Overview

Healthy teeth and gums are important to your overall wellness. To help you maintain your dental health and address any issues, Western Digital covers the cost of the Delta Care USA DMO plan for you and any eligible dependents. The DMO plan has procedure-based copays, and you only have coverage for in-network dentists. On the Dental PPO plans, you pay a coinsurance amount once you have met your deductible, and you have the freedom to seek services from any provider you choose, but your benefits will be greater if you visit an in-network provider.

2022/2023 dental plans:

  • Delta Dental PPO Low
  • Delta Dental PPO High
  • Delta Care USA DMO
Key features at a glance:

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Free in-network preventive and diagnostic care , with no deductible.*

Affordable coverage

that helps you manage and estimate the cost of dental treatment. See the Cost Estimator flyer.

Wide network of providers

that have agreed to negotiated rates, which helps you save money.

Teledentistry

ToothPic provides virtual dental assessments from a Delta dentist. Delta also offers virtual visits.

Discounts

on dental hygiene products with BrushSmart

*Deductible does apply for preventive care on Delta Dental PPO Low.

Coverage Details

Find a network dentist

You'll generally pay less out-of-pocket when you use an in-network dentist. Visit Delta Dental for more information.

In-network

Delta Dental PPO LowDelta Dental PPO HighDelta Care USA DMO
Individual/family deductible$50/$150NoneNone
Annual maximum benefit$1,000$1,500Unlimited
Services
Preventive100% covered (after deductible)100% covered100% covered
BasicYou pay 20%, plan pays 80%You pay 20%, plan pays 80%Varies, see DeltaCare USA DMO Plan Summary
Major servicesYou pay 50%, plan pays 50%You pay 40%, plan pays 60%Varies, see DeltaCare USA DMO Plan Summary
Orthodontia coinsurance/lifetime maximum50%/$1,50050%/$2,000Varies, see DeltaCare USA DMO Plan Summary

Out-of-network

Delta Dental PPO LowDelta Dental PPO High
Individual/family deductible$100/$300$50/$150
Annual maximum benefit$1,000$1,500
Services
Preventive100% covered100% covered
BasicYou pay 50%, plan pays 50%You pay 40%, plan pays 60%
Major servicesYou pay 50%, plan pays 50%You pay 50%, plan pays 50%
Orthodontia coinsurance/lifetime maximum50%/$1,50050%/$2,000
Orthodontia eligibilityAdult and childAdult and child
Using your dental benefits

Here’s how to make the most of your dental benefits:

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Choose a 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 information at your provider’s office.

The group number for PPO Low and PPO High is 9308; for DHMO the group number is 6442.

If your service will exceed a recommended but not required $300, submit for a pre-treatment estimate.

You should always submit a request for a pre-treatment estimate for procedures and services your dentist believes will exceed a recommended but not required $300 (procedures such as crowns, inlays, bridges, and periodontics). For more information about pre-treatment estimates, call Delta Dental at 1-800-765-6003 or visit Delta Dental.

Check your claim status and other information at Delta Dental.

You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.