Henrico County offers three coverage options through Delta Dental:

Delta Dental PPO – High and Low Options

Both options offer diagnostic and preventive care, basic and major dental care, but differ in their levels of coverage for these services. Both the High and Low Option plans provide savings if you use a provider from the Delta Dental PPO network or the Premier network. Out-of-pocket expenses will vary depending on which network your provider participates in. To enroll in either of these options, you do not have to select a dentist. The link to the provider search is below.

• Delta Dental PPO High Option Plan
  Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings twice a year at 100%. Basic dental care (fillings, periodontic care) is covered at 50-80% depending on which network is used. Major dental care (crowns and bridges) is covered at 50%. This plan also covers orthodontics at 50% with a lifetime maximum of $1,500. The annual calendar year maximum is $1,500 per patient, which does not include the cost of preventive care.

• Delta Dental PPO Low Option Plan
  Offers diagnostic and preventive care services, which covers in-network oral exams and cleanings at 75%. Basic dental care (fillings, periodontic care) and major dental care (crowns and bridges) are covered at 50%. This plan does not include orthodontics. The annual calendar year maximum is $1,500 per patient, which does not include the cost of preventive care.

Delta PPO-EPO

With the Delta Dental PPO- EPO Plan Design Plan  you will know prior to treatment what you will have to pay for covered benefits. The plan offers diagnostic and preventative services as well as basic and restorative dental care. Orthodontic care is provided when utilizing a PPO dentist. The lifetime Orthodontic Maximum and calendar year maximum benefit is slightly higher than the High Option. To locate a network PPO dentist, log onto the Delta Dental website at www.deltadentalva.com.

How do I choose a network dentist?
Visit the Delta Dental of Virginia website at Delta Dentalva to view a list of Delta Dental participating dentists. You can also call 800-862-0838.

Can I change my dentist?
You can change your Delta Dental provider by calling the Delta Dental program at 800-237-6060 by the 15th of the month. Your change will then be effective on the first day of the following month.

If I choose the Delta Dental program, will I have coverage if I visit a dentist other than my selected Delta Dental provider?
No, services must be rendered by your Delta Dental provider. You may be referred to a specialist with written authorization.

What services and procedures are covered by the Delta Dental program?
Basic and restorative dental services are provided by the Delta Dental program for set copayments. The list of covered services can be viewed in the Delta Dental booklet.

Are braces covered under the Delta Dental program?
Yes, orthodontic (braces) services are covered with participating Delta Dental providers in the High Option and the EPO-PPO.

Delta PPO – High and Low Option Plan FAQs

What is the difference between the High and Low Option plans?
The difference is the percentage of your dentist’s charges that Delta Dental will pay. Under the High Option, services are covered at a higher level than the Low Option. Also, the Low Option does not cover orthodontics.

Do I have to go to a dentist in the PPO or Premier networks?
No, you may go to any dentist you wish but you will probably pay more for services with a dentist who is not part of the Delta PPO or Premier networks.

How can I find a dentist who participates in the Delta Dental PPO or Premier networks?
Visit the Delta Dental website to find lists of PPO and Premier dentists. You may also call Delta Dental Benefit Services at 800-237-6060.

Do both the High and Low Option plans provide coverage for orthodontics (braces)?
No, only the High Option plan covers braces up to a lifetime maximum of $1,500 per patient. There is no orthodontics coverage with the Low Option plan.