What is the Delta Dental Premier network? Delta Dental PPO Dentist . With Delta Dental PPO, you have the flexibility to visit any licensed dentist. File or view claims. Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. However, out-of-pocket costs are greatly reduced when a Delta Dental Premier network dentist provides services. • Peace of mind knowing you’re backed by the hometown dental experts. • SMWhen you go to a Delta Dental PPO dentist, your plan pays 100%. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. trailer Contact Delta Dental. 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. 0000004029 00000 n A Delta Dental Premier dentist. 0000011267 00000 n 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�� !!! *Out -ofnetwork care: This is the amount Delta Dental pays. 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. Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. 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. 0000006211 00000 n Delta Dental Premier is our largest dentist network. Delta Dental PPO Plus Premier ™ is the best of both worlds. 0000007416 00000 n 0000427774 00000 n View my ID card. Delta Dental Premier is a standard fee-for-service dental benefits program. × Find My Delta Dental. And, if a dentist participates in the Delta Dental PPO ™ network, members may save even more. the Delta Dental Premier® network will accept $70, and an out-of-network dentist will bill $100. 0000009185 00000 n Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. !AGE!19!&!OVER!! What should you expect from your dentist? 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. 0000000016 00000 n Delta Dental Premier® The most choice for members. Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. 0000017471 00000 n 0000001729 00000 n 905 40 $100 : $80 . 0000419223 00000 n Your only costs will be the patient’s share of the procedure at the time of treatment. 0000008173 00000 n For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Access to care anywhere! 0000003591 00000 n Delta Dental Premier Dentist : $100 . With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. 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. 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. ���e��2̧��g�. 0000003628 00000 n Premium Plan: A plan with a $2,000 annual maximum, a $100 lifetime deductible, and great coverage on virtually every procedure you might need. 0000014307 00000 n 0000411555 00000 n Introducing Delta Dental PPO Plus Premier™ - Dental Access for Minnesota. Whether you have a PPO or Premier dental plan, accessing in … $70 . 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. However, your cost will likely be lowest when you go to a Delta Dental PPO … 0000012577 00000 n 0000001120 00000 n Delta Dental Premier is a standard fee-for-service dental benefits program. DeltaCare USA is a prepaid plan that features set copayments, no annual deductibles and no maximums for covered benefits. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Delta Dental PPO is our second largest dentist network. Find a dentist. $40 : $40 . Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. Resources. 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. 0000001530 00000 n Permanente, you receive dental coverage for preventive services. • Receive care from any licensed dentist. 0000427123 00000 n startxref The available coverage will be calculated and printed on a predetermination of benefits form. 0000003803 00000 n © Delta Dental. Using your account. Typically, your out-of-pocket expenses will be lower with DeltaCare USA than with Delta Dental Premier or Delta Dental PPO. Create new account. In fact, three out of four dentists nationwide participate in this network. It also indicates any limitations that may exist for each service. What is Delta Dental Premier ®? About Delta Dental Premier Option 2 Open your browser settings and turn on javascript to start finding a dentist. Your Security is Our Top Priority. When you visit a Delta Dental Premier dentist, we ensure that you pay no more than the co-insurance percentage specified by your coverage. These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible. xref in the state and the nation – Delta Dental Premier®. Protection • Coverage for a broad spectrum of dental care (see chart for details). Glossary. Health Care Marketplace (Exchange) Customers: This feature uses javascript. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 0000004919 00000 n 0000005570 00000 n Estimates should not be construed as financial or medical advice. $90 : $45 . Compare savings when you have access to both our Delta Dental PPO and Delta Dental Premier networks. Delta Dental Premier is our largest dentist network. %PDF-1.4 %���� Check my Exchange status. You get the highest level of coverage and the lowest out-of-pocket costs when you see a Delta Dental PPO dentist. Please refer to your Certificate of Coverage for further details. 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. 944 0 obj <>stream Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. 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. 0000012402 00000 n <]/Prev 1524507/XRefStm 1530>> For services received out -ofnetwork, yourcosts will be greater. +Time limitson services (e.g. 0000003917 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. Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. When you visit a Delta Dental Premier dentist, we ensure that you pay no more than the co-insurance percentage specified by your coverage. You may also seek care from a Delta Dental PPO dentist. This combination of networks and benefits is unequaled in the industry.. 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. 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. Having dental coverage helps you get the care you need to stay healthy. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 0000016239 00000 n These answers are only a summary of how most Delta Dental PPO and Delta Dental Premier orthodontic coverage works. 0000001891 00000 n Healthcare.gov. However, premier dentist fees may mean different out-of-pocket costs than PPO dentist fees. 905 0 obj <> endobj UNDER!AGE!19! The national network of Delta Dental companies protects more smiles than any other insurance company. Nonparticipating dentists are paid at a reduced level. It can also help keep your overall health care costs down. Connect with your Delta Dental to learn more. There is no deductible for preventive care, so your out-of-pocket cost is $0. 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. %%EOF 0000427491 00000 n Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. 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