OCT Dental Benefits

Delta Dental of Ohio

We are pleased to announce our partnership with Delta Dental of Ohio, who will be administering your dental benefits. Delta Dental of Ohio provides you and your family with more access to in-network dentists than ever before, which means you will pay less out of pocket for covered dental services.
Attention Local 20 Plans 5, 6 and 9 participants! Please check your collective bargaining agreement to make sure your employer elected to provide dental benefits under the Ohio Conference of Teamsters & Industry Health and Welfare Plan. If you are not sure if you have the dental benefit, please contact our office at 419-254-3310, Monday to Friday, from 8:30 am to 5 pm.

Each January 1st you and each one of your enrolled dependents receive up to $1,500 toward your dental care after you meet the $100 in-network or $200 out-of-network deductible (does not apply to preventive benefits) per person and/or family. Below is a brief breakdown of your dental coverage:

  • Preventive benefits include services such as routine exams, x-rays, cleanings and fluoride or sealants and are generally reimbursable at 100% of the Delta Dental fee schedule.
  • Basic services like fillings, root canals and extractions are reimbursable at 60% of the Delta Dental fee schedule, after you meet your deductible.
  • Major services such as crowns, bridges and dentures are reimbursable at 50% of the Delta Dental fee schedule, after you meet your deductible.
Save Money on Dental Services

Delta Dental has two levels of in-network dentists, Delta Dental PPO and Delta Dental Premier. With the Delta Dental PPO, you may save more money and receive higher levels of coverage because Delta Dental PPO dentists have agreed to accept lower fees as full payment for covered services. However, if you go to a dentist who doesn’t participate in Delta Dental PPO, you can still save money if your dentist participates in Delta Dental Premier. Like the PPO dentists, Delta Dental Premier dentists agree to accept Delta Dental’s fee determination as full payment for covered services.

Delta Dental Networks
Delta Dental PPO
  • No balance billing on covered services
  • Most significant network discounts with more than 381,800 office locations nationwide
  • Dentists file claims for member
Delta Dental Premier
  • No balance billing on covered services
  • Significant network discounts with the most office locations nationwide - more than 448,400
  • Dentists file claims for member
Out of Network
Out-of-network Dentist
  • May be balance billed
  • No discounts
  • May need to file own claims
Finding an In-Network Dentist

Visit www.deltadentaloh.com/findadentist to find an in-network dentist near you. Remember that using a PPO dentist will save you the most money. When you call to make an appointment with the dentist you choose, simply tell the dental office you have benefits through Delta Dental of Ohio.

Contacting Delta Dental

If you have questions about your benefits, claims, ID cards or network dentists, you can contact Delta Dental’s customer service team at 1-800-524-0149 Monday to Friday 8:30 am to 8 pm EST. Their automated inquiry system is available 24/7 and can answer many of your questions.

Download the Mobile App

By downloading the Delta Dental Mobile App, you can search for dentists without logging in, or enter your username and password and securely access your personal benefit information or estimate your dental care costs. You can also pull up your ID card right on the app and show it to your dentist right on your mobile device, or easily save it to your device and quickly access it using Apple Wallet or Google Pay.

To download the app on any device, visit the App Store (Apple) or Google Play (Android) and search for Delta Dental.

Submitting a Claim for Reimbursement

Delta Dental PPO and Delta Dental Premier dentists submit claims for you. If you visit an out-of-network dentist, you may need to file your own claim. Printable claim forms are available to download within the Member Portal at www.memberportal.com or from the Delta Dental of Ohio website, www.deltadentaloh.com. Either you or provider can complete the form and attach a copy of your bill. The completed reimbursement forms should be mailed to:

Delta Dental
PO Box 9085
Farmington Hills, MI 48333-9085

Benefit Exclusions and Limitations

Benefits are not payable for exclusions listed in the Plan’s SPD section entitled, "General Exclusions," and those listed below:

  • Charges due to an occupational accident where Benefits are payable under a Workers' Compensation law or other similar law, or due to injury arising out of or in the course of any employment for wage or profit
  • A duplicate denture, replacing the existing denture, except where the original cannot be repaired or adjusted, shall be limited to one per year; lost or stolen, one every five years.
  • Payment for full series of X-rays will be provided initially and at intervals of not less than two years thereafter.
  • Payment for examination of the oral cavity and four bitewing X-rays will be provided only if the interval since the last preceding examination covered under this Plan is not less than six months.