LOS ANGELES POLICE PROTECTIVE LEAGUE
Open Enrollment
May 1 - 31, 2015
benefit enhancements
• Annual
Maximum Increased for PPO
• Implant Coverage Increased
• TMJ Nightguard Replacement Every 5 Yrs (as needed)
• Orthodontic Coverage Increased
No Rate Increase for 2015
RETIRED OFFICERS
Group Plan
3273-1003
Claims and Eligibility
800-765-6003
deltadentalins.com
How to Enroll
www.lapd.com
League Insurance Dept
800-736-7070
Delta Dental Open Enrollment
Why Choose Delta Dental?
Quality Dentists
In addition to maintaining the largest network in the country,
Delta Dental also regularly audits its network to ensure that all
participating dentists meet comprehensive credentialing standards.
Savings
Delta Dental’s network helped save more than $3.1 billion in claims
costs last year, as network dentists accept pre-negotiated fees for
their services and agree not to “balance bill” their patients, except
for applicable deductibles and copayments. Delta Dental member
companies manage an efficient network of dentists who agree to
provide care at agreed upon maximums. Enrollees realize significant
out-of-pocket savings from its “no balance billing” provision.
Expertise
With more than 60 years of experience, Delta Dental is the oldest
and most experienced dental benefits carrier. Last year, Delta Dental
processed more than 39 million claims with 99.6 percent accuracy.
Local Services
Delta Dental provides exceptional local service every day, providing
timely responses to customers’ questions and ensuring claims are
processed quickly and accurately.
Fast Claims Processing
Dentists offer testimony to the superiority of the Delta Dental brand.
Dentists view Delta Dental two and a half times more favorably than
competing brands. Furthermore, dentists indicate that they work with
Delta Dental more frequently than all other carriers combined. Dentists
view Delta Dental as a superior carrier with demonstrated strengths in
reliability and responsiveness over competitors. In addition, dentists view
Delta Dental’s quality of care as superior and perceive the Delta Dental
network as offering convenient advantages.
Visit Delta Dental www.deltadentalins.com
Los Angeles Police Protective League
We Keep You Smiling®
Why do 30 million enrollees trust their smiles to
Delta Dental?
Most of our enrollees stay
with us year after year, and
it’s no wonder. Delta Dental
sets the industry standard by
doing whatever it takes and
then some.
We deliver:
• Less out-of-pocket costs.
• More dentists.
• Simpler process.
Less Out-of-Pocket
The Delta Dental Difference®
saves clients and enrollees
billions of dollars a year.
Because Delta Dental dentists
agree to our determination
of fees, clients enjoy extensive
cost controls, and enrollees
pay less out-of-pocket costs.
More Dentists
Four out of five dentists
nationwide are contracted
Delta Dental dentists,
giving enrollees convenient
access and quality assurance
through the nation’s largest
dentist network.
Simpler Process
Our dental plans are easy to
use. No ID card is required
to receive services and there
are no claim forms to file -Delta Dental dentists do that
for you. And because we pay
Delta Dental dentists directly,
you are responsible only for
your share of payment.
Delta Dental
We are part of the Delta
Dental Plans Association, a
network of companies that
provides dental coverage to
more than 60 million people
in the US. Delta Dental of
California is part of one of
the nation’s largest dental
benefits delivery systems,
covering 25 million enrollees.
All of our companies are
members, or affiliates of
members, of the Delta Dental
Plans Association, a network
of 39 Delta Dental companies
throughout the country.
Go to LAPD.com to Enroll in Delta Dental
Los Angeles Police Protective League
Dental Plan Comparison
Why Choose Delta Dental?
Benefits
Annual Deductible
Delta Dental PPO Benefits
Calendar Year Maximum
Quality Dentists
Preventive and Diagnostic
Balance Value with Cost
• Cleaning
More Dentists,
Greater Network Access
• X-rays
No Balance Billing
• Exams
• Sealants
Basic
Less Out-of-Pocket
• Extractions
Exceptional Customer Service
• Fillings
More Procedures Covered
• Oral Surgery
No Out-of- Pocket Costs for
In- Network Preventive Services
Major
• Root Canal
• Crowns & Bridges
Additional Benefit Services
include TMJ, Implants,
and a Wellness program
• Dentures
Local Service
• TMJ
Other
• Implants
Expertise
Fast Claims Processing
Delta Dental is #1 with Consumers
This summary is a brief review of benefits. It is not a contract and does
not replace the master policy. It is as accurate as possible, but we cannot be
responsible for any errors and make no warranty of any kind.
