Benefits are paid only when members see a Delta Dental PPO or a Delta Dental Premier dentist. in the state and the nation – Delta Dental Premier®. Resources. Nonparticipating dentists are paid at a reduced level. The national network of Delta Dental companies protects more smiles than any other insurance company. You may also seek care from a Delta Dental PPO dentist. Delta Dental Premier® Network If you have a Delta Dental Premier plan, then you may visit any PPO or Premier dentist. However, out-of-pocket costs are greatly reduced when a Delta Dental Premier network dentist provides services. Delta Dental PPO TM and Delta Dental Premier ... the covered person should ask the provider to send the treatment plan to Delta Dental. 0000419223 00000 n Wellness library. You'll usually enjoy lower out-of-pocket costs when you select a Delta Dental PPO dentist because PPO dentists have agreed to accept reduced fees for covered procedures when treating PPO patients. 0000015243 00000 n Protection • Coverage for a broad spectrum of dental care (see chart for details). Compare savings when you have access to both our Delta Dental PPO and Delta Dental Premier networks. × Find My Delta Dental. However, your cost will likely be lowest when you go to a Delta Dental PPO … Permanente, you receive dental coverage for preventive services. 0000018674 00000 n About Delta Dental Premier Option 2 In most states, you must select a primary care dentist in the DeltaCare USA network dentist from whom you receive treatment as in a traditional DHMO1. It also indicates any limitations that may exist for each service. $40 : $40 . %PDF-1.4 %���� Glossary. 0000014307 00000 n $100 : $80 . 905 40 However, premier dentist fees may mean different out-of-pocket costs than PPO dentist fees. 0000003628 00000 n • Receive care from any licensed dentist. File or view claims. 0000008173 00000 n 0000011267 00000 n Having dental coverage helps you get the care you need to stay healthy. What is the Delta Dental Premier network? For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 0000016239 00000 n • SMWhen you go to a Delta Dental PPO dentist, your plan pays 100%. 0000005008 00000 n Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. Finding a network dentist is easy – visit www.deltadentalnc.org and click “Dentist Search” to locate one near you, or call us toll-free at 1-866-280-8379. Delta Dental PPO Plus Premier™ $45 : Non‐Participating Dentist $100 . Delta Dental Premier is a standard fee-for-service dental benefits program. $70 . 0000002395 00000 n In fact, three out of four dentists nationwide participate in this network. These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible. Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. Find forms. By seeking care from a Delta Dental network dentist, you will save the most money because … For services received out -ofnetwork, yourcosts will be greater. View my ID card. Contact Delta Dental. Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. Members have access to two of the nation’s largest networks. With Delta Dental PPO, you have the flexibility to visit any licensed dentist. DeltaCare USA is a prepaid plan that features set copayments, no annual deductibles and no maximums for covered benefits. Delta Dental offers one of the largest provider networks in the country, and you can choose to get care from: A Delta Dental PPO dentist. Member resources . 0000408509 00000 n At Delta Dental of Indiana, we take our responsibility to protect and safeguard your information very seriously. 0000007416 00000 n Your Security is Our Top Priority. Dental coverage at a glance Michigan Public School Employees Retirement System With your retirement system’s dental plan, which is administered by Delta Dental, you are welcome to go to the dentist of your choice: a Delta Dental PPOSM dentist, a Delta Dental Premier® dentist or a nonparticipating dentist. These answers are only a summary of how most Delta Dental PPO and Delta Dental Premier orthodontic coverage works. Introducing Delta Dental PPO Plus Premier™ - Dental Access for Minnesota. Please refer to your Group Dental Service Contract, Evidence or Certificate of Coverage or Summary Plan Description for your plan’s specific coverage, limitations and exclusions. This combination of networks and benefits is unequaled in the industry.. Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. The Delta Dental Premier network gives you access to the nation’s largest dental network, with 341,000 dentist locations all across the United States. With Delta Dental PPO, you may visit the dentist of your choice, but your out-of-pocket costs are usually less when you choose to visit a Delta Dental dentist. 0000005570 00000 n And, if a dentist participates in the Delta Dental PPO ™ network, members may save even more. Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. This means that even if a procedure is covered at 100%, you may have out of pocket costs if you use a Delta Dental Premier® or non-network dentist because they can bill for charges above the allowed Delta Dental PPO℠ amount. 0000006211 00000 n %%EOF A Delta Dental Premier dentist. ���e��2̧��g�. 0000003142 00000 n 0000016276 00000 n $90 : $45 . When you visit a Delta Dental Premier dentist, we ensure that you pay no more than the co-insurance percentage specified by your coverage. 944 0 obj <>stream 0000000016 00000 n 0000003803 00000 n 905 0 obj <> endobj Delta Dental PPO Plus Premier ™ is the best of both worlds. Healthcare.gov. Your only costs will be the patient’s share of the procedure at the time of treatment. Covered Services Dental Benefit Plan Coverage Delta Dental PPO ... Delta Dental PPO™ & Delta Dental Premier® Online Tools for Members: www.DeltaDentalMN.org Tools Available in the Secure Member Portal Save Money, Go In Network: Search for a participating dentist or specialist, clinic or location. Delta Dental PPO is our second largest dentist network. Delta Dental PPO is our preferred provider organization plan (a mid-priced fee-for-service plan). h�b``�d``=�����|�A���bl,9&��/ *����C�ק�Y �]A�KGR����$/�\�K�n�Ywj� G� ݴ>D�4L MI�V�q7oI�n�e����YCC�::�l���P!F%ec״@�(���j�U���K�h��W0�0�90�`Lb�9����Ӡ��i���A��0C�� Delta Dental Premier is a traditional fee-for-service plan that allows you to visit any licensed dentist and to change dentists at any time without notifying Delta Dental. If you have been covered by a Delta Dental of North Carolina individual policy and drop your coverage, you cannot re-enroll for 12 months. