dental PPO (expatriates in the U.S.)

action may be required: enroll dependents

You have been automatically enrolled in the health plans listed below as part of the expatriate transfer process. However, if you have dependents, they have not been automatically enrolled in these plans. You must call the Human Resources Service Center within 31 days of your transfer date if you want to cover your dependents. If you do not notify the HR Service Center within 31 days of your transfer date, you generally must wait until the next open enrollment period (usually held in October) to enroll your dependents. Elections you make during open enrollment are effective on January 1 of the following year.

Who can I cover? U.S. health plans have special rules about who you can cover in your health plans. You can generally cover your children, your spouse and your domestic partner. Be sure to read all the rules about who you can cover under your benefits. Open each plan's summary plan description (listed below) and go to the Eligibility section to read the rules.

had a recent change in life? update benefits within 31 days

You must call the Human Resources Service Center within 31 days of a qualifying life event, such as you get married or have a baby to enroll dependents or make other changes to your coverage. If you miss the 31-day deadline, you generally must wait until the next open enrollment period (usually held each October) to update your benefits.

dental plan

The Chevron Dental Plan (Expatriates in the U.S.) is the dental plan for expatriates working in the U.S. Delta Dental of California (Delta Dental) is the claims administrator.

Plan Group Number: 18368

find a network dentist

You do not need login to search for a dentist. Go to the Delta Dental website and look for Find a Dentist on the right side navigation. Choose Delta Dental PPO and/or Delta Dental Premier from the Select Network dropdown. Both networks are considered network providers and the plan will pay 100 percent of the cost for covered services, up to the annual limit. Be sure to search under both networks to see all available network dentist choices in your area.

questions?

  • For questions and assistance with eligibility, enroll dependents, or update your coverage after a life event, contact the Human Resources Service Center.
  • Contact your health plan provider directly for detailed questions about your expatriate health coverage, including what types of services are covered or claim inquiries.

network providers

A network is a group of independent dental care providers that have agreed with your dental plan claims administrator to charge contracted fees for services provided to plan members.

With the Dental PPO, you can see any dentist you choose, but using a network provider saves you money directly by reducing your out-of-pocket costs. They also help to lower overall claim costs for all of us. Delta Dental offers two different types of networks. Both options are considered network providers, so they cover the same services, have the same annual maximums, the same coinsurance or copayment levels, and covered services from these providers aren’t subject to the deductible. You also don’t have to worry about balance billing when you see a provider from either network option. The difference between the two comes down to the reduced fees the dentists have agreed to provide Dental PPO plan participants.

delta dental PPO network

You’ll want to find a dentist in the Delta Dental PPO℠ network to get the greatest savings on your covered dental services. That’s because these dentists have agreed to the greatest reduced fees. Why does this matter? Simple math; your coinsurance will apply to a smaller fee so you pay less.

delta dental premier network

If you can’t find a Delta Dental PPO℠ network dentist, a Delta Dental Premier® dentist offers the next best opportunity to save. Like the Delta Dental PPO℠ network dentists, Delta Dental Premier® dentists also have agreed to reduced fees, but the savings on these fees aren’t as much as with the Delta Dental PPO℠ network dentists. So your coinsurance amount will be applied to a higher fee, but you’re still saving more money than if you visited an out-of-network provider.

out-of-network providers

When you use an out-of-network dentist, services will be subject to an annual deductible and your coinsurance amounts will be higher, so your out-of-pocket costs will be higher. In addition, out-of-network dentists may balance bill you for the difference between the plan allowance and their usual fee for services.

Please note: This page applies to U.S.-payroll employees. This page provides only certain highlights of benefits or program provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and legal plan documents, the legal documents will prevail to the extent permitted by law. This is not a plan text or a summary plan description. There are no vested rights with respect to Chevron health care plans or any company contributions toward the cost of such health care plans. Rather, Chevron Corporation reserves all rights, for any reason and at any time, to amend, change or terminate these plans or to change or eliminate the company contribution toward the cost of such plans. Such amendments, changes, terminations or eliminations may be applicable without regard to whether someone previously terminated employment with Chevron or previously was subject to a grandfathering provision. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union represented employees.