Orthodontics
(including adults and
children under age 26)
Orthodontia Lifetime Max.
Monthly Contribution
Effective 7/1/15
Visit Delta Dental www.deltadentalins.com
Delta Dental Open Enrollment
LAPPL
LAPRA Anthem Blue Cross
Delta Dental 07/01/15 – 06/30/16
PPO Dental Plan 07/01/13 – 6/30/14
PPO
Non-PPO
Network
Non-Network
$25 per person
$70 per person
None
$50 per family
Up to $210 per family
$25 per person
$50 per person
Waived for Preventive and Diagnostic
$2,000 per person
(excluding orthodontia)
$1,200 per person
(excluding orthodontia)
100%
80%
100%
100%
100%
80%
100%
100%
100%
80%
100%
100%
100%
80%
100%
100%
90%
80%
90%
80%
90%
80%
90%
80%
90%
80%
90%
80%
90%
80%
90%
80%
60%
50%
60%
60%
50%
50%
60%
60%
80% ($500 max)
80% ($500 max)
NOT COVERED
NOT COVERED
60%
60%
60%
60%
50%
50%
$2,000 per person
(excluding orthodontia)
Occlusal guard available every 5 years (as needed)
50%
50%
$2000 per person
$1,500 per person
Single: rate is subject to Years of Service
Family: rate is subject to Years of Service
$1,750 per person
Single: rate is subject to Years of Service
Family: rate is subject to Years of Service
Out of state residency defaults to Out-of-Network coverage
Go to LAPD.com to Enroll in Delta Dental
Delta Dental Open Enrollment
Delta Dental for the Whole Family
Delta Dental for the whole family
At Delta Dental, we’re dedicated to keeping you happy. That’s why
we work hard to give you more dentists, more savings and more
satisfaction. That means access to the nation’s largest network of
dentists, less out-of-pocket and easy, accurate claims processing.
Because we’ll do whatever it takes to see your healthy smile.
Get the Care You and Your Family Need at a
Lower Cost
• Having dental benefits helps pay for visits to your dentist for
regular checkups and cleanings.
• Delta Dental offers you a large choice of dentists to receive the
most from your benefits.
Going to visit the dentist is a worthwhile investment in your
family’s oral and overall health. Studies suggest that people with
dental benefits are almost 50% more likely to visit the dentist
every six months to
get the care they need.
When you choose
Delta Dental benefits,
you can prevent a
dental problem or get
treatment before it
becomes serious, and
save money on your
dental care costs.
Visit Delta Dental www.deltadentalins.com
Los Angeles Police Protective League
Cost savings
Delta Dental helps you save money on dental costs:
• Delta Dental benefits provide you and your family with financial
assistance for preventive or routine dental services.
• Delta Dental benefits provide coverage for many major dental
procedures.
• You’ll get the most value from your plan when you visit a Delta
Dental dentist in your plan’s network.
Improved oral health
Dental benefits emphasize preventive care. Regular dental visits
can help you avoid serious problems because most dental disease is
preventable.
• Regular dental care can help you and your family stay healthy
and pain-free.
• You can get treatment before a problem becomes more serious.
• You and your family can avoid losing time from work or school
because of dental-related problems.
Improved overall health
Studies suggest that the state of your dental health can affect other
health conditions such as diabetes and heart disease. And many health
conditions have oral symptoms that provide clues to their onset.
Although seeing a dentist is no substitute for a visit to a physician,
regular dental checkups may tell the dentist much about your overall health.
• A regular oral examination can point to signs of disease, chronic
illness or health risk.
• If a dentist finds a potential health issue, he or she may refer you
to your physician for follow-up.
How to Enroll in Delta Dental
Go to LAPD.com to Enroll in Delta Dental
Delta Dental Open Enrollment
How to Enroll in Delta Dental
Go to LAPD.com.
Click on LAPPL OPEN ENROLLMENT.
Review Enrollment CHECKLIST.
Print all required FORMS.
Complete all forms - CHOOSE DELTA DENTAL PPO.
Return FORMS to the League Insurance Dept.
Los Angeles Police Protective League
1308 West 8th Street, Fourth Floor
Los Angeles, CA 90017
or Fax to (213) 386-3121
Go to LAPD.com to Enroll in Delta Dental