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SCNYSTD Welcome to DeltaCare USA — quality, convenience, predictable costs DeltaCare USA is a dental program that provides you and your family with quality dental benefits at an affordable cost. The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health. When you enroll, you select a contract dentist to provide services. The DeltaCare USA network consists of private practice dental facilities that have been carefully screened for quality. Enroll in DeltaCare USA and you’ll enjoy these features: Quality you and your family work in progress of dentists, so you can enjoy a long-term relationship with your dentist Convenience complete specialty care hours for toll-free customer service, from 8 a.m. to 9 p.m., Eastern time Predictable costs are clearly defined emergency coverage up to $100 per emergency Administered by Delta Dental Insurance Company DeltaCare ® USA – provided by Delta Dental of New York Find a DeltaCare USA dentist We’ll do whatever it takes and then some. Select from among the many conveniently located DeltaCare USA contracted general dentists. To find the most current listing of DeltaCare USA dental offices you can: Visit our website at deltadentalins.com/ enrollees. Under Find a dentist, select DeltaCare USA as your network. at 800-422-4234 for help in finding a DeltaCare USA dentist.

DeltaCare USA – provided by Delta Dental of New Yorkuupinfo.org/benefits/forms/DHMOFeeSchedule.pdf · Administered by Delta Dental Insurance Company ... [gfkmdl]\ lg \]l]jeaf] l`]

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Page 1: DeltaCare USA – provided by Delta Dental of New Yorkuupinfo.org/benefits/forms/DHMOFeeSchedule.pdf · Administered by Delta Dental Insurance Company ... [gfkmdl]\ lg \]l]jeaf] l`]

We’ll do whatever it takes and then some.

SCNYSTD

Welcome to DeltaCare USA — quality, convenience, predictable costs

DeltaCare USA is a dental program that provides you and your family with quality dental benefits at an affordable cost. The DeltaCare USA program is designed to encourage you and your family to visit the dentist regularly to maintain your dental health.

When you enroll, you select a contract dentist to provide services. The DeltaCare USA network consists of private practice dental facilities that have been carefully screened for quality.

Enroll in DeltaCare USA and you’ll enjoy these features:

Quality

you and your family

work in progress

of dentists, so you can enjoy a long-term relationship with your dentist

Convenience

complete

specialty care

hours for toll-free customer service, from 8 a.m. to 9 p.m., Eastern time

Predictable costs

are clearly defined

emergency coverage up to $100 per emergency

Administered by Delta Dental Insurance Company

DeltaCare®

USA – provided by Delta Dental of New York

Find a DeltaCare USA dentist

We’ll do whatever it takes and then some.

Select from among the many conveniently located DeltaCare USA contracted general dentists. To find the most current listing of DeltaCare USA dental offices you can:

Visit our website at deltadentalins.com/enrollees. Under Find a dentist, select DeltaCare USA as your network.

at 800-422-4234 for help in finding a DeltaCare USA dentist.

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NOTE: THIS IS ONLY A BRIEF SUMMARY OF THE PLAN.

and conditions of coverage. An Evidence of Coverage will be sent to you upon enrollment.

In New York, DeltaCare USA is underwritten by Delta Dental of New York and administered by Delta Dental Insurance Company. These companies are financially responsible for their own products. Customer Service

Monday through Friday 8 a.m. to 9 p.m., Eastern time

Provided by: Delta Dental of New York

New York, NY 10022

Administered by: Delta Dental Insurance Company

deltadentalins.com/enrollees

A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION

DeltaCare USA Customer Service

SmileWay® Wellness Program

Find all of our dental health resources, including a risk assessment tool, articles, videos and a free e-newsletter subscription, at: mysmileway.com.