State of Texas Dental Choice Plan - Delta Dental

State of Texas Dental Choice Plan

Good overall health starts with a healthy mouth. The State of Texas Dental Choice Plan is a self-funded, Preferred Provider Organization (PPO) plan administered by Delta Dental that focuses on prevention, early diagnosis, and treatment to help you stay healthy.

Program Benefits

  • You are not required to designate a primary care dentist (PCD) and can see any dentist that takes PPO dental plans, but you will save money by staying in Delta Dental’s network. 
  • There are two networks designed to save you money:
    • Delta Dental PPO and
    • Delta Premier network.
      • Both networks offer board certified dentists. The difference between the networks is how much you pay. If you choose a Delta Dental PPO dentist, you will likely pay less out of pocket. If you choose a Delta Premier dentist, you’ll still receive network benefits, but will likely pay more for services.
  • The plan allows for two routine exams and cleanings per calendar year.
  • Coverage is available for
    • diagnostic and preventive services,
    • basic services,
    • major services and
    • orthodontic services.
  • Costs vary depending upon services provided. For a detailed list of services and coverage, view the State of Texas Dental Choice plan fact sheet.
  • Any covered dental expense incurred during the last three months of the calendar year (October-December) that applies to the deductible will also apply to the deductible for the next calendar year. This is so the participant will not have to satisfy a deductible at the end of one year and at the start of another year.

Eligibility and Enrollment

  • The plan is available to GBP eligible employees, retirees and dependents. Evidence of Insurability is never required to enroll in this plan.
  • You and your dependents must enroll in the same dental plan.
  • You can enroll in this plan during your first 31 days of employment. There is no waiting period.
  • You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage and coverage will begin on the date of birth or the first of the month following the event.
  • You can enroll during your designated Annual Enrollment period and coverage will begin on September 1 of that year for active employees and non-Medicare eligible retirees or January 1 for Medicare-eligible retirees of the following year.

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