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Dental Care | studentmentalhealth

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href="/insurance-and-forms">Insurance and Forms</a> > <span class="breadcrumb-page-title">Dental Care</span></div></div></div> <h1 class="title" id="page-title">Dental Care</h1> <div class="content-top"> </div> <div id="main-wrapper"> <div id="main" class="clearfix"> <div id="content" class="column"> <div class="inside"> <a id="main-content"></a> <div class="tabs"></div> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div id="node-146" class="node node-page slider-secondary clearfix" about="/insurance/dental-care" typeof="sioc:Item foaf:Document"> <span property="dc:title" content="Dental Care" class="rdf-meta element-hidden"></span><span property="sioc:num_replies" content="0" datatype="xsd:integer" class="rdf-meta element-hidden"></span> <div class="content"> <div class="field field-name-field-body field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>All those enrolled in the University of California Student Health Insurance Plan (UC SHIP) are automatically enrolled in the dental care coverage through Delta Dental. Your Delta Dental "Enrollee ID" is the same member ID as your Anthem ID excluding the pre-fix "XDP". A referral is not needed to access dental benefits; you only need to find a Delta Dental PPO Provider, provide the dental offce with your "Enrollee ID", and schedule your appoinment.</p> <p>UCSF Dental Center provides comprehensive dental care for adults and children.  The highest level of benefit is with a Delta Dental PPO network provider.  Before seeking care please confirm with the dental office if they are Delta Dental PPO network provider.  Delta Dental Premier network providers and out-of-network providers will result in higher out-of-pocket expenses.</p> <h2 class="header-demarcation">Dental Plan Information</h2> <div class="collapse-item"> <div aria-expanded="true" class="header-text" role="button" tabindex="0"> <p><label for="accordion-2">Policy Information</label></p> </div> <div aria-hidden="false" class="content-text" role="region" tabindex="-1"> <table border="0" cellpadding="0" cellspacing="0" height="210" width="1174"> <tbody> <tr> <td>Billing</td> <td><a href="https://www.deltadentalins.com/ucship/">Delta Dental of California</a><br /> P.O. Box 997330<br /> Sacramento, CA 95899-7330<br /> Tel: 1-800-765-6003</td> </tr> <tr> <td>Member ID</td> <td>Register with <a href="https://www1.deltadentalins.com/group-sites/ucship.html" title="https://www1.deltadentalins.com/group-sites/ucship.html">Delta Dental</a> using your Anthem ID (excluding the “XDP”) as your "Enrollee ID”</td> </tr> <tr> <td>Group Policy</td> <td>20096</td> </tr> </tbody> </table> </div> </div> <div class="collapse-item"> <div aria-expanded="false" class="header-text" role="button" tabindex="0"> <p><label for="accordion-3">Benefit Summary</label></p> </div> <div aria-hidden="true" class="content-text" role="region" tabindex="-1"> <table border="0" cellpadding="0" cellspacing="0" height="587" width="1174"> <tbody> <tr> <td>Annual Deductible:</td> <td>$25 in-network / $50 out-of-network</td> </tr> <tr> <td>Annual Maximum Benefit:</td> <td>$1000 in-network / $750 out-of-network</td> </tr> <tr> <td>Diagnostic and Preventative Services<br /> <span style="font-size: 10px !important;"><b>(exams, cleanings, x-rays)</b></span></td> <td>100% in-network / 80% out-of-network</td> </tr> <tr> <td>Basic Services<br /> <span style="font-size: 10px !important;"><b>(fillings, simple tooth extractions, sealants)</b></span></td> <td>80% in-network / 60% out-of-network</td> </tr> <tr> <td>Endodontics <span style="font-size: 10px !important;"><b>(root canal)</b></span></td> <td>80% in-network / 60% out-of-network</td> </tr> <tr> <td>Periodontics <span style="font-size: 10px !important;"><b>(gum treatment)</b></span></td> <td>80% in-network / 60% out-of-network</td> </tr> <tr> <td>Oral Surgery <span style="font-size: 10px !important;"><b>(gum treatment)</b></span></td> <td>80% in-network / 60% out-of-network</td> </tr> <tr> <td>Major Services<br /> <span style="font-size: 10px !important;"><b>(crowns, inlays, onlays and cast restorations, bridges, and dentures)</b></span></td> <td>70% in-network / 40% out-of-network</td> </tr> <tr> <td colspan="2">*Limitations or waiting periods may apply for some benefits; some services may be excluded. Please refer to your <strong><a href="/insurance/forms-brochures#dental" target="_blank">Dental Benefit Booklet</a></strong> or <strong><a href="/insurance/forms-brochures#dental" target="_blank">Summary of Benefits</a></strong> for waiting periods and a list of benefit limitations and exclusions.