Dental

PG&E offers dental coverage administered by Delta Dental. The PG&E-sponsored dental plans provide coverage worldwide and allow you to receive care from any licensed dentist. When you go to a Delta Dental network dentist, you pay less because services are billed at prenegotiated, discounted rates. If you go to a nonparticipating dentist, you pay more.

As a reminder, you can use Health Account credits to help pay these dental care costs.

To find a dentist in the Delta Dental Premier or Delta Dental PPO network, visit Delta Dental’s PG&E-specific website or call Delta Dental at 1-888-217-5323.

Dental Plan Provisions

You can use any dentist you choose, but you’ll save the most money by using a Delta Dental PPO Network dentist.

Want to estimate your dental costs and see the current status of your calendar-year deductibles and maximums? Use the Cost Estimator Tool at Delta Dental’s PG&E-specific website or through the Delta Dental Mobile app. Remember, you can use your Health Account to pay for coinsurance and other dental charges.

Dental Plan Provisions
Choice of Dentist	Any; for maximum benefits, use a PPO or Premier Dentist Visit Delta Dental’s PG&E-specific website for a list of PPO and Premier Dentists
Calendar -Year Deductible	Required for all covered services except diagnostic care, preventive care and orthodontics. You pay only one deductible depending on the type of provider you use. Delta Dental PPO Network $25 per person; no more than $75 per family Applies if you use only PPO dentist Delta Dental Premier Network or Non-Participating Dentist $50 per person; no more than $150 per family Applies if you use a Premier Network or Non-Participating dentist–even if you only use them once and you use PPO dentists every other time
Diagnostic and Preventive Care	No deductible You’re responsible for 15% of covered charges for preventive care: Two exams per year Two cleanings per year Fluoride treatments Space maintainers Full-mouth X-rays and Panorex films once every five years Bitewing X-rays twice a year for dependents up to age 18; once a year for adults ages 18 and older
Basic care	Deductible required You’re responsible for 15% of covered charges for basic care: Fillings Root canals Treatment of the gums (periodontia) Oral surgery Extractions Sealants for eligible dependents under age 16 Permanent first molars through age eight Second molars through age 15 If your dentist prescribes you an opioid, here’s what you should know.*
Major Care	Deductible required You’re responsible for 15% of covered charges for major care: Crowns Inlays Onlays Implants Cast restorations Bridges If your dentist prescribes you an opioid, here’s what you should know.*
Calendar-Year Maximum Benefit	$2,500 per person (excludes orthodontia)
Orthodontia	50% up to a lifetime maximum benefit of $2,000 per person

Note: All benefits are subject to Delta Dental’s usual, customary reasonable allowances

*Must be connected to PG&E network to view.

Costs

Monthly Dental Rates

Dental FAQs

Can I use my Health Account to pay for my dental visit?

Yes. You may have to initially pay for your dental visit with your personal funds, but you can get reimbursed by filing a claim to the Health Account.

Can I use my Optum Financial or Kaiser Visa Health Payment card to pay at the time of service?

Yes, you can use your Optum Financial or Kaiser Visa Health Payment card at the time of service, but it is best to ask your dentist to process your claim first and then bill you after the claim has been processed. Most providers won’t know exactly how much your benefit plans will pay.

If I pay for my dental visit using my personal funds, how can I get reimbursed?

If you pay for your dental visit using your personal funds, you can be reimbursed by filing a claim to the Health Account or Flexible Spending Account (FSA) if you have one. See the Reimbursements section under Medical Anthem Members or Medical Kaiser Members for more information on how to process your reimbursement.

My dentist left the Delta Dental Network. Can I still see my dentist if they are not in the Delta Dental network?

Yes. While you’ll save the most money by using a Delta Dental PPO or Delta Dental Premier Network dentist, you can use any dentist you choose.

If you wish to continue receiving dental care from a dentist who is not in the Delta Dental network, you’ll just need to file a claim with Delta Dental using the steps below:

At the time of service, don’t use your Health Account Optum Financial or Kaiser credit card. Instead, pay out-of-pocket using your own money and file a claim with Delta Dental for reimbursement.
- File a dental claim for reimbursement with a non-participating dentist (click for instructions)
- Wait for your Explanation of Benefits (EOB) from Delta Dental
- If your dental care was more than Delta Dental paid for, you can request reimbursement from the Health Account via Optum Financial or Kaiser for amounts Delta Dental didn’t cover.
  - How to file claim for reimbursement with Optum Financial
  - How to file claim for reimbursement with Kaiser

How do I contact Delta Dental?

To contact Delta Dental, visit Delta Dental’s PG&E-specific website or call 1-888-217-5323.

What is my Delta Dental group number?

Union-represented employees
IBEW and SEIU: 1515-0101
ESC: 1515-0106
Management and A&T employees
Utility: 1515-0132 | Corporation: 1515-0232
Employees on LTD
LTD IBEW and SEIU: 1515-0111
LTD ESC: 1515-0116
LTD Management and A&T (Utility): 1515-0133
LTD Management and A&T (Corporation): 1515-0233

Questions?

Call the PG&E Benefits Service Center at
1-866-271-8144
Monday–Friday,
7:30 am–5 pm PT