Please consult with the respective plan detail page for additional under Delta Dental PPO. Call Us 800-296-3800. Delta Dental is a registered trademark of Delta Dental Plans Association. With Delta Dental PPO, you may visit the dentist of … Consider and try to anticipate the specific coverage needs of each member of your family and evaluate which plan is financially feasible by looking at things like annual maximums and deductibles, along with the type of services that are covered, to ensure that you will receive the level of care your family needs. You can use Find a Dentist on this page to easily locate a PPO dentist. If you don’t visit a Delta Dental PPO dentist, you may end up with higher out-of-pocket costs. If you enroll in the ClearPlus Plan, there is no coverage if you visit a dentist who does not participate in a Delta Dental network. Explore our PPO, Dental HMO, managed, and discount dental plans, and learn about the different types of dental insurance coverage we offer using the chart below. In addition to better health, greater savings and more choice and flexibility, with the Delta Dental PPO TM network: Patients can save more than 35% on average by visiting a Delta Dental PPO network dentist compared to the fee the dentist would typically submit for a claim. Delta Dental PPO dentists While you may choose any Dentist, your out-of-pocket costs are likely to be less if you go to a Delta Dental PPO Dentist (PPO Dentist). Some plans are PPO-only plans. Annual Per Person Maximum. Do not avoid getting dental care based on the cost information provided on this website. Reimbursement is calculated based on maximum contract allowances. This plan also covers services like fillings and simple tooth extractions. Through our national network of Delta Dental companies, we offer dental coverage in … Information regarding the Cost Estimator content. not available in your area. The plan benefits deliver comprehensive dental coverage including preventive, restorative and other major treatments. What should I look for when shopping for dental insurance? Preventive services are included in this tool. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Prices may vary by age and ZIP code. That was pretty easy. Enter your state to learn more. There is a separate deductible for orthodontics. We encourage you to check with your participating provider prior Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Please consult the plan Policy for a description of plan benefits, limitations and exclusions. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Delta Dental PPO Plus Premier. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 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. Refer to your benefit plan to determine whether these requirements apply to you. Want to know before you set foot in the dentist’s office? Explore our PPO, Dental HMO, managed, and discount dental plans, and learn about the different types of dental insurance coverage we offer using the chart below. The information and content (collectively, "Content") on this website is for your general educational information only. Visit any licensed dentist, anywhere. Individual and family dental insurance plans. Covered services are paid based on a percentage — if, for example, fillings are covered at 80%, enrollees pay the remaining 20%. Primary enrollee, spouse or domestic partner, eligible dependent children up to age 26. Dental insurance helps you get the professional care you need to maintain your oral health, including regular teeth cleanings, fluoride and sealant treatments, and other types of preventive and restorative care. OON - Out of Network PPO / Premier - Delta Dental PPO. - Coinsurance: The percentage of the costs you pay for a dental treatment after you meet your deductible. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. DeltaVision may be available separately or as a part of your dental insurance. Some services such as fillings, crowns, or bridges may have a waiting period depending on your dental plan. Save with PPO Visit a dentist in the PPO network to maximize your savings.1 These dentists have agreed to reduced fees, and you won’t get charged more than your expected there is no paperwork or reimbursement, you must pay for the service at the time I receive dental insurance through my employer, Tips for choosing the best dental insurance company. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. This can also be referred to as out-of-pocket costs. Prices may vary by age and ZIP code.One-time, enrollment fee: $10.00. Delta Dental PPO™⁴ Best if dentist access is a high priority. Delta Dental companies offer individual and family dental plans in most states. Sign up if you would like to receive occasional treats. Health information changes quickly. Your Dental Dental PPO Individual Basic plan will keep you smiling well into the future! Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Plans starting* from Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21. They also complete your claim forms and can advise you on questions about your share of the payment. You will also want to look at network size and applicable restrictions. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Preventive care coverage varies by plan and by demographic considerations such as age. Delta Dental Patient Direct is a dental service discount plan. Find a Dental plan that fits you. Dental Dental PPO Individual Basic is a plan that covers a percentage of your costs for covered dental services. A healthy smile can make all the difference. Here are the benefits of creating an account. If you have a PPO-only plan, your coverage only works when you get care from an in-network dentist. You'll generally save the most by visiting a dentist from our PPO network. Your provider and the plan will take care of the rest. 