Dental Care

Dental Plans | Information & Forms | Contact Information

Dental Plans

Henrico County offers three coverage options through Delta Dental:

Delta Dental High and Low Options

Both options offer diagnostic and preventive care, basic and major dental care, but differ in the level of coverage for these services. Both the High and Low Options provide savings if you use a provider from the Delta Dental PPO network or the Premier network. Out-of-pocket expense will vary based 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 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% to 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 $1500. The annual calendar year maximum is $1500 per patient, which does not include the cost of preventive care.
• Delta Dental 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 $1500 per patient, which does not include the cost of preventive care.

DeltaCare Plan

This DHMO program provides many covered services at no cost and offers low copayments on certain procedures. A major benefit to this plan is that you know the cost of services before you receive treatment. The plan offers diagnostic and preventive care services as well as basic and restorative dental care. Orthodontics are covered under this plan, but a DeltaCare provider must be used. There is no calendar year maximum or annual deductable with this plan. You will select a dentist from the DeltaCare panel of dentists and receive treatments and services from that dentist.

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Dental Information & Forms

Dental Information:

• Delta Dental Booklet
• Dental Rates
• List of DeltaCare Providers
• Provider Search for Low and High Option Plans
• Low Option Plan—Evidence of Coverage
• High Option Plan—Evidence of Coverage
• DeltaCare Plan—Evidence of Coverage
• COBRA

Wellness Program:

Delta Dental's Healthy Smile, Healthy You program provides an additional cleaning for members with certain medical conditions. View the brochure below for details.

• Healthy Smile, Healthy You Brochure
• Healthy Smile, Healthy You Enrollment Form

Dental Forms:

• Dental Claim Form
• Dental Enrollment/Change Form
• Qualifying Event Change Form

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Dental Contact Information

Delta Dental of Virginia
4818 Starkey Rd, SW
Roanoke, VA 24018-8542
Phone: (540) 989-8000
Fax: (540) 725-3880
www.deltadentalva.com

Delta Dental Plans Benefits Services
High and Low Option Plans
1-800-237-6060

DeltaCare Program
1-800-862-0838

Henrico Human Resources—Benefits Division
Benefits Line: 804-501-7371
FAX: 804-501-4426
Send us an e-mail

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