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Premium Plan: A plan with a $2,000 annual maximum, a $100 lifetime deductible, and great coverage on virtually every procedure you might need. Your dentist accepts the established $50 PPO fee. Have a question about coverage or looking for dental insurance? Delta Dental Premier is our largest dentist network. Access to care anywhere! Delta Dental Premier ® See any dentist or specialist • Receive 100% coverage for preventive care in-network. Open your browser settings and turn on javascript to start finding a dentist. 0000009185 00000 n © Delta Dental. 0000012402 00000 n What is Delta Dental Premier ®? DeltaCare USA: Network for most group plan enrollees, DeltaCare USA Individual: Network for Individual plan enrollees (CA only), DeltaCare USA Medicare: Network for Medicare Advantage plan enrollees (CA only), DeltaCare USA Connect: Network available only to enrollees in select southern California groups. Your coverage begins on the first day of the month following the date we receive your application and … The Delta Dental Premier network gives you access to the nation’s largest dental network, with 341,000 dentist locations all across the United States. Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. 0000010253 00000 n With three out of four dentists in the country and 96% of Massachusetts dentists participating in the Delta Dental Premier network, it’s our largest. 0000017471 00000 n 0000001120 00000 n 0000004029 00000 n Find a dentist. 0000427008 00000 n Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. 0000001891 00000 n Health Care Marketplace (Exchange) Customers: This feature uses javascript. 0000003917 00000 n What should you expect from your dentist? *Out -ofnetwork care: This is the amount Delta Dental pays. There are no benefits when a member sees a dentist outside of the Delta Dental network. trailer !AGE!19!&!OVER!! 0000411555 00000 n When you visit a Delta Dental Premier dentist, we ensure that you pay no more than the co-insurance percentage specified by your coverage. Using your account. If you have a Delta Dental Premier plan, then you get the most from your coverage when you visit a Delta Dental Premier network dentist. Delta Dental Premier is a standard fee-for-service dental benefits program. Shop plans. It can also help keep your overall health care costs down. the Delta Dental Premier® network will accept $70, and an out-of-network dentist will bill $100. Check my Exchange status. Create new account. Copies of the form will be sent to the covered person and the provider. UNDER!AGE!19! 0000427491 00000 n 0000003591 00000 n 0000427774 00000 n Connect with us. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. 0000013197 00000 n Delta Dental Premier Dentist : $100 . You get the highest level of coverage and the lowest out-of-pocket costs when you see a Delta Dental PPO dentist. Delta Dental Premier® and non-network dentists can bill for charges above the allowed Delta Dental PPO℠ amount. When do my benefits start? • Peace of mind knowing you’re backed by the hometown dental experts. Get Assistance In a Language Other Than English, Viewing your eligibility information online, Finding your Delta Dental plan information, Beware of offers to waive coinsurance amounts, Go Paperless: Access Your Statements Online, Adding a spouse or dependent to your plan, Mobile Online Services – your ID card and benefits on the go. Delta Dental PPO Dentist . <]/Prev 1524507/XRefStm 1530>> DELTA!DENTAL!PREMIER!–!HIGHPLAN!BENEFITS!SUMMARY!(Continued)!!! Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. In fact, three out … Delta Dental Premier® The most choice for members. Whether you have a PPO or Premier dental plan, accessing in … Connect with your Delta Dental to learn more. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. 0000416573 00000 n !!! What if your dentist isn’t a Delta Dental dentist? Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. xref Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. 0000427123 00000 n startxref 0000004408 00000 n +Time limitson services (e.g. 0000001729 00000 n 0000001530 00000 n With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. 0000012577 00000 n Typically, your out-of-pocket expenses will be lower with DeltaCare USA than with Delta Dental Premier or Delta Dental PPO. The available coverage will be calculated and printed on a predetermination of benefits form. The limitations reflect the availability of coverage only. Estimates should not be construed as financial or medical advice. Delta Dental Premier is our largest dentist network. 0000004919 00000 n For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 0 0000012218 00000 n If you have a Delta Dental PPO TM 1 or Delta Dental Premier ® 1 plan (our fee-for-service, open network plans), you can visit any licensed dentist, but you’ll usually save the most when you visit a dentist in your plan’s network. There is no deductible for preventive care, so your out-of-pocket cost is $0. Please refer to your Certificate of Coverage for further details. Delta Dental Premier® with National Coverage Delta Dental Individual and Family Premier Option One This chart represents the approximate level of coverage for services performed by dentists who participate in the Delta Dental Premier network with national coverage. Network will accept $ 70, and an out-of-network dentist will submit a claim after your visit and ’... 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