Dental

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Antioch Unified School Districts Delta Dental PPO plan gives you the freedom to choose your own dentist and receive coverage from in-network and out-of-network providers. The Preferred Provider Organization (PPO) plan is made up of general dentists and specialists who have agreed to provide dental care at discounted fees. If you go to a dentist who participates in the PPO, you qualify for in-network coverage and benefit from discounted rates. The Delta Dental Premier network provides more cost savings features and is the next best option when you cannot find a PPO dentist. You will have greater out of pocket expenses using the Premier network than a PPO provider. Out of Network dentist have no fee agreements with Delta Dental, so you will usually have the highest out-of-pocket costs when you visit a non-Delta dentist. You are responsible for the difference between what Delta Dental pays and the dentist’s fee.

You can find a participating provider at Delta Dental website or by calling their Customer Service Department at (866) 499-3001.

Dental Rates - Oct. 2024-Sept. 2025

Certificated & Management

Single

2 Party

Family

Dental - Policy #7901-3423

$65.82

$119.23

$171.39

Classified

Single

2 Party

Family

Dental - Policy #7901-3421

$65.82

$124.98

$198.81

Employee Cost: (covered in full for 7+ hour employees, prorated for part timers.)

Part time Classified Staff:

Those working at least 30 hrs but less than 35 hrs per week - District pays 85% of your dental and/or vision plan premium.

Those working at least 20 hrs but less than 30 hrs per week - District pays 65% of your dental and/or vision plan premiums.

Part time Certificated Staff:

Those working less than a full FTE - District pays the percentage of your FTE towards your dental and/or vision plan premiums.

Delta Dental

(800) 765-6003

Delta Dental Website

California's Valued Trust (CVT)
District's Dental and Vision Plans Administrator

520 E Herndon Ave.
Fresno, CA 93720

(800) 288-9870

(559) 437-2965 fax

California's Valued Trust (CVT) Website