Eligible CSU employees and dependents may enroll in dental coverage that is currently paid by the CSU. Premiums are generated through the payroll process and are paid on a monthly basis. Two plans are available: Delta Dental (indemnity plan) and DeltaCare USA (prepaid plan). View The California State University Dental Plans Summary to find the most important features of each plan.
Delta Dental PPO (Indemnity Plan): Group Number 4018
The CSU Delta Dental PPO Dental Program is an indemnity plan under the Delta Dental Plan of California. Employees enrolled in the indemnity plan have the option of selecting a dentist of his/her choice from either the Delta Dental Premier Network in California, or a non-Delta dentist. If your dentist participates in the Delta Dental PPO Network and/or the Delta Premier Network in California, he/she has claim forms and will file your claim. There are three benefit levels in this plan: basic, enhanced level I and enhanced level II. 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. If you select a dentist from the Delta Dental PPO Network, you will pay fewer out-of-pocket expenses. View the Two Dental Networks Two Ways to Save brochure for additional information.
If you choose a non-Delta dentist, you must pay entirely for services obtained and then submit a claim form with appropriate documentation to Delta Dental PPO for reimbursement. Claims should be sent to:
Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330
DeltaCare USA (Prepaid Plan, formerly PMI): Group Number 02034
The CSU DeltaCare USA plan is a prepaid dental maintenance organization. Under this plan all covered dental care for you and your dependents is prepaid and must be performed by DeltaCare USA panel dentists. Each covered dental service within this plan has a specific co-payment amount, and some services are covered at no charge. There are no claim forms required under DeltaCare USA, and you will receive an identification card that you will need to provide to your dentist to receive benefits. There are two benefit levels in this plan: basic and enhanced. All covered dental services deemed necessary by your dentist will be provided subject to plan limitations explained in the EOC booklet.
Customer Service Telephone Numbers:
Delta Dental PPO – (888) 335-8227
DeltaCare USA – (800) 422-4234
If there is a discrepancy between this information and the official plan documents and contracts, the official documents will always govern.