FAQs About Participation with Delta Dental Patient Direct . The information provided in this website is a summary and is intended for illustration purposes only. How to join . For inquiries about the PPO program, please contact Delta Dental Customer Service at 877-688-3503; for inquiries about the DHMO program, please contact DeltaCare USA Customer Service at 844-697-0579. Plan Features: Access to one of the nation’s largest dental networks, Delta Dental PPO. Delta Dental PPO - Point of Service Complete freedom to visit the dentist of your choice. In fact, more than 80% of dental insurance plans are PPOs.1. Individual. Plans purchased from the first through the 14th of the month have effective date options of: the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next. Estimates should not be construed as financial or medical advice. Write to: Delta Dental Customer Service P.O. 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. There are three plan options with variations on Core and buy-up benefits. Preventive care coverage varies by plan and by demographic considerations such as age. In 2008, Delta Dental member companies processed over 81 million dental … Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. Dentist news. Delta Dental PPO gives employers the ability to enjoy both maximum savings and all the features of other Delta Dental plans. Special Programs . The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. For dentists. Individual + Spouse. Each option provides coverage for the same types of services, but at different cost levels. With an emphasis on preventive care benefits, the plan's specially negotiated provider fees also help control patient out-of-pocket costs for major services. © Copyright 2020 Delta Dental Plans Association. 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. Delta Dental of Massachusetts PPO insurance products are offered by Dental Service of Massachusetts, Inc. An Independent Licensee of the Delta Dental Plans Association. Delta Dental PPO is our preferred provider organization. Family $150 . $700. Please scroll down and accept to proceed. Delta Dental PPO ™ Higher savings, lower premiums, and a quality network. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . This is the amount you will pay out-of-pocket for services in a calendar year. Administrative and claim forms. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. To learn more about the PPO dental insurance plan and compare it against other plans that we offer, please click here. 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. This is the amount you will pay out-of-pocket for services in a calendar year. Individual and Family FAQs. Provider Tool Tips. Benefits. DeltaCare® USA plan. How to join . You can easily find a dentist now in the Delta Dental networks. PPO Network. When you visit a PPO Dentist, payment is based on the PPO fee schedule. Co-insurance for: What You Pay. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. How to join . Enrollees have access to both the Delta Dental PPO and the Delta Dental Premier network dentists, which helps ensure greater access to network dentists. Enroll Now. Many of our benefit plans give members access to both of our networks with the added benefit of our extensive Premier network safety net feature in case you can't find a PPO provider. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . *Not sure where your company is headquartered? If your group has selected the Delta Dental PPO fee basis, all claims are calculated at the PPO contract allowance (more balance billing out of network). Delta Dental PPO Typically results in the lowest out-of-pocket cost for care. Employers. Premier Network. 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. Delta Dental PPO - Point of Service ™ For Individuals and Families. Individual + Child(ren) $150.00. In addition to better health, greater savings and more choice and flexibility, with the Delta Dental PPOTM network: 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.6 This not only gives you a great selection of qualified dentists to choose from, but increases the likelihood that your dentist already participates in the network. More information at Delta Dental’s website. Delta Dental PPO. A PPO dental plan will typically have a larger network of dental providers, and you’ll be able to switch dentists or see a specialist without a referral from a primary care dentist. Individual and Family FAQs. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. NOTE: These Medicare Advantage networks consist of dentists in Michigan, Ohio and Indiana only. Delta Dental can help keep your smile healthy with these articles: 3U.S. So why have PPO plans emerged as the popular and smart choice? The plan pays higher benefits (and you pay less) when you visit an in-network Delta Dental PPO dentist. Find the one that’s right for you. Provider Tool Tips. Estimates should not be construed as financial or medical advice. If you have any questions or need additional information about your PPO dental program, please contact Delta Dental Customer Service at: 877-688-3503. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Delta Dental PPO. Benefits. Delta Dental PPO™ plan purchasers have flexible enrollment options. This is the maximum amount that the plan will pay in a calendar year. N/A. Delta Dental PPO™ plan. Administrative and claim forms. Deeper discounts that save groups and enrollees out-of-pocket costs. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. Preventive services are included in this tool. Seminars and Events. Delta Dental Premier ® Non-Delta Dental Dentist. Other services such as tori removal, and bone grafting may or may not be covered benefits under your delta plan. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Here are the benefits of creating an account, You can choose from many different kinds of dental plans, but Preferred Provider Organizations (PPO) are by far the most popular. Looking for more information? $112.00. You can easily find a dentist now in the Delta Dental networks. Provider Tool Tips. Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21. Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. Get started here. Dentist FAQs. Dental office support. There may be a savings advantage to receiving care from a PPO Dentist because your out-of-pocket costs tend to be lower than visiting a non-Delta Dental dentist. