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Dental coverage options from Delta Dental

Comprehensive dental for Medicare members

We are proud to offer supplemental dental plan options through Delta Dental — one of the largest managed care networks in California. These dental options are available to Medicare members enrolled in select Sharp Direct Advantage plans. Featuring low copays and no hidden costs for dental services, we think that's something to smile about.

Our dental options cover a wide range of services at low cost:

  • $0 routine oral exams
  • $0 routine dental X-rays
  • $15 routine cleanings
  • $5 dental office visits
  • $0 - $5 diagnostic services
  • No annual deductible

Delta Dental DHMO

See your primary care dentist

You’ll be auto-assigned a primary care dentist close to home from the Delta Dental DHMO network. Change your network dentist at any time by calling Delta Dental. Coverage is only available through in‑network providers.

Plans with Delta Dental HMO

  • VIP Plan
  • Platinum Card
  • Group VIP Plan

Plans that offer Delta Dental DHMO for an additional $13 a month

  • Gold Card
  • Extra
  • Basic
  • CalPERS Medicare*

*Public agency retirees only.

Delta Dental PPO™

Visit any participating dentist

Enjoy the flexibility to see any licensed dentist and comprehensive care with low negotiated rates. When you want to save money, visit a dentist in the Delta Dental PPO network.

Plans that offer Delta Dental PPO for an additional $50 a month

  • VIP Plan
  • Gold Card
  • Platinum Card
  • Basic
  • Premium
  • Group VIP Plan
  • Extra

Elevate your smile with Delta Dental Medicare Advantage

Get dental coverage

Choose the right dental plan for you when you enroll in Sharp Direct Advantage.

Start enrollment application ➜

Find a dentist in your area

See which dentists are in Delta Dental’s DHMO and PPO networks.

Access free oral wellness program

Get exclusive access to BrushSmart™ discounts on popular oral care products.

Dental benefits and costs at a glance

Full lists of each plan’s comprehensive dental benefits and costs are available to view in PDF:

DHMO dental benefit PDF

2025

  • English |  Spanish (coming soon)

2024

  • Specialty care for DHMO plan members: You need a referral from your primary care dentist if specialty care is needed.

PPO dental benefit PDF

2025

2024

The table below shows a selected list of dental benefits and copays. You may be responsible for the difference in cost between a participating in-network provider and a non-participating or out‑of‑network provider.

Need a cost estimate?

You can ask your dentist for a pre-treatment estimate. This estimate includes an overview of services covered by your dental plan and how your coinsurance, deductibles and dollar maximum limits may affect your cost share.

ADA codeDescriptionMember copay
D0999Office visit$5
D0120Periodic exam, 1 every 6 months$0
D0210X-rays, complete series, 1 every 24 months$0
D1110Cleaning, 1 every 6 months$15
D2330Filling, 1 surface$55
D2740Crown, porcelain/ceramic$425
D2750Crown, porcelain fused to metal$425
D3330 Root canal, molar$375
D4341Periodontal scaling and root planning, 4 or more teeth per quadrant,
4 quadrants per every 12 months 		$60
D4910Periodontal cleaning$45
D5110Complete denture, upper$395
D5213Partial denture, upper$425
D5511Repair broken complete denture base, mandibular$50
D5512Repair broken complete denture base, maxillary$50
D5730Reline complete denture, upper$50
D7140Extraction, erupted tooth or exposed root$35
No codeEmergency dental service$100 allowance

Delta Dental refers to Delta Dental of California.

You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change each year.

Delta Dental is a registered mark of Delta Dental Plans Association. DeltaCare USA is underwritten by Delta Dental of California and administered by Delta Dental Insurance Company.

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.

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Page Last Updated: 10/11/2024
  • 10/11/2024 11:55:10 PM
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