Dental Coverage

UMG offers two dental plans through Delta Dental: DeltaCare DMO and Delta Dental PPO. The biggest differences are how you pay for care and whether you can see providers outside the network.

Compare your dental options

Delta DMO Delta Dental PPO
Provider choice DeltaCare network only

More provider choice, including out-of-network dentists

Primary care dentist required Yes No
Specialist referrals required Yes No
Deductible None Yes
Annual plan maximum None $2,000
How you pay Set co-pays Deductible and coinsurance may apply

DeltaCare DMO (Plan #06194)

The DeltaCare DMO offers predictable costs with set copays for covered services. There is no deductible or annual plan maximum.

Keep in mind:

  • You must choose a DeltaCare primary care dentist to coordinate your care and provide referrals to specialists when needed.
  • You must use DeltaCare network providers for services to be covered.
  • You’ll pay a set copay for covered services based on the plan’s fee schedule.

View your state’s DeltaCare plan summary below for covered services and copays. If your state isn’t listed, contact Delta Dental for details.

Delta Dental PPO (Plan #06152)

The Delta Dental PPO gives you more flexibility in where you receive care and has a larger network of providers than the DMO. You can visit any licensed dentist, but you’ll generally save the most when you use a Delta Dental PPO network provider.

Keep in mind:

  • You don’t need to choose a primary care dentist or get referrals.
  • The plan has a deductible and annual plan maximum.
  • You can receive care outside the network, but you’ll pay more. You’re responsible for your share of the cost plus any amount the dentist charges above the plan’s reasonable and customary (R&C) amount.

Getting dental care

You will not receive an ID card and don’t need one to receive care. To get care, you’ll need to:

  • Find a participating Delta Dental provider online (DMO is DeltaCare and PPO is Delta Dental PPO)
  • Call and provide your personal information when scheduling your appointment

If you prefer to have an ID card, you can access a digital or temporary card through your Delta Dental account.

Using the PPO plan outside the network? You’ll generally pay more out of pocket and will need to submit your claim directly to Delta Dental.

 

Delta Dental Resources

Have questions on your benefits?

Contact the Benefit Service Center at
(888) 526-2794
from 8 am – 5 pm PT.

Delta DMO (Plan #06152)
Phone: (888) 335-8227

Delta PPO (Plan #76194)
Phone: (800) 422-4234
Website: deltadentalins.com

Dental plan comparison

Delta Dental PPO
Delta Dental PPO
Delta DMO
Plan Features
In-Network
*Out-of-Network
In-Network Only
Annual Deductible
$75/member
$75/member
None
Annual Plan Maximum
$2,000/member
$2,000/member
None
Diagnostic & Preventive Care
Exams, cleanings, x-rays, diagnostic casts, treatment of dental pain, and
No cost
20% coinsurance
Co-pay varies by service. Please see the plan documents for your state for details.
Basic Services
Oral surgery, fillings, endodontic, periodontic, sealants, general anesthesia, sedation
20% after deductible
25% after deductible
Co-pay varies by service. Please see the plan documents for your state for details.
Major Services
Crowns, inlays, onlays, cast restorations, bridges, dentures for missing natural teeth, implants
50% after deductible
40% after deductible
Co-pay varies by service. Please see the plan documents for your state for details.
Orthodontia
50% coinsurance
50% coinsurance
Co-pay varies by service. Please see the plan documents for your state for details.
Ortho Lifetime Max
$3,500 per member
$3,500 per member
None
Your 2026 Monthly Cost for Coverage**
Your 2026 Monthly Cost for Coverage**
Your 2026 Monthly Cost for Coverage**
Your 2026 Monthly Cost for Coverage**
Employee Only
$11
$11
$5
Employee + Spouse
$21
$21
$9
Employee + Child(ren)
$22
$22
$10
Employee + Family
$34
$34
$14
2026 Monthly COBRA Costs
2026 Monthly COBRA Costs
2026 Monthly COBRA Costs
2026 Monthly COBRA Costs
Employee Only
$45.07
$45.07
$17.49
Employee + Spouse
$91.59
$91.59
$34.35
Employee + Child(ren)
$95.55
$95.55
$40.44
Employee + Family
$142.14
$142.14
$56.20

*Out-of-network reimbursement is based on plan’s maximum allowable charge; out-of-network providers may balance bill for additional fees.

**Pre-tax payroll deduction.

Have questions about your benefits?

Contact the UMG Benefits Service Center at (888) 526-2794 from Monday to Friday 8 am – 5 pm PT.