On This Page
- About Delta Dental
- Find a Delta Dental dentist
- Preventive and comprehensive dental coverage
- Medical dental coverage
- 2024 dental benefits by plan
- 2023 dental benefits by plan
About the Delta Dental network
Effective January 1, 2024, your CHPW dental benefits are administered by Delta Dental of Washington.
At CHPW, we know that your oral health is an important part of your overall health. That is why we have partnered with Delta Dental of Washington to provide you with dental benefits that supplement your CHPW Medicare Advantage medical plan.
With Delta Dental of Washington, you will
- Gain access to the largest network of dentists in Washington
- Save money on your dental treatments from Delta Dental’s network of dentists; Delta Dental network dentists offer preapproved, discounted fees to their patients
- Never have to submit dental claims; Delta Dental network dentists handle claims for you
- In addition to preventive care, you may also receive coverage towards your comprehensive care; your dental benefits are dependent upon your CHPW health plan
Choosing a Delta Dental dentist
Is my current dentist part of the Delta Dental network?
There’s an easy way to find out! Follow these steps to see if your current dentist or dental clinic is part of the Delta Dental network.
- Go to the Delta Dental Find a Dentist Tool
- Under “Address”: enter the city or town where your dentist is located
- Under “Within”: expand search to within 25 miles
- Under “Choose Your Network”: select Delta Dental PPO Plus Premier network
- Under “Advanced Search”: click on green “+”
- Under “Search by name”: enter your dentist’s last name
- To search by the name of your dental clinic or to search for a Community Health Center, click on “Clinic Name” and enter the name of your dental clinic.
Find a new Delta Dental PPO Plus Premier network dentist at DeltaDentalWA.com*
Use the button below to find a network dentist near you. All providers in this provider directory accept both Medicare and Medicaid.
Select the Delta Dental PPO Plus Premier network. Your local Community Health Centers are part of Delta Dental’s network.
Once you’re on Delta Dental’s Find a Dentist page, follow these steps:
- Under “Address”: enter the address of your home or work
- Under “Within”: expand search to within 25 miles
- To search by the name of your dental clinic or to search for a Community Health Center, click on “Clinic Name” and enter the name of your dental clinic
* Your CHPW dental plan requires that you see a Delta Dental network dentist for all types of treatment. If you use a dentist who is not a Delta Dental network dentist, your dental treatment will not be covered.
If you have any questions regarding your dental benefits, please call CHPW at 1-800-942-0247 (TTY: 711), 8:00 a.m. to 8:00 p.m., 7 days a week.
For provider claims, please call Delta Dental of Washington at 1-833-527-8090, Monday through Friday, 7 a.m. to 5 p.m.
Preventive and comprehensive dental coverage
- Preventive dental services include:
- Cleanings
- Oral exam
- Dental X-rays
- Fluoride treatment
- Comprehensive dental services include:
- Non-routine services
- Diagnostic services
- Restorative Services
- Endodontics/Periodontics/Extractions
- Prosthodontics, other oral/maxillofacial surgery
- Diagnostic dental X-rays
- Dentures
- Other services
Medical dental coverage
Medical dental services require prior authorization. Copays and coinsurance amounts depend on the specific services rendered. CHPW is responsible for processing Original Medicare (OM) services such as medical dental services.
Medical services can include:
- Surgery of the jaw or related structures
- Setting fractures of the jaw or facial bones
- Extraction of teeth to prepare jaw for radiation treatment of neoplastic cancer disease
- Services that would otherwise be covered when provided by a physician
Dental benefits by Medicare Advantage (MA) plan
2024 MA plans
| Dual Complete (HMO D-SNP) | $0 copay, up to $5,000 per year for preventive and comprehensive services combined. |
| Dual Select (HMO D-SNP) | $0 copay, up to $500 per year for preventive and comprehensive services combined. |
| MA Plan 1 (HMO) | $0 copay, up to two preventive visits per year. |
| MA Plan 2 (HMO) | $0 copay, unlimited preventive visits, up to $500 per year for comprehensive services. |
| MA Plan 3 (HMO) | |
| MA Plan 4 (HMO) | |
| MA Freedom Plan (HMO) |
Dental limits are per year for supplemental non-OM (non-Original Medicare) services.
2023 MA plans
2023 dental benefits
You can use your CHPW dental benefit with any dentist who will bill CHPW. If you are a member and have paid for dental services yourself, contact our Customer Service team to find out about reimbursement.
| MA Dual Plan (HMO SNP) | $0 copay, up to $5,000 per year for preventive and comprehensive services combined. |
| MA Plan 1 (HMO) | $0 copay, up to two preventive visits per year. |
| MA Plan 2 (HMO) | $0 copay, unlimited preventive visits, up to $500 per year for comprehensive services. |
| MA Plan 3 (HMO) | |
| MA Plan 4 (HMO) | |
| MA Freedom Plan (HMO) |
We’re here to help.
To ask questions, request print copies of materials, and more, contact Customer Service at 1-800-942-0247 (TTY: 711), 8:00 a.m. to 8:00 p.m., 7 days a week.
Did you know that certain prescription medicines are available as a 90-day supply? Medicine that you take on a long-term basis to manage your health is called a “maintenance drug.” A 90-day supply makes it easier to keep taking the medicine you need to feel your best. You may also be eligible to receive your long-term medications through free home delivery.