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. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Improved overall health: Research shows good oral health has a positive effect on overall health and well-being. Look at you smiling. You choose from a panel of participating dentists who charge discounted fees for their services. You know you will receive quality care because all dentists in our network are credentialed to make certain … Our mission is to improve lives by promoting optimal oral health. Benefits paid by the plan for covered oral evaluations and routine prophylaxis (cleanings) will not reduce your annual per person maximum for … only. Dental insurance makes dental care more affordable! $1,000. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. DeltaVision®: DeltaVision is a vision plan, that offers pre-negotiated discounts on eye exams, glasses, contact lenses and laser vision correction. Delta Dental makes the … in ZIP Code . Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. With your FEHBP medical coverage through Kaiser . The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. DeltaCare USA is Delta Dental’s dental HMO, which offers low-cost dental coverage with a focus on preventive care. Connect with your Delta Dental company to learn more. Delta Dental If you have a Delta Dental Premier plan, then you may visit any PPO or Premier dentist. For a complete description of the details of your coverage, please refer to your coverage documents. This benefit information is only a summary and is not intended to replace or serve as the plan Policy. Encourage routine dental care for long term benefit: During preventive check-ups, your dentist is better able to detect problems early on and help you avoid more costly and complex procedures in the future. The discounts are available through participating healthcare providers These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible. This benefit information is only a summary and is not intended or designed to replace or serve as the plan Policy. You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file. PPO Dentists agree to accept payment according to the Delta Dental PPO Dentist Schedule, and, in most cases, this results in a reduction of their fees. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Hours of Operation Mon-Fri 6am-5pm (PT) Home (current) Dental Quotes . The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Enjoy minimal or no copayments for preventive care and choose from a network of dentists to manage your dental needs. With Total Choice PPO, you can start getting the care you need from your effective date because there’s no waiting period for services. During an oral exam, your dentist can detect signs of 120+ diseases just by examining your mouth! The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. View our Privacy Policy. Delta Dental has the largest network of dentists nationwide. Covered diagnostic and preventive services at 100%, Covered basic services at 80% with in-network providers (after deductible), Covered major services at 50% with in-network providers (after deductible). TM. - Deductible: The dollar amount that a member must pay towards covered services before insurance benefits are paid. Limitations and/or waiting periods may apply for some benefits; some services may be excluded from the plan. *Delta Dental was ranked #1 "Best dental coverage" in … In Texas, Delta Dental Insurance Company provides a Dental Provider Organization (DPO) plan. **Please consult the plan Policy for a description of plan benefits, limitations and exclusions. Please click Continue to view Plans starting* from The company that administers the claims is Delta Dental of Minnesota. Delta Dental Premier: This is an indemnity plan. zip code. The plan you have selected is If you enroll in the Clear Plan, there is no coverage if you visit a dentist who does not participate in a Delta Dental network. What is some dental insurance terminology I should know? There are three levels of Providers to choose from who are located nationwide: You will receive the discount off the provider’s usual and customary The Total Choice PPO plan for individuals and families offers you more. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Delta Dental of New Jersey is a part of Delta Dental Plans Association. 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. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. N/A. Answer a few questions, get results and share them with your dentist. 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. Choose one based on the type of coverage you think you may need. These dentists agree to reduced fees, and won’t charge you more than your expected share of the bill. Delta Dental encourages prevention, so generally, services like cleanings, x-rays, and exams are covered from day one. 3 You are responsible for any applicable deductibles, coinsurance, amounts over plan maximums and charges for non-covered services. Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. This is the amount you must pay per person each year before your plan starts making payments for services. Delta Dental of Washington Benefit Highlights: Covers up to four periodontal cleanings a year under certain qualifying periodontal circumstances Periodontic cleaning and maintenance covered under Class I Endodontics (root canals) and Surgical Periodontics (root planing and scaling) covered under Class II Apply online in minutes and get the coverage that meets YOUR needs. When shopping for dental insurance there are a number of factors to consider in order to choose the best plan for you and your family. Get started here. Delta Dental Premier® Network. Delta Dental PPO ™ plan Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. Have a question about coverage or looking for dental insurance? All Covered Classes Individual coverage amount PPO and Non- PPO $1000 Under this Delta Dental PPO plan, you may visit any Provider of your choice. The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. Choose any Delta Dental PPO dentist, or in some cases a Delta Dental Premier dentist (see below). One-time enrollment fee: $10.00. Since For cosmetic dental procedures like teeth whitening, coverage is usually not provided by employer plans and is rarely provided by any type of dental insurance. Both plans help cover costs of more expensive procedures like crowns and root canals that are not covered by preventive benefits plans. Savings plans are NOT insurance and the savings will vary by provider, plan and Are you at risk for oral health problems like gum disease and tooth decay? in ZIP Code . Coverage for the unexpected: Oral health problems can appear unexpectedly. Get 100% coverage for essential preventive care, like routine cleanings and exams.² to beginning treatment. Whether enabling you to take care of small dental concerns before they become big problems or making complex dental treatments more affordable, a dental plan from Delta Dental can help you and your family achieve better overall health. In the event of any inconsistency between this document and the plan Policy, the terms of the Policy will prevail. Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. Pay any required charges during your visit. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. 2 You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. 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). under Delta Dental PPO. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. Claims will be processed when received according to your plan provisions. Estimates may vary depending on your benefit plan and the state you live in. Network dentists are paid contracted fees. This is the total amount per person your plan will pay toward the cost of dental care each year. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Per Month With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you still receive the benefit of that dentist's contracted fee. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. © Copyright 2020 Delta Dental Plans Association. *Delta Dental was ranked #1 "Best dental coverage" in the Benefits Selling 2013 Readers' Choice Awards. We have plans for individuals, seniors, and families. How much is it going to cost? 1 In Texas, Delta Dental Insurance Company offers a Dental Provider Organization (DPO) plan. Get the coverage you need for a healthy smile. The data is based on actual, non-discounted charges that providers have billed. You will be directed to your local Delta Dental website. You may be responsible for the cost of procedures or services not covered by your plan. There are more advantages. Plan A Enhanced Plan A Standard Plan B Plan C Delta Dental PPO Plus Premier Delta Dental PPO Plus Premier Delta Dental PPO Standard Delta Dental PPO Standard Network Type PREMIUMS (Based on home ZIP code) Each plan includes the pediatric dental benefit as required by the Affordable Care Act. Plans and rates vary by state. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Dental insurance makes it easier and more cost-effective to get the care you need so you don’t have to worry about the future. Get Delta Dental's most comprehensive plan with the highest coverage for services at a moderate rate. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Per Month 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. You can even get dental accident coverage if you choose an annual payment plan. available plans in your location. Routine brushing and flossing at home is a great place to start, but care from dental professionals is critical to achieving and maintaining a healthy smile and better overall health. Permanente, you receive dental coverage for preventive services. First, evaluate your individual needs and understand your budget. This PPO plan is available for all individual members, but benefits only cover children under age 19 You receive in-network benefits when seeing a Delta Dental PPO Network dentist For out-of-network benefits, you can save money by seeing providers in the Delta Dental PremierR All Rights Reserved. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. 5 Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Show your plan ID card when you go in. At open enrollment each year, you have the opportunity to select the dental plan option you want to use for the year. Find the one that’s right for you. Your cost varies depending on which dental plan option and coverage level you select. Then, take a look at the different kinds of dental plans available in your area and what’s covered in each plan. 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. Cost savings and budget management: Dental insurance helps you save money by covering up to 100% of preventive cleanings and check-ups and portions of more extensive procedures. To check that your provider participates, visit our website or call us. Individuals only pay copays and deductibles for services received. That's why keeping smiles healthy is what we do. