Above for quotes Nationwide

Below form is for California only

DeltaCare USA Dental HMO plan 
(877)566-5454 Toll Free
When you enroll in DeltaCare USA, you select a PMI network dentist to provide your dental care. With DeltaCare USA, you must visit your selected primary care dentist in order to receive benefits. When you need specialty care, your primary care dentist can obtain a referral. Advantages of the DeltaCare USA plan include low or no copayments for services, no deductibles and no maximums on services provided by primary care dentists.

                 Dues are easy to afford:

    DeltaCare USA In-Network Out-Of-Network
Annual Maximum Benefit Unlimited Not Applicable
Annual Deductible None Not Applicable
Preventive Services Office Visits $5 Not Applicable
Diagnostic Services No Charge Not Applicable
Minor Services Amalgam Restorations $25-$37 Not Applicable
Major Services Crowns $125-$320 Not Applicable
Endodontics Root Canal $190-$400 Not Applicable
Periodontics Gingivectomy, per quadrant $640 Not Applicable
Prosthodontics Dentures $450, Denture Reline $60-$150 Not Applicable
Orthodontics Adults $2,400; Child $2,100 Not Applicable
Access To Providers Network Providers Only Not Applicable

If you need Adobe® Reader to view PDF documents you may
Download a copy of Adobe Reader from the Adobe website if needed. 

Download DeltaCare USA DHMO Application

DeltaCare USA DHMO Dentist Network Database
YOU MUST CHOOSE A PRIMARY DENTIST TO PUT ON OUR DHMO APPLICATION.
visa card    master card   

Or fill in this form to have your Delta Dental DeltaCare USA DHMO Dental brochure with pricing & application mailed to you. Or just call us Toll-free at 1-877-Look4Life (1-877-566-5454).
Delta Dental DeltaCare USA DHMO Dental Plan
Full Full Name
E-mail
Street Address
City
County
State
Zip Code
Home Phone
Work Phone
FAX
People Covered

Have you any comments or special instructions?

 

Home        Individual & Family Senior Health Group Health Term Life Dental Plans Long Term Care   E-Mail

BC Dental PPO  BC Dental HMO  BC Senior Dental PPO  BC Senior Dental HMO  Blue Shield Dental  DeltaDental Senior



Barricks Insurance Services
13900 NW Passage #302, Marina Del Rey, CA 90292
Phone:   (310) 827-7286  |   Fax:   (310) 827-0256
Toll-Free 1-877-Look4Life  (1-877-566-5454)

©1995  Barricks Insurance Services. CA License #0383850
Licensed in AL, AR, AZ, CA, CO, CT, FL, GA, IA, IL, IN, KS, KY,
                   LA, MD, MI, MO, MS, NC, NE, NH, NM, NV, NY, OH,
                   OK, OR, PA, SC, SD, TN, TX, UT, VA, WI, WV