DeltaCare USA (DHMO Plan)
Delta Dental provides coverage through a network of participating dentists. When using this plan, you must select a primary care dentist and obtain services from that dentist. There is no deductible with this plan and your out-of-pocket expense is based on the schedule of benefits and the services you receive. Visit DeltaCare USA DHMO website for more information.
The State of Texas Dental Choice (PPO Plan)
This the state's preferred provider organization (PPO) plan administered by Delta Dental. It does not restrict your choice of dentists and can be used anywhere in the U.S. The maximum annual benefit for this plan is $2,000. Visit the State of Texas Dental Choice PPO Plan website for more information.
|DENTAL PLAN MONTHLY RATES FOR FULL-TIME & PART-TIME EMPLOYEES|
|Member Only||Member & Spouse||Member & Child||Member & Family|
|Delta Dental Maintenance Plan (DHMO)||$9.59||$19.18||$23.02||$32.59|
|Delta Dental Texas Dental Choice Plan (PPO)||$28.73||$57.46||$68.95||$97.68|
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