, your claims are still submitted to Delta Dental for processing and are paid according to the out-of-network table of allowances. Mail claims to Delta Dental, P.O. Box 2105, Mechanicsburg, PA 17055

 

Both in-network (Click Here) and out-of-network (Click Here) tables are available to view.

 

There are a few important highlights teachers should keep in mind when using the Delta Dental Insurance program:

 

1. There is no deductible for Single Coverage.

 

2. There is a $40.00 deductible for family coverage per calendar year.

 

3. The life-time (per person) maximum allowance for periodontal services is as follows:

 

a. 21 years or less of service, $3,000.00

b. 21 years or more of service, $3,500.00

c. 26 years or more of service, $4,000.00

d. 31 years or more of service, $4,500.00

e. 36 years or more of service, $5,000.00

 

4. The life-time (per person) maximum allowance for orthodontic services is $1,760.00.

 

5. The maximum allowance for teacher members per calendar year (not including periodontal & orthodontic services) is $1,600.00.

 

6. The maximum allowance for dependents per calendar year (not including periodontal & orthodontic services) is $960.00.

 

7. Delta Dental will cover only bridgework, dentures and crowns once every five years.


8. COBRA may extend dental eligibility of teachers and/or their dependents when coverage otherwise would cease. Call the SBF for details.

 

Remember, any bill submitted for reimbursement must be submitted within 6 months of the date of service.

 

Always check your statements to be sure your dentist has properly billed you.