What separates Delta Dental PPO from other carriers of dental PPO products? Costs for covered services are provided up front, so enrollees can prepare for treatment costs ahead of time. Your orthodontist will provide you with payment options (monthly, quarterly, etc.). Access to care anywhere! Plans purchased on or after the 15th of the month have effective date options of: the first of the next month, the 15th of the next month, the first of the month after next or the 15th of the month after next. The Certificate is a summary of your dental benefits coverage. Preparing for orthodontic treatment? Plus, there are no annual deductibles, waiting periods or maximums to worry about.³. You don’t need a referral to begin orthodontic treatment. 8 a.m. - 7 p.m. Here are … With this plan, members enjoy outstanding access and considerable savings by leveraging two of our national dental networks: Delta Dental PPO and Delta Dental Premier, the largest dental network in the country. What should you expect from your dentist? If predictability and more cost-management are valued, our copay product might be the best choice. By combining the extensive size of our Premier network and the deeper discounts of our PPO network, the Delta Dental PPO plus Premier plan can help reduce claims costs. © Delta Dental. Delta Dental Premier® network 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. If your benefits cover two-phase orthodontic treatment, retainers are usually covered after each phase. In Florida, Delta Dental Insurance Company provides DeltaCare USA Plan benefits as a Prepaid Limited Health Service Organization as described in Chapter 636 of the Florida Statutes. DeltaCare® USA Plans purchased by the 21st of the month will become effective on the first date of the following month. It reflects and is subject to a This plan matches the UDB benefit feature for feature. Delta Dental offers you three great plans to choose from and you can sign up whenever you’re ready. DeltaCare ® USA Delta Dental PPO TM and Delta Dental Premier ® Getting started You don’t need a referral to begin orthodontic treatment. Limitations and exclusions apply. Delta Dental Summary Plan Description DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Effective: January 1, 2020 Refer to your plan booklet for details about your out-of-network benefits. Some plans may cover alternative appliances like Invisalign. Delta Dental PPO Plus Premier™ – Preventive Plan The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. Introducing Delta Dental PPO Plus Premier - Dental Access for Minnesota. Does dental insurance cover cosmetic procedures? However, your out-of- pocket expenses may be more. Costs depend on the services you need. Note: Under some plans, you may lose eligibility if coverage has lapsed more than 30 or 60 days. E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Delta Dental’s plans prioritize preventive care and dentist access, which may be able to keep health care costs low. Your orthodontic coverage and options may vary based on your plan type: Note: A pre-treatment estimate is not a guarantee of Delta Dental’s final payment. 1Your benefits may differ from the general information provided here. Coverage varies depending on your plan, but most Delta Dental plans include: This coverage depends on your plan and applies only if you are in active treatment (banding has occurred). Refer to your plan booklet for more information about covered services, deductibles and maximums. E.g., a plan purchased on July 25 would not be effective until September 1. 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. What if your dentist isn’t a Delta Dental dentist? And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹. Delta Dental PPO plus Premier is Delta Dental’s preferred provider organization (PPO). Health Care Marketplace (Exchange) Customers: This feature uses javascript. Visit any licensed dentist, but save with in-network dentist, Online or via phone (will become effective the following month)⁷, Care provided by a specialist is coordinated through the selected primary care dentist. The Delta Dental PPO Plus Premier Enhanced Plan is primarily an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care from dentists in Massachusetts and across the country. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Get the most plan value by choosing a Delta Dental PPO dentist. More network savings. 866-760-4080 Choose from more than 50% of dentists. In some states, DeltaCare USA is offered as an open access plan where enrollees can obtain treatment from any licensed dentist; however, deductibles and maximums may be applied for services provided by an out-of-network dentist. This option offers an added advantage to patients receiving treatment from a Delta Dental PPOSM Provider. If dentist access is a high priority, Delta Dental PPO might be a great fit. Important COVID-19 updates for enrollees and providers. Individual PPO plans have flexible enrollment. Delta Dental Premier® network 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. DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Unique Dentists Penetration Report, 2019, Dental Actuarial Analytics, 2017 Dental PPO Study, includes all Delta Dental member companies. While many value the transparency and affordable premiums DeltaCare USA offers, these plans offer much more than preventive care. If you do not have State of Wisconsin group health coverage and therefore are not enrolled in the UDB plan, you have the option to enroll in this supplemental preventive plan. All dental plans give you access to one of the largest networks of dentists in Arkansas (more than 95% of dentists are in our PPO and Premier networks 2) and the nation. Delta Dental’s PPO network is one of the nation’s largest, with more than 112,000 dentists participating in over 278,000 locations nationwide. Open your browser settings and turn on javascript to start finding a dentist. Orthodontic copayments vary by plan design. These companies are financially responsible for their own products. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary South Washington County Schools Group … Delta Dental PPO Plus Premier Certificate Delta Dental of Kentucky, Inc., issues this Certificate to you, the Subscriber. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Secure Choice Group Number 50777 Notice: Receipt of the Summary Plan Description does not Your patients’ network options will depend on their plan. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary Duluth Joint Powers Enterprise Trust Group Number 000405 DENTAL … This program features two levels of claims savings. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Benefit period : January 1, 2020 to December 31, 2020 Your dentist can submit a pre-treatment estimate (or you can submit one if you choose a non-Delta Dental orthodontist). Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. Best if dentist access is a high priority. If you don’t have basic coverage through the UDB or another dental plan, you may want to enroll in the Delta Dental PPO Plus Premier – Preventive Plan. (3) When visiting a non-Delta Dental PPO dentist, you pay the difference between the dentist's fee and the Delta Dental-approved fee plus the copayment. Best if cost management and predictability are priorities. E.g., a plan purchased on June 17 would become effective on July 1. Your orthodontist creates an initial estimate of costs, called a “pre-treatment estimate.” If you agree to proceed, the orthodontist will create a treatment plan with the associated copayments and fees. Delta Dental PPO Plus Premier Our PPO Plus Premier plans give you the same broad access to dentists in the Delta Dental Premier network, PLUS the opportunity to save even more when you visit a dentist in the Delta Dental PPO network. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental is America's largest and most trusted dental benefits carrier. Typically, one set of post-treatment retainers (for orthodontic purposes) is covered in a lifetime. If your benefits cover two-phase orthodontic treatment, retainers are typically covered after each phase. 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. Delta Dental PPO plus Premier Network You will get the best value from your Delta Dental Plan when you receive your dental care from one of our PPO (greatest savings) or Premier network participating dentists: We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and … Delta Dental PPO™ is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. Delta Dental PPO Plus Premier™ – Preventive Plan Delta Dental PPO plus Premier Network Read Your Dental Plan Description Carefully—This Outline of Coverage provides a very brief description of the important features of your dental benefitsplan. Delta Dental Premier Choose if you’re interested in a broader selection of providers – and are willing to Review your plan booklet for specific details regarding orthodontic coverage under your plan. Select any licensed orthodontist under your plan; however, your costs will typically be lower if you choose an in-network orthodontist. You must visit a Delta Dental PPO prosthodontist or Delta Dental PPO orthodontist to receive the maximum in-network benefits under the program. Enrollees have access to both the Delta Dental PPO SM  and the Delta Dental Premier® network dentists, which helps ensure greater access to in-network dentists. Under this HMO-type plan, enrollees have their choice of skilled primary care dentists from the DeltaCare USA network. This is not the company. Delta Dental PPO™ plan purchasers have flexible enrollment options. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. There are no maximums, waiting periods or deductibles.⁶, producerservices@delta.org *Members will be subject to balance billing for covered services. Members have access to … This coverage depends on your plan, and is typically only offered for enrollees undergoing active orthodontic treatment. DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you … We offer two plan options, each with distinct advantages. Delta Dental PPOSM and Delta Dental Premier® are open networks that allow enrollees to visit any licensed dentist, either in the PPO network, where you will save the most on out-of-pocket costs, the moderate cost Premier network or outside the Delta Dental network, where there are no cost Delta Dental orthodontists will submit claims for you. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefits with Orthodontic Coverage Dental Benefit Plan Summary Pipe Trades Services … DeltaCare USA plans are underwritten in these states by these entities: CA — Delta Dental of California; DC (Policy- I-P-DC-dc)  and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; NV — Alpha Dental of Nevada, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental of Virginia 4818 Starkey Road, Roanoke, VA 24018-8510 800-237-6060 DeltaDentalVA.com Rev 3.2020 Delta Dental PPO plus Premier Benefits for … A way to save If an appliance is not covered, Delta Dental usually covers some of the orthodontic treatment costs. Delta Dental PPO Plus Premier Delta Dental PPO Plus Premier maximizes the advantages of our dual networks. 6 This not only gives you a … You may also seek care from a Delta Dental PPO dentist. Pre- and post-treatment records (x-rays and study models), Limited, interceptive and comprehensive orthodontic treatment, Orthodontist-recommended tooth extractions, Retainers (one set typically covered in a lifetime – see below). Delta Dental PPO Plus Premier - Plan Details Overview of benefits coverage on the dental plan for State of Arizona employees and retirees. Orthodontic payment schedules depend on your contract. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. Dental plans that work for you. You do not have to file any claims. According to an independent consulting firm, Delta Dental PPO offers the nation’s best effective discount.² This means our networks can deliver the most value through a combination of network size, utilization and discounts. Costs depend on the services you need, but Delta Dental can help estimate costs before treatment begins. SEE BASIC COVERAGE PLAN DETAILS © Delta Dental. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Enrollees simply visit a DeltaCare USA contracted dentist and pay the predefined copayment. E.g., a plan purchased on July 15 can be effective August 1. Choose the best fit and get started. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Enrollees select a primary care dentist, and this dentist will then coordinate any needed referrals to a specialist.⁵ Covered services provided by their DeltaCare USA dentist have preset copayments (dollar amounts), which are listed in their plan booklet. Best if dentist access is a high priority. Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO and Delta Dental Premier®. Covered services are paid based on a percentage — if, for example, fillings are covered at 80%, enrollees pay the remaining 20%. The initial coverage period is for 12 months. Get … This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. To find out, review your Contract, Policy or Evidence of Coverage booklet or check with your benefits administrator. 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. Delta Dental PPO This network provides the best value and lower out-of-pocket costs. Plans purchased after the 21st will not be effective until the month after that. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Its “safety net” feature combines the traditional Delta Dental Premier network with the Delta Dental PPO network, giving members maximum access to participating dentists and maximum savings. 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