myCSUSM
Dental Plans
The CSU offers employer paid dental coverage to eligible employees and their dependents. There are two plans offered, an HMO and a PPO. Both plans have various plan levels, specific to employee categories, with the majority of employee's receiving the highest level of coverage available.
Review the Program Overview, which includes a side by side comparison of the HMO and PPO plan, based on plan level:
EMPLOYEE CATEGORY - Enhanced HMO/Enhanced II PPO
Units: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10; C99, M80 and M98
Watch the Dental Plan Video
- DELTACARE USA HMO(PrePaid Plan)
The prepaid plan requires the employee and their eligible dependents to use a dentist from a specific list of dentists who contract with the selected prepaid carrier. Most basic services are covered at low or no cost. If you do not select a Dentist/Facility ID at time of enrollment, one will be assigned for you, which you can have re-assigned with the carrier.
Plan Level Highlights & Evidence of Coverage Booklets:
- Enhanced Level - Units 1, 2, 3, 4, 5, 6, 7, 8, 9, 10; C99, M80, and M98
- Enhanced Evidence of Coverage Booklet
- Basic Level - Unit 11, 13 and Excluded (E99)
- Basic Evidence of Coverage Booklet
- DELTA DENTAL PPO(Indemnity Plan)
The CSU Delta Dental PPO Dental Program is an indemnity plan under the Delta Dental Plan of California. The plan sets the limits that it will pay for each specific type of dental treatment. Members are responsible for paying any remaining balance that might be due based on the type of dental treatment they receive.
Plan Level Highlights & Evidence of Coverage Booklet:
- Enhanced Level II - Units 1, 2, 3, 4, 5, 6, 7, 8, 9, 10; C99, M80, and M98
- Enhanced Level I - Unit 11 & 13
- Basic Level - Excluded (E99)
- Evidence of Coverage Booklet
Employees enrolled in the indemnity plan have the option of selecting a dentist of his/her choice, however dentists in the PPO Network have agreed to charge significantly lower fees than other dentists so the employee will pay less out-of-pocket expenses, saving an average of 20-30% on most services. For more information on understanding the difference between the Networks, review the Network Savvy brochure.
ADDITIONAL INFORMATION
DeltaCare USA HMO Contact
Client/Customer Service Number: (844) 519-8751
Delta Dental PPO Contact
Client Services Department Number: (800) 765-6003
Visit the CSU Delta Dental website