Medical College of Wisconsin Affiliated Hospitals, Inc.
Your Delta Dental Insurance Plan
Delta Dental Customer Service ………1-800-236-3712
Delta Dental Website ……………………www.deltadentalwi.com
· Immediate coverage upon effective starting date in MCWAH program.
· Housestaff pay 50% of the premium equal to a pre-tax monthly payroll deduction of $9.71 single or $31.13 family.
· Open enrollment prior to every July.
FROM THE DELTA DENTAL WEBSITE:
TO FIND A DENTIST – CLICK ON DENTIST SEARCH
· If you have enrolled in the Freedom of Choice Plan Option, you can select a dentist from either the "Delta Dental PPO" or "Delta Dental Premier" network.
o See YOUR DENTAL BENEFITS to determine the deductibles, limits and co-pays that apply to each network. Under this plan option, dentists can also be selected outside of these networks, but out of pocket cost may be higher. [Group #10302]
· If you have enrolled in the EPO-Exclusive Provider Plan Option, you can ONLY select a dentist in the "Delta Dental PPO" network.
o See YOUR DENTAL BENEFITS to determine the deductibles, limits and co-pays, and restrictions that apply to this plan option. Note that if you enroll in this plan option and obtain services from a Dentist outside of this network, there will be NO benefits for these services. [Group #03905]
Once you chose a provider, you are urged to CONFIRM WITH THE PROVIDER THAT THEY PARTICIPATE IN YOUR PLAN before having services performed.
TO ACCESS YOUR INDIVIDUAL MEMBERSHIP INFORMATION –
Go to Subscribers, then Subscriber Connection to
· Check the Status of a Claim
· Review your Benefits
· Update your Contact Information
· Replace Lost ID Cards and More