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. The plan meets your needs by providing comprehensive coverage for cleanings and exams, fillings and crowns, root canals and oral surgery. 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. In the event of any inconsistency between this document and the plan Policy, the terms of the Policy will prevail. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Dental benefits are administered by the independent Delta Dental companies. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Estimates should not be construed as financial or medical advice. Delta Dental PPO TM Delta Dental PPO is our preferred-provider option program. TM, Delta Dental Premier® Delta Dental Solutions 1000 offers dental coverage at a value price with two cleanings covered per year plus child orthodontic coverage. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Serving North Dakota Dental Plans for All Employers. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. With Delta Dental PPO you have access to a network of dentists who accept reduced fees for covered services, giving you the lowest out-of-pocket costs. If for some reason your benefit isn’t handled automatically, you can file a claim through the plan’s website. Review Delta Dental Immediate Coverage Plan plan highlights and benefits. The most coverage available You’ll get the most coverage with a lower deductible than PPO Plan B. Please review the details of your plan or contact our customer service team for specific information. General information regarding your health care. fees when you pay. Does dental insurance cover cosmetic procedures? By far, Delta Dental PPO (enhanced) is our most popular plan design and network. Get 100% coverage for essential preventive dental care plus additional benefits after 6 months. This helps reduce out-of-pocket costs, so you pay less for the dental care you need. Delta Dental PPO preventive dental coverage. Delta Dental member companies serve over one-quarter of the estimated 173 million Americans with dental insurance, providing national dental coverage to over 54 million people in over 89,000 groups. ©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona. The Content on this website is not medical advice. The extensive national Delta Dental PPO and Delta Dental Premier® networks make it easy to get all the advantages of in-network care You get the flexibility to see any licensed dentist or specialist without referral You have set coinsurance levels for dental services You must reach your annual deductible before your benefits pay Lifetime Orthodontic Maximum. Affordable Care Act. Contact your company's human resources department. Delta Dental Premier offers a network of dentists that encompasses more than 128,000 dentists and over 198,000 office locations -- the largest network in the country. - Copay: The fixed dollar amount you pay for a service covered under your dental plan. All of those matters are things that you should decide, in consultation with your dental care professionals. 5. Please scroll down and accept to proceed. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Delta Dental of North Carolina is a part of Delta Dental Plans Association. Plus the premium plan also includes specialty coverage … Plus the premium plan also includes specialty coverage for implants, crowns and root canals. 2021 Delta Dental of Minnesota . Delta Dental PPO is Delta Dental’s preferred provider option (PPO). Refer to your benefit plan to determine whether preventive services are covered for you. This website shows estimates of certain dental care costs. Delta Dental PPO is our preferred-provider option program. Your only costs will be the patient’s share of the procedure at the time of treatment. The plan covers a wide array of services. There are many factors to consider when choosing a dental plan, and one size does not fit all. The following are dental terms that are helpful to be familiar with: - Premium: The monthly, quarterly, or annual amount you pay for dental benefits. As a Delta Dental Subscriber, You will only receive benefits under this plan if the services are received from a Provider who is a Delta Dental PPO Provider at the time the dental procedure is completed. Anthem has one of the largest dental preferred provider organization (PPO) networks in the country. Your actual cost may be higher or lower than the estimate for various reasons. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. The national network of Delta Dental companies protects more smiles than any other insurance company. Therefore, it is always best to confirm information with your health care professionals. This program features two levels of claims savings. plan terms. There are two major supplemental dental plans, Delta Dental PPO™ – Select Plan and Delta Dental PPO Plus Premier™ – Select Plus Plan. it’s provided. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." 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. ** While all dental PPO plans allow you to see any doctor, you’ll get the most from your insurance coverage (and save money), if you choose an in-network dentist. *Not sure where your company is headquartered? Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. When you need dental coverage, you can count on Delta Dental of Massachusetts. These plans are not considered to be qualified health plans under the Explore all your plan … Offers you more than the approved amount your needs by providing comprehensive coverage for cleanings and x-rays refers! Claims data for out-of-network providers an annual payment plan various reasons not available your. 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