Subscribers

The Commonwealth of Virginia Retiree Health Benefits Program - Medicare Eligible Participants Only

As a subscriber with The Commonwealth of Virginia Retiree Health Benefits Program for Medicare Eligible Participants Only, your dental benefits are administered by Delta Dental of Virginia. With Delta Dental you have your choice of more than 6,600 dental locations throughout Virginia and more than 314,000 dental offices across the country1. All dentists who have agreed to participate with Delta Dental will file your claims for you, will accept Delta Dental’s allowances for services (in addition to any required coinsurance and deductible), and will abide by Delta Dental’s guidelines for dental treatment. To find out more about your Delta Dental benefits plan with The Commonwealth of Virginia Retiree Health Benefits Program for Medicare Eligible Participants Only, click on the link below to view a booklet with detailed information about your benefits.

Benefits Plan Booklet

COVA Retirees booklet with Q&A and benefits summary.

Helpful Links

Visit The Commonwealth of Virginia Retiree Health Benefits Program website for Medicare Eligible Participants.

If you are a Non-Medicare Retiree Group Participant, click here.

Is your oral health at risk? Put your smile to the test and visit myDentalScore.

The Delta Dental Network

Delta Dental offers members of The Commonwealth of Virginia Retiree Health Benefits Program for Medicare Eligible Participants Only its largest network, with 83% of all dentists in Virginia participating1. When you receive your dental care from a Delta Dental participating dentist, you will not be responsible for any charges that exceed Delta Dental’s allowance for the covered services you receive. This means your out-of-pocket expenses will be limited to the amount of your coinsurance, deductible and any amounts that exceed your annual or lifetime maximums.

Should you decide to receive dental care from a dentist who is not a member of the Delta Dental Network, you will still receive benefits from your dental plan, but your share of the cost will likely be higher than if you received care from a participating dentist. In addition, you may have to file any claims yourself.

Delta Dental Participating Dentists
  • Participating dentists will file your claims to Delta Dental at no charge.
  • Delta Dental will pay the dentist directly for covered benefits.
  • The dentist will accept Delta Dental's allowance for covered benefits. This means that you pay only the applicable coinsurance and deductible for these covered services.
Non-Participating Dentists
  • You may be required to pay the non-participating dentist in advance for the entire bill, complete claim forms and submit to Delta Dental.
  • Payment will be made directly to you unless your dentist agrees to accept payment from Delta Dental.
  • Non-participating dentists have not agreed to accept Delta Dental's allowance for their services. This means that, in addition to what Delta Dental pays, you must pay the applicable coinsurance and deductible and the difference between the non-participating dentist's charges and Delta Dental's payment for covered benefits.

1Delta Dental Plans Association, March 2014