DeltaCare USA DHMO Plan

The DHMO plan allows you to receive comprehensive coverage at set prices, called copays and is only available in California.

Dentists/Other Dental Care Specialists: You can only use dentists who participate in the DeltaCare DHMO network. You are required to designate a Primary Care Dentist who you will be assigned to for care. Dentists who participate in the DeltaCare DHMO network are called in-network dentists. There is no coverage if you go to out-of-network dentists.

Annual Deductible: You don’t need to pay an annual deductible before the plan begins to pay for a portion of covered dental services.

Copays: When you receive dental care, you pay a set dollar amount called a copay.

Orthodontia Care: You MUST use a provider in the DeltaCare Orthodontic Network. Confirm your orthodontist is in the Delta Care Orthodontic Network by calling DeltaCare at 844-697-0579 BEFORE you start treatment. Click here for instructions on searching the DeltaCare network for an orthodontist. If you’ve already started your orthodontic treatment under a previous plan, you may be able to continue that coverage when you switch to a DeltaCare USA plan. Click the Continuous Orthodontic Coverage Form link in the 'Resources' section below for more information.

Pay Period Cost

 

Employee 

Only

Employee 

Plus 1

Employee

Plus 2 or more

DeltaCare USA DHMO           $8.48          $15.32                $19.63

Contact the Provider

DeltaCare DHMO Website

  • Phone: 844-697-0579
  • Group Number: 76990-0001

Resources

Designation of Primary Care Dentist

Newly enrolled employees can designate a Primary Care Dentist or facility by: scheduling an appointment with an in-network Primary Care Dentist or facility, registering for an online account, or calling DeltaCare USA at (844) 697-0579.

You can change your primary care dentist or facility anytime during the year by registering for an online account or calling DeltaCare USA at (844) 697-0579.