Vendor Contact

The City of Mesa has contracted with a third party administrator (TPA) Delta Dental of Arizona, to deliver our dental benefit program including coverage, verification, claims processing, appeals process and pre-estimation of benefits. Members may contact Delta Dental customer service, Monday through Thursday, 730am to 5pm MST; Friday, 730am through 430pm MST (except holidays) or visit the member portal at any time.

Dental Contact Information/Claims Address:

Dental Plan administered by:	Delta Dental of Arizona
Address:	Attn: Claims Department PO Box 9092 Farmington Hills, MI 48333-9092
Dental PPO Network:	Delta Dental PPO Network and the extended Delta Dental Premier Network
Group Number:	04760
Customer Service Number:	1.602.588.3981
Website:	www.deltadentalaz.com

City of Mesa Dental Plan Highlights:

For full, comprehensive plan details and benefits, refer to the Plan Document.

Dental Features	Preventive Choice Plan	Dental Choice Plan	Dental Choice Plus Plan
Annual Deductible	No deductible for preventive and diagnostic services $50 deductible/individual on basic services Family deductible will not exceed $150	No deductible for preventive and diagnostic services $50 deductible/individual on basic and major services Family deductible will not exceed $150	No deductible for preventive and diagnostic services $50 deductible/individual on basic and major services Family deductible will not exceed $150
Annual Maximum	$1,000/person	$2,000/person	$2,300/person
Preventive Services (Plan Pays)	100%	100%	100%
Basic Services (Plan Pays)	80%	80%	80%
Major Services (Plan Pays)	Not covered	80%	80%
Orthodontia (Plan Pays)	Not covered	Not covered	80% up to $1,500 per year; $3,000 lifetime Orthodontic services are paid in two installments - upon initial banding and one year after. You must be enrolled in the Premium Plus Plan in order to receive both payments

Dental Plan Monthly Premiums (Retiree):

Below are the monthly retiree contribution amounts for the Dental Plan coverage. Due to the number of variables used to calculate individual retiree premiums, there may be a variance between the premiums listed below and actual premiums owed by retirees. If you have a question about the calculation of your retiree premium, please call the Employee Benefits office at 480.644.2299 or via email at benefits.info@mesaaz.gov.

Tier	Preventive Choice Plan	Dental Choice Plan	Dental Choice Plus Plan
Retiree Only	$0.00	$9.50	$24.50
Family	$6.00	$34.00	$114.00

FAQs

How do I register online with Delta Dental of Arizona?
Registering your account at Delta Dental is easy. Simply follow these steps to register:
1. Go to www.deltadentalaz.com
2. Click the "Member" button and then click "Register Here".
3. Enter the employee/retiree information
4. The Member ID will be the employee ID preceded by 4 or 5 zero’s to make a total nine-digit number (ex. 000099999).
When I search for my dental provider, it says they are in both the PPO Network and Premier Network...What is the difference?

Delta Dental of Arizona (DDAZ) contracts and manages one of the largest dental provider networks in Arizona (and in many other states). And just like with medical, using an in-network dentist will provide you access to discounted rates for your dental services. The City’s Dental plans have access to two networks: Delta Dental PPO and Delta Dental Premier Networks.

Both networks offer discounted rates to our members and the Plan. The difference between the two networks is not in the quality and experience of the providers but in the discounts that apply - the discounted rates in the PPO network are deeper. DDAZ’s PPO member dentists have agreed to accept a PPO discounted fee schedule without balance billing members for the difference between billed charges and the PPO fee schedule. Dentists who exclusively participate in DDAZ’s Premier Network have agreed to accept a Maximum Plan Allowance for their services that are slightly less discount off of billed charges than the PPO network discounted fee schedule – and again no balance billing to members.
How do I find out if my dentist is in or out-of-network?

Just like with medical, you’ll want to ask the right question— “…are you contracted with Delta Dental of Arizona’s PPO or Premier Network?” You can also check yourself by registering at www.deltadentalaz.com, click on the Provider Search tab and then “Find a Network Dentist.”
So what if the online directory shows my dentist is in both the PPO and Premier Network…what happens then?

If a provider is listed as participating in both networks, you will get the benefit of the richer or deeper discounted network (i.e. the PPO network). Reason that many dentists participate under both networks is because many employers simply choose to provide access to only one of the networks-- not both. The City has chosen to provide maximum network access with both networks available to members…this way if your dentist decided to NOT participate in the deeper discounted PPO network, did however choose to contract in the Premier Network, you would still get access to discounts and have your claim processed as in-network.
Is there a way I can know if a dental procedure is covered under my Plan and if so, pre-determine my out of pocket cost under our Plan?
Absolutely! In fact, it’s encouraged if the estimated costs for your procedures are over $200 to avoid as many out-of-pocket surprises as you can. It’s called a “pre-treatment estimate.” This is a free service that Delta Dental provides members so they can make more informed decisions about dental care and lets you know the following:
- Is the procedure covered under the Plan?
- What is your out-of-pocket estimate?
- Will the procedure exceed your Plan maximum?
Most in-network dentists will help you process a pre-treatment estimate or do it for you. Your dentist will provide DDAZ the proposed treatment plan along with relevant e-rays, etc. DDAZ will process the procedure(s) as if it were an actual claim, and provide a pre-determination Explanation of Benefits (EOB) illustrating how the procedure can be covered under your Plan.
How do I get a Delta Dental ID card?

Delta Dental will automatically send new members physical dental ID cards when they enroll in City dental plan coverage. If you would like to request a replacement or additional ID cards, you can do that by calling Delta Dental’s customer service department at (602) 588-3981 or by going online to www.deltadentalaz.com.

To request a physical dental ID card online, sign in to the Member Portal with your username and password. Your dental ID card information will appear on the right side of the Home page and will have the option to view and print your member ID card or order another ID card. Allow 7-10 business days to receive your ID card.

To view your digital ID card using the Delta Dental app, simply log into the app using your username and password. The Home page of the app will automatically display your Member ID card information. You will be able to email the ID card information or add it to your digital wallet.

More FAQs