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. 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.
Dental Plan Information
- UCSF Providers
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Network Delta Dental
1-800-765-6003As of Feb. 6, 2015, in-network clinics include: UCSF Dental Center
Buchanan Dental Clinic
100 Buchanan St.
San Francisco, CA 94102
(415) 476-5608
http://dentistry.ucsf.edu/patient-services/directory-of-clinics/buchanan-dental-center-general-dentistryUCSF Dental Center
General Practice Residency
707 Parnassus Ave., D-1201
San Francisco, CA 94143
(415) 502-8914
https://www.ucsfdentalcenter.org/clinic/general-dentistry-resident-clinic-parnassusUCSF Dental Center
Predoctoral Student Clinic*
707 Parnassus Ave.
San Francisco, CA 94143
(415) 476-1891, Option 3
http://dentistry.ucsf.edu/patient-services/directory-of-clinics/adult-general-dentistry-parnassus-predoctoral-clinic
*The Predoctoral Student Clinic now offers evening appointments for students who are in school or work during the day!UCSF Dental Center
Faculty Group Practice*
707 Parnassus Ave., D-4000
San Francisco, CA 94143
(415) 476-3028
http://dentistry.ucsf.edu/patient-services/directory-of-clinics/faculty-group-practice *Covered as an out-of-network provider
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Billing Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330
Tel: 1-800-765-6003Member ID Call: 1-866-940-8306 Group Policy 20096
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Annual Deductible: $25 in-network / $50 out-of-network Annual Maximum Benefit: $1000 in-network / $750 out-of-network Diagnostic and Preventative Services
(exams, cleanings, x-rays)100% in-network / 80% out-of-network Basic Services
(fillings, simple tooth extractions, sealants)80% in-network / 60% out-of-network Endodontics (root canal) 80% in-network / 60% out-of-network Periodontics (gum treatment) 80% in-network / 60% out-of-network Oral Surgery (gum treatment) 80% in-network / 60% out-of-network Major Services
(crowns, inlays, onlays and cast restorations, bridges, and dentures)70% in-network / 40% out-of-network *Limitations or waiting periods may apply for some benefits; some services may be excluded. Please refer to your Dental Benefit Booklet or Summary of Benefits for waiting periods and a list of benefit limitations and exclusions. **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.
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