Delta Dental Plan Options
for New Jersey Students

What is Fixed Copay PPO?

Fixed Copay PPO works similarly to a DHMO. It provides a list of covered services with copays (the fixed out-of-pocket amount you pay to the PPO dentist). There is no deductible and no plan maximum. However, you must use a Delta Dental PPO dentist to receive covered services. The primary difference between your current Flagship plan and Fixed Copay PPO is that, with Fixed Copay PPO, you do not need to select a primary care dentist. You and your covered family members may utilize any general dentist or specialist that participates in the Delta Dental PPO network. You won’t need a referral to see a specialist. The covered services and benefits are the same as what was available under the Flagship Health Plan.
 

Do I have to select a primary care dentist?

No. You may utilize any dentist that participates in the Delta Dental PPO network. Each covered family member may use a different Delta Dental PPO dentist.
 

If I use a dentist who does not participate in the Delta Dental PPO network, will I be covered under Fixed Copay PPO Program?

No. For services to be covered under this program, you must see a dentist that participates in the Delta Dental PPO network.
 

Does each member of my family have to use the same dentist?

No. Each family member covered under your plan can use the same dentist or select their own dentist, including a pediatric dentist.
 

If I have a preexisting dental condition, may I join the program?

Yes. Preexisting conditions are not excluded and are covered if treatment begins after you enroll in Fixed Copay PPO.
 

Does the program provide coverage for specialty services?

Yes. You do not need a referral for any specialty services as long as you receive services from a general dentist or specialist that participates in the Delta Dental PPO network.
 

Is orthodontia covered under my plan?

Orthodontic coverage varies depending on the plan chosen by your administrator. You will receive a detailed description of your plan and its benefits.
 

How do I enroll?

Please contact University Health Plans at 800-437-6448 or info@univhealthplans.com.
 

What if I have questions about my benefits or claims?

Please contact Delta Dental of New Jersey’s Customer Service team:

In New Jersey: 800-722-3524
Out of area: 800-848-3524