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Delta Dental

Delta Dental

Since their inception in 1955, Delta Dental1-7 has been creating smiles and improving health. This is especially true when it comes to their plans for individuals.

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For Groups in CA

Employer Sponsored Delta Dental benefits and rates
2025 Delta Dental HMO — benefits & rates
2025 Delta Dental PPO — benefits & rates
2025 Delta Dental PPO (Premier) — benefits & rates

Member Benefit Summaries (MBS)
Delta Dental PPO $1,500
Delta Dental PPO $1,500 w/Ortho
Delta Dental PPO $2,000 w/Ortho
Delta Dental PPO Premier $1,500 w/Ortho
Delta Dental PPO Premier $2,000
Delta Dental PPO Premier $2,000 w/Ortho

Evidence of Coverage (EOC)
Delta Dental PPO $1,500
Delta Dental PPO $1,500 w/Ortho
Delta Dental PPO $2,000 w/Ortho
Delta Dental PPO Premier $1,500 w/Ortho
Delta Dental PPO Premier $2,000
Delta Dental PPO Premier $2,000 w/Ortho

Optional Member ID Card:
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All Other States

Employer Sponsored Delta Dental in TX benefits and rates
2025 Delta Dental DPO and DPO (Premier) — benefits & rates

Member Benefit Summaries (MBS)
Delta Dental in TX – DPO $1500 – 22824-01100 A
Delta Dental in TX – DPO $1500 – 22824-01101 A
Delta Dental in TX – DPO $2000 w/ORTHO – 22824-01300 C
Delta Dental in TX – DPO $2000 w/ORTHO – 22824-01301 C
Delta Dental in TX – DPO $2000 – 22824–01500 E
Delta Dental in TX – DPO $2000 – 22824–01501 E
Delta Dental in TX – DPO $3000 w/ORTHO – 22824-01700 G
Delta Dental in TX – DPO $3000 w/ORTHO – 22824-01701 G

Evidence of Coverage (EOC)
Delta Dental in Texas – 22824


  1. Our Delta Dental enterprise includes Delta Dental of California, Delta Dental of Pennsylvania, Delta Dental of New York, Inc., Delta Dental Insurance Company and other affiliates.
  2. Please refer to your plan details for more information about your coverage.
  3. Pell, Nicholas (2019). How much does a root canal cost? The Simple Dollar. https://www.thesimpledollar.com/how-much-does-a-root-canal-cost.
  4. Gum disease and heart disease: The common thread. Harvard Health Publishing. 2018.
  5. In California, Delta Dental PPO™ is underwritten by Delta Dental of California, a not-for-profit dental service company.
  6. Plan benefits may vary based on state requirements. Please refer to the plan Policy for a complete list of plan benefits, limitations, exclusions and policy terms. In the event of any inconsistency between this document and the plan Policy, the terms of the Policy will prevail.
  7. DeltaCare® USA is underwritten in California by Delta Dental of California. Delta Dental Insurance Company acts as the DeltaCare USA administrator.

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