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Use this link if your plan utilizes both the Delta Dental Medicare Advantage PPO network and the Delta Dental Medicare Advantage Premier network. If you have dental benefits through your employer*, please select the state where your company's headquarters are located. Delta Dental of Oklahoma offers other options for individuals and families outside of the workplace. Delta Dental PPO Plus Premier™ - By combining the extensive size of the Delta Dental Premier network and the deeper discounts of the Delta Dental PPO network, the Delta Dental PPO plus Premier plan can help reduce claims costs. Health Care Exchange. More information at Delta Dental’s website. Your network options will depend on your benefit plan. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Delta Dental is the nation's leading dental insurance company, providing access to over 145,000 dentists at more than 292,000 office locations. Contact your company's human resources department. $216.00. Patients eligible for benefits can receive care from any dentist they choose, but they can lower their out-of-pocket costs by choosing a Delta Dental PPO participating dentist. PPO Network. Individual. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. Employers. The information and content (collectively, "Content") on this website is for your general educational information only. Co-insurance. Delta Dental plans offer the largest network in North Carolina and the country, no waiting period for preventive care, and the freedom to visit any licensed dentist. Individual. Provider Tool Tips. $900. $56.00. Individual + Spouse. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Estimates may vary depending on your benefit plan and the state you live in. Individual + Child(ren) $150.00. Enjoy no balance-billing within the Delta Dental PPO Network. Coinsurance. Delta Dental PPO. No balance billing. Individuals only pay copays and deductibles for services received. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Delta Dental Of Massachsetts Total Choice PPO no annual bennifit maximum*, (meaning there are no dollar limits on covered services for the calendar year), May only be purchased and used by those who have primary residence in Massachusetts. FAQs About Participation with Delta Dental Patient Direct . Member guidance. Our combination of network size, quality and discounts help your customers give their employees in-network care while keeping out-of-pocket costs low. Delta Dental of Oregon is a part of Delta Dental Plans Association. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Delta Dental Patient Direct: Patients … What You Pay. Delta Dental Insurance Company Delta Dental PPO Contact Us Online Call toll-free: 855-242-1549 (Customer Service agents are available Monday through Friday, 7:15 a.m. to 8:00 p.m., Eastern time.) Delta Dental PPO Plus Premier combines the Delta Dental PPO and Delta Dental Premier networks, which gives you the benefits of Delta Dental PPO and more. Member guidance. The Content on this website is not medical advice. Employers. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. $130.00. The information provided in this website is a summary and is intended for illustration purposes only. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Therefore, it is always best to confirm information with your health care professionals. Delta Dental PPO - Point of Service Complete freedom to visit the dentist of your choice. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Your actual cost may be higher or lower than the estimate for various reasons. This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. Basic Services. For inquiries about the PPO program, please contact Delta Dental Customer Service at 877-688-3503; for inquiries about the DHMO program, please contact DeltaCare USA Customer Service at 844-697-0579. Delta Dental PPO™ For Individuals and Families. 2020-2021 Monthly Rates. Choose any dentist . Anthem has one of the largest dental preferred provider organization (PPO) networks in the country. This program features two levels of claims savings. Delta Dental of Tennessee’s Individual & Family Plans are designed to help maintain good oral health while also balancing your budget. Dentist news. World Health Organization 1995, 5Dental Actuarial Analytics 2018 Dental PPO Study, slide 16. Available exclusively for small groups, this dental plan design is a great solution for your customers with diverse workforces. Benefits Highlights; Evidence of Coverage; Getting the Most From Your Plan; Other Resources. 2020-2021 Monthly Rates. Claims might look similar to this:* Dental Network. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. Have a question about coverage or looking for new coverage? For a complete description of the details of your coverage, please refer to your coverage documents. About Delta Dental Individual and Family PPO Value for Seniors . Seminars and Events. Health Care Exchange. Benefits paid by the plan for covered oral evaluations and routine prophylaxis (cleanings) will not reduce your annual per person maximum for Preventive/Diagnostic Services, Basic Services and Major Services. You may be responsible for the cost of procedures or services not covered by your plan. Plan allowance. Provider tools. Health Care Exchange. Use this link if your plan utilizes both the Delta Dental Medicare Advantage PPO network and the Delta Dental Medicare Advantage Premier network. Calendar Year Deductible . Delta Dental PPO™ plan. Benefits Materials . Delta Dental member companies posted approximately $15 billion in premium revenue during fiscal year 2008, the system's 29th consecutive year of financial gains. Your network options will depend on your benefit plan. Individual + Child(ren) $88.00. DeltaCare USA has over 22,000 dentist office locations. In 2008, Delta Dental member companies processed over 81 million dental … Benefits. The Delta Dental PPO plan gives you the freedom to visit any in-network or out-of-network dentist. Choose any dentist . Health Care Exchange. Delta Dental Insurance Company Delta Dental PPO Contact Us Online Call toll-free: 855-242-1549 (Customer Service agents are available Monday through Friday, 7:15 a.m. to 8:00 p.m., Eastern time.) Delta Dental PPO TM Customer Service. All Rights Reserved. Delta Dental PPO™ plan. 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. 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