Who's Eligible?
Regular full-time employees and regular part-time employees scheduled to work 48 hours or more each pay period are eligible the first day of the month after 30 days of employment. Eligible dependents may also be covered.
To be eligible to participate, your unmarried children must be either:

• Age 19 or younger (Coverage ends at the end of the calendar year of the 19th birthday).
• Age 23 or younger and a full-time student (Coverage ends at the end of the calendar year of the 23rd birthday).
• Over age 19 and physically or mentally incapable of self-support, and covered under the plan before age 19.

Coverage ends at the end of the month if the dependent stops being a full-time student or marries.

Effective Jan. 1, 2008, Healthy Smile, Healthy You is offered as part of our dental benefits package. The Healthy Smile, Healthy You program provides one additional cleaning or periodontal maintenance procedure for pregnant members or members with diabetes. For more information, and to enroll in the Healthy Smile, Healthy You program, visit www.deltadentalva.com.

How Do I Enroll?
As a new employee or during the annual enrollment period, you may enroll for the dental coverage you want for the coming year. Unless your family situation changes, your coverage decision and employee contributions remain in effect the entire year.

During the enrollment period, you enroll in the dental coverage you want for the coming year. The choices you make during this enrollment period normally become effective Jan. 1.

FAQs

What happens if I go to a participating dentist?
If you or one of your covered dependents have a claim, your dentist will submit a claim form directly to us. You need not provide a claim form to the dentist's office.

Participating dentists are paid directly by DDPV. Payments to participating dentists are based upon their usual, customary, and reasonable fee, i.e. the lessor of the dentist's Usual fee charged or the Customary fee, as determined by DDPV, for dentists of similar training and experience in a geographic area.

What happens if I go to a non-participating dentist?
If you choose a non-participating dentist, you may be responsible for payment at the time of service. Reimbursement is made directly to you and is based on the prevailing fee of customary charges, as determined by DDPV, of participating dentists in a geographic area. You are responsible for paying any difference between the non-participating dentist's charge and the payment provided by DDPV.

Your out-of-pocket expenses may be greater if treatment is provided by a non-participating dentist and if you choose a non-participating dentist you may be responsible for submitting your claims.