Delta Dental PPO
Gives you the freedom to choose any licensed provider. However, you’ll save the most money when you see a provider within the network.
Healthy teeth and gums are important to your overall wellness. Mercury offers coverage through Delta Dental to help you maintain a healthy smile through regular preventive care and treat any dental problems that may arise.
2021 dental plans
You can enroll in the dental plan of your choice as a new hire, during Open Enrollment, or if you have a qualifying life event. Review your rates and enroll at UltiPro website.
DeltaCare USA DHMO*
Works much like the medical HMO plans. You must select and use a primary care dentist (PCD) from the network to coordinate your care. There is no deductible or annual dental benefit maximum. If you use a dentist outside the network, you’re responsible for paying the full cost.
* Only available in California, Florida, Georgia, Illinois, and Texas.
Key features at a glance
Our dental coverage provides:
- Free in-network preventive and diagnostic care to help keep your teeth healthy
- Affordable coverage that helps you manage the cost of dental treatment
- Wide network of providers that have agreed to negotiated rates, which helps you save money
Find a network dentist
Visit Delta Dental to find an in-network provider near you.
Coverage details
| Delta Dental PPO | DeltaCare USA DHMO1 | ||
|---|---|---|---|
| In-Network | Out-of-Network | In-Network | |
| Individual/family annual deductible2 | $40/$120 | $50/$150 | None |
| Annual maximum benefit2 | Plan pays up to $1,500 per person/year | Plan pays up to $1,500 per person/year | None |
| Services | |||
| Preventive/Diagnostic | Plan pays 100%; deductible does not apply | Plan pays 80%; deductible does not apply | No cost |
| Basic Services (Restorative) | Plan pays 80% after deductible | Plan pays 80% after deductible | Many services paid at 100% — some subject to copays |
| Major Services | Plan pays 50% after deductible | Plan pays 50% after deductible | Copay as listed in the schedule of covered services and copays |
| Orthodontia | Plan pays 50%, up to $1,500 lifetime maximum benefit; deductible does not apply | Plan pays 50%, up to $1,000 lifetime maximum benefit; deductible does not apply |
Adults: $350 start-up fee, plus $1,800 copay Children (up to age 19): $350 start-up fee, plus $1,600 copay |
1 Only available in California, Florida, Georgia, Illinois, and Texas.
2 When you use in-network dentists, this is a percentage of lower, negotiated rates. If you use out-of-network dentists, this is a percentage of UCR limits, which are typically lower than negotiated rates. For all covered services with out-of-network dentists, you must also pay any amount over the UCR limit.
Use your dental benefits wisely
Here’s how to make the most of your dental benefits:
- Choose a network provider. Each time you need dental care, you have a choice of providers. Selecting a Delta Dental participating dentist will ensure you receive the highest benefits from your plan. To find a provider, go to Delta Dental.
- Present your plan identification. Give your provider's office the information they need to bill your insurance.
- Submit for a pre-treatment estimate. You should submit a request for a pre-treatment estimate for procedures and services such as crowns, inlays, bridges, and periodontics. For more information, call Delta Dental at 800-765-6003 or visit Delta Dental.
- Check your claim status.You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more on Delta Dental.