Your Dental Plan Options

Prepaid Plans

· Private Medical Care, Inc. (PMI)

1-800-422-4234

http://www.deltadentalca.org/pmi/index.html

· SafeGuard

1-800-880-1800

www.safeguard.net

Prepaid plans provide services through member dentists throughout California. These plans are not available outside of California.

Monthly premiums are fully paid by the State. You have no monthly premiums, deductibles, or maximum annual benefit limits. Many services are provided at low or no cost to you. You may change dentists upon request and/or change plans if you move and your plan is no longer available. If you need emergency dental work and are outside of your service area (50 miles from your residence), you may go to any dentist for the relief of pain and be reimbursed up to $400 per calendar year.

Indemnity Plan

· DeltaPremier

Group No. 9949

1-800-225-3368

http://www.deltadentalca.org/state/

DeltaPremier features full access to specialty care and guaranteed benefits through member dentists. However, you can see any dentist worldwide and still be covered, although your out-of-pocket costs may be higher.

Preferred Provider Plan

· DeltaPreferred Option (DPO)

Group No. 9946

1-800-225-3368

http://www.deltadentalca.org/state/

DeltaPreferred Option (DPO) provides services through its network of participating dentists, although you may use non-DPO dentists worldwide. (If you receive services outside the DPO network, your out of-pocket costs will be substantially higher.) For rank and file employees, the annual maximum benefit available to dependents is $2,000 when using a dentist who's a member of the DPO network, compared to a $1,000 yearly maximum under DeltaPremier. DPO offers a $2,500 lifetime benefit for dental implants and a third cleaning for high-risk patients. (Generally, high-risk patients include pregnant women, cancer chemotherapy patients, persons with compromising systemic diseases such as diabetes, AIDS, or endocarditis, and persons who have had organ transplants.)

For details, use the phone numbers or Web sites listed above to request an "Evidence of Coverage" brochure directly from the dental plan carriers.