More smiles from Medicare

Dental Advantage plan for public agency retirees.

Portrait of older senior couple smiling and hugging

We are proud to offer an optional comprehensive dental HMO plan to our CalPERS members, Dental Advantage by Delta Dental of California*. And with low copays and no hidden costs for dental services, we think that’s something to smile about.

Dental Advantage by Delta Dental is available for public agency retirees only.

With Dental Advantage by Delta Dental, you’ll enjoy:

Low copays
Such as $5 office visits
Your choice of dentist
From the Delta Dental Medicare Advantage DHMO network
Comprehensive coverage
Including fillings, crowns and dentures

Low cost prevention services
Such as $15 - $20 cleanings
No waiting period
Benefits kick in with Medicare Advantage
Unlimited smiles
With dental coverage you can count on

Ready to enroll in Sharp Direct Advantage?

If you are ready to enroll in Medicare and Sharp Health Plan:

Visit the CalPERS website at calpers.ca.gov
Visit myCalPERS or
Call 1-888-CALPERS (1-888-225-7377)

Need more info?

Learn more at deltadentalins.com.
Find a network dentist in your area. Be sure to select the Delta Dental Medicare Advantage DHMO network when searching for a provider.

Delta Dental’s Customer Care: 1-800-390-3368
Sharp Health Plan Customer Care: 1-833-346-4322 (TTY/TDD 711)

Summary description of benefits and copayments

ADA code	Description	Member copay
D0999	Office visit	$5
D0120	Periodic exam, 1 every 6 months	$0
D0210	X-rays, complete series, 1 every 24 months	$0
D1110	Cleaning, 1 every 6 months	$15
D2330	Filling, 1 surface	$55
D2740	Crown, porcelain/ceramic	$425
D2750	Crown, porcelain fused to metal	$425
D3330	Root canal, molar	$375
D4341	Periodontal scaling and root planning, 4 or more teeth per quadrant; 4 quadrants per every 12 months	$60
D4910	Periodontal cleaning	$45
D5110	Complete denture, upper	$395
D5213	Partial denture, upper	$425
D5511	Repair broken complete denture base, mandibular	$50
D5512	Repair broken complete denture base, maxillary	$50
D5730	Reline complete denture, upper	$50
D7140	Extraction, erupted tooth or exposed root	$35
No code	Emergency dental service	$100 allowance

TAKE ME THERE

Delta Dental refers to Delta Dental of California.

You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change each year.

Delta Dental is a registered mark of Delta Dental Plans Association. DeltaCare USA is underwritten by Delta Dental of California and administered by Delta Dental Insurance Company.

Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Read the full disclaimer.

Page last updated: 2/4/2025

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