</td> </tr> <tr> <td colspan="2">**Fees are based on PPO fees for in-network dentists and the maximum plan allowance (MPA) for out-of-network dentists. Reimbursement is paid on Delta Dental contract allowances and not necessarily each dentist's actual fees.</td> </tr> </tbody> </table> </div> </div> </div></div></div> </div> </div> </div> </div> </div> </div> </div> <div id="sidebar" class="column"> <div class="sidebar_top"> <div class="region region-sidebar-top"> <div id="block-menu-block-2" class="block block-menu-block"> <h3><a href="/insurance-and-forms" class="active-trail">Insurance and Forms</a></h3> <div class="content"> <div class="menu-block-wrapper menu-block-2 menu-name-main-menu parent-mlid-0 menu-level-2"> <ul class="menu"><li class="first leaf menu-mlid-2126"><a href="/services/international-claims" title="">International Claims</a></li> <li class="leaf menu-mlid-2056"><a href="/insurance/billing-process">Billing Process</a></li> <li class="leaf active-trail active menu-mlid-1971"><a href="/insurance/dental-care" class="active-trail active">Dental Care</a></li> <li class="leaf menu-mlid-2066"><a href="/insurance/end-coverage-insurance-options">End of Coverage: Insurance Options</a></li> <li class="leaf menu-mlid-2061"><a href="/insurance/enrollment-eligibility-premium">Enrollment, Eligibility and Premium</a></li> <li class="leaf menu-mlid-1976"><a href="/insurance/forms-brochures">Forms and Brochures</a></li> <li class="leaf menu-mlid-2146"><a href="/insurance/gender-affirming-services">Gender Affirming Services</a></li> <li class="leaf menu-mlid-2021"><a href="/insurance">Insurance</a></li> <li class="leaf menu-mlid-1901"><a href="/insurance/insurance-waiver">Insurance Waiver</a></li> <li class="leaf menu-mlid-1911"><a href="/insurance/international-medical-evacuation">International Medical Evacuation</a></li> <li class="leaf menu-mlid-2026"><a href="/insurance/medical-plan-benefits">Medical Plan Benefits</a></li> <li class="leaf menu-mlid-2076"><a href="/insurance/mental-health-coverage">Mental Health Coverage</a></li> <li class="leaf menu-mlid-2071"><a href="/insurance/prescription-plan">Prescription Plan</a></li> <li class="leaf menu-mlid-1916"><a href="/insurance/travelers-insurance">Traveler&#039;s Insurance</a></li> <li class="last leaf menu-mlid-2031"><a href="/insurance/vision-plan">Vision Plan</a></li> </ul></div> </div> </div> </div> </div> </div> </div></div> <div id="footer"> <div class="section"> <div class="region region-footer"> <div id="block-block-16" class="block block-block"> <div class="content"> <p><strong>UCSF Student Mental Health and Wellbeing</strong></p> <div aria-label="Student Health and Counseling Contact Information Footer" class="wysiwyg_threecols layout--33-33-33" role="region"> <div class="wysiwyg_threecols--first bg--undefined bg--transparent"> <p><strong>Parnassus</strong><br /> 500 Parnassus Ave.,<br /> level P8, room 005<br /> San Francisco, CA 94143<br /> <b>Telephone:</b> (415) 476-1281<br /> <strong>email: </strong><a href="/cdn-cgi/l/email-protection#fb8896938cbb8e98889dd59e9f8e"><span class="__cf_email__" data-cfemail="7506181d0235001606135b101100">[email&#160;protected]</span></a></p> <p> </p> </div> <div class="wysiwyg_threecols--second bg--undefined bg--transparent"> <p><strong>Mission Bay</strong><br /> 1675 Owens St.,<br /> Rutter Center, 3rd Floor, room 330<br /> San Francisco, CA 94158<br /> <strong>Telephone:</strong> (415) 476-1281<br /> <strong>email: </strong><a href="/cdn-cgi/l/email-protection#1b6876736c5b6e78687d357e7f6e"><span class="__cf_email__" data-cfemail="8dfee0e5facdf8eefeeba3e8e9f8">[email&#160;protected]</span></a></p> <p> </p> </div> <div class="wysiwyg_threecols--third bg--undefined bg--transparent"> <p class="par-biggest">Key Resources</p> <p><a href="https://success.ucsf.edu/" target="_blank">Student Success Center</a></p> <p><a href="https://careadvocate.ucsf.edu/" target="_blank">CARE Advocate</a></p> <p><a href="https://sds.ucsf.edu/" target="_blank">Student Disability Services</a></p> <p><a href="https://diversity.ucsf.edu/" target="_blank">Office of Diversity and Outreach</a></p> <p><a href="https://studentmentalhealth.ucsf.edu/sexual-misconduct-reporting" target="_blank">Sexual Misconduct Reporting</a></p> </div> </div> <p>► <em><a href="/about/staff-profiles">Meet the staff.</a></em> </p> </div> </div> </div> <div class="footer-bottom"> <nav aria-label="Footer Navigation" class="footer--navigation"> <ul> <li><a href="/contactus">Contact Us</a></li> <li><a href="https://www.ucsf.edu/accessibility-resources">Accessibility</a></li> <li><a href="https://www.ucsf.edu/website-privacy-policy">Privacy Policy</a></li> <li><a href="https://websites.ucsf.edu/website-terms-use">Terms of Use </a></li> <li><a href="https://websites.ucsf.edu/azlist">A-Z Website List</a></li> </ul> </nav> <div class="footer--copyright"> <p>&copy; 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