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PPO Dental Plan - Delta Dental of Arizona

This plan is a City of Scottsdale self-insured dental program offered to employees on a voluntary basis. It has a preferred provider network. The preferred provider network is Delta Dental of Arizona - Premier Plan. You have the freedom to select the dentist of your choice, but if you utilize a preferred provider dentist, you will receive a higher level of coverage.

To see if your dentist is on the Delta Dental of Arizona - Delta Premier Plan, follow this link and select "Dentist Search": www.deltadentalaz.com leavingcos.gif (340 bytes)

Monthly Premiums - PPO Dental Plan

Rates apply to full-time, part-time and job share employees.

Full- Time Employee Pays Job-Share or
Part Time
Employee Pays
Employee Only $5.00 $13.74
Employee & Spouse/Partner $47.00 $57.24
Employee & Children $33.00 $42.74
Employee & Family $75.00 $86.00

Reference Documents

Delta Dental of Arizona Websiteleavingcos.gif (340 bytes)
Look for the Premier Plan for preferred providers.

Delta Dental Claim Form

Delta Dental Summary Plan Description


  • Delta Dental of Arizona
    P.O. Box 43000
    Phoenix, AZ  85080-3000
    (602) 938-3131 or
    (800) 352-6132
  • Contact Human Resources at (480) 312-7600
  • Send an email to


  • Stop by one of our offices (7575 E. Main St or at the Corporation Yard).


Frequently Asked Questions


I see that the dental plan uses a preferred provider network. What does that mean for me? Can I still go to my own dentist?


Having a preferred provider network allows members to receive a higher level of coverage if you utilize one of the preferred providers. You still have the flexibility and freedom to use any dentist. If the dentist you elect to use is not a preferred provider, you still receive coverage just at a lower level.


Will my dentist file a claim for me or will I have to do it?


That depends on the dental office. A majority of dental offices will file the insurance claim themselves. However, some dental offices will not work with insurance claims. In that case you would have to file the claim yourself. The Delta dental plan does not determine how that works, it is strictly up to the dental office.


How much is my deductible and how does it work?


The deductible under the dental PPO is $50 per person with a maximum deductible of $150 per family. The deductible is what you pay out of pocket first before there is any benefit coverage. Once you have met your deductible then the plan will pay according to the schedule of benefits of costs that are considered reasonable and customary, up until you have met your annual maximum of $1,500 per person. Once you have met your annual maximum then the dental PPO does not pay any additional claims for the remainder of the plan year for that person.

Produced by Human Resources

This guide represents a summary of benefits provided by the City of Scottsdale to benefited employees. Every effort has been made to report information accurately. All information, including the amount of any benefit and employee eligibility of benefits, is subject to and governed by the terms and conditions of the applicable policy or plan documents. In all cases where any of the information provided in this guide differs from the amount of benefit actually provided by the policy or plan, the terms of the legal documents will control.