|
Capitol
Association Plans offers three programs for members of the California
Veterinary Medical Association and their employees.
CVMA Member Employers
DeltaPreferred
- Non-Voluntary Program
Under this group plan, full-time employees (32+hrs) of CVMA members will have access
to any DeltaPremier Dentist, which encompasses the entire Delta Dental network of dentists, approximately
22,000.
If they choose to see a DeltaPreferred
Dentist (DPO Dentist), they will have access to approximately
11,000 dentists, the annual deductible is waived and the maximum
annual benefit is increased. Unlike many other plans, there are
no waiting periods to utilize benefits and the percentage paid by
Delta Dental increases each year over a period of 4 years to reach
100%. All employees who work over 32 hours are required to be covered unless
they sign a waiver declining coverage. Employees declining coverage
will not be eligible to enroll at a later date unless they can show proof
of loss of prior coverage. Employees are eligible on the first day of
the month following six full months of employment, however this can be
waived upon initial enrollment. Employers must contribute a minimum of
50% to the employee’s premium, but are not required to contribute for
dependent coverage. Group benefits can also be extended to all
part-time employees if desired.
DeltaPreferred Details
CVMA Member Employers and Individuals
DeltaPremier
and DeltaCare - Voluntary Programs
Voluntary programs allow individual members and their employees (part-time and full-time)
a choice to participate in dental benefits on a voluntary basis.
These programs provide no waiting periods
to receive benefits. There are two coverage options in the voluntary
program, DeltaPremier and DeltaCare.
DeltaPremier Details
DeltaCare Details
|
DeltaPreferred |
DeltaPremier |
DeltaCare |
| Provider
Network |
In
Network/DPO: 11,000
Out of Network: 22,000+ |
22,000+ |
1500+
Offices |
| Deductible
|
In
Network: $0
Out of Network: $25 Individual/ $75 Family |
$50
Individual $150 Family |
None |
| Complete
series x-ray including bitewings |
Plan
Pays 70% 1st year, 80% 2nd year, 90% 3rd year and 100% thereafter
|
Plan
Pays $45 |
Plan
Pays %100 |
| Cleaning
- adult or child |
Plan
Pays $36 |
Plan
Pays %100 |
| Silver
Filling - One Surface |
Plan
Pays $35 |
Plan
Pays %100 |
| Single
Tooth Extraction |
Plan
Pays $39 |
Member
Pays $3 |
| Root
Canal Therapy, Front Tooth |
Plan
Pays $193 |
Member
Pays $55 |
| Crown
- porcelain (with non-precious metal) |
Plan
Pays %50 |
Plan
Pays $163 |
Member
Pays $90 - 240 |
| Complete
denture, upper |
Plan
Pays %50 |
Plan
Pays $240 |
Member
Pays $110 |
| Orthodontic |
$1,000
Max Per Child |
Not
Covered |
Requires
Co-Payment $1,600 for Child $1,800 for Adult |
|
Maximum Annual Benefit |
In
Network: $1,500
Out of Network: $1,000 |
$1,000 |
No
Maximum, Except for Accidental Injury |
To find a Delta Dental
provider near you, visit www.deltadentalca.org
Click here for all dental rates
|