Click on Link: DELTA DENTAL ◊ DeltaCare USA DENTAL ◊ VISION
TO USE DELTA DENTAL
Your Delta coverage will take effect once the dental deductions have appeared on your pay stub; no I.D. cards will be sent upon enrollment. Enrollees may go to any Delta Dentist for treatment; pre-designation is not required. Select a Delta Dentist (see Delta website below for dentist directory) and give the following information to your provider at the initial appointment:
1.
Your
Delta group number 4018 (on CSU Evidence of Coverage)
2.
Employer’s name:
Cal
State
San Marcos
3.
Primary
Enrollee’s Social Security Number (which must also be used by Dependents)
4.
Primary
Enrollee’s Date of Birth
5.
Any
other dental coverage you may have
Your Delta dentist will complete and submit your claim forms directly to Delta; Delta will pay the Delta Dentist directly. Members are responsible for the deductible and member portion of the payment, if applicable.
EXPLANATION OF DELTA DENTAL BENEFITS
CSU Delta Dental Combined Evidence of Coverage and Disclosure Form: http://www.calstate.edu/Benefits/carrier.materials/2004_4018_EOC.pdf
2006 Two Dental Networks Brochure (PDF format use Acrobat Reader)
FIND A DELTA DENTIST http://www.deltadentalca.org/CSU
Via the internet: http://www.deltadentalca.org/CSU/ click on “Dentist Directory” then select “DeltaPremier (Delta).”
By phone: (800) 427-3237 for a printed list of Delta Dentists in your area
CLAIMS ISSUES
Contact Delta Dental Customer Service at (888) 335-8227.
LINK TO CSU SYSTEMWIDE DENTAL BENEFITS
http://www.calstate.edu/Benefits/healthcare/dental.page.shtml
TO USE DELTACARE USA
Under the DeltaCare USA plan, you must select one contract dental facility when you enroll. This facility will take care of all the dental care needs for you and your family. Enrollees will receive a DeltaCare membership packet and ID card with the name, address and phone number of your contract dentist.
EXPLANATION OF DELTACARE USA BENEFITS
CSU Basic Benefit Combined Evidence of
Coverage and Disclosure Form:
http://www.calstate.edu/Benefits/carrier.materials/PMIDeltaCare_DOB_03.pdf
FIND A DELTACARE DENTIST
Via the internet:
http://www.deltadentalca.org/pmi, click on “Finding A Dentist.”
CHANGING
DENTISTS AND CLAIMS ISSUES
Contact DeltaCare USA Customer Service at (800) 422-4234
LINK TO CSU SYSTEMWIDE DENTAL BENEFITS
http://www.calstate.edu/Benefits/healthcare/dental.page.shtml
VISION SERVICE PLAN (VSP) - effective 01/01/2007
TO USE THE VSP VISION PLAN
Your VSP vision coverage will take effect once the vision deductions have appeared on your pay stub; no I.D. cards will be sent upon enrollment. Enrollees may go to any participating vision provider for services covered under this benefit, including such providers outside of California. Claim forms are no longer required when using standard in-network benefits. Members are responsible for the co-payment and any charge for frame and lenses or contact lenses over the Allowable Amount as indicated in the Group Vision Insurance Evidence of Coverage. Employees that choose to use a non-VSP provider must submit an itemized bill to VSP in order to receive reimbursement based on out-of-network allowances. A claim form is still required for video display terminal (VDT) benefits whether using a VSP Select Network doctor or a non-VSP provider. Employees who meet the CSU requirement for VDT coverage must obtain the form from the campus Benefits Office.
MEMBER BENEFITS SUMMARY
EXPLANATION OF VSP PLAN COVERAGE
CSU Group Vision Insurance Evidence of Coverage:
http://www.csusm.edu/HR/benefits/2007_VSP_EOC.pdf
VSP BROCHURE
FIND A VSP PROVIDER
LINK TO CSU SYSTEMWIDE VISION BENEFITS