For employers. 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. Benefits. For dentists. Get started here. 0%. * No paperwork! Coinsurance. Dentist news. Out-of-Network. Write to: Delta Dental Customer Service P.O. 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.) Employers. * No paperwork! For dentists. For dentists. So why have PPO plans emerged as the popular and smart choice? 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. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. The following plans utilize the Delta Dental PPO network. Delta Dental PPO gives employers the ability to enjoy both maximum savings and all the features of other Delta Dental plans. Individual. Administrative and claim forms. For employers. Claims might look similar to this:* Dental Network. Estimates should not be construed as financial or medical advice. Dentist FAQs. Benefits Materials . Delta Dental of Alaska is a part of Delta Dental Plans Association. Dental office support. Get additional resources from Delta Dental. Anthem has one of the largest dental preferred provider organization (PPO) networks in the country. Delta Dental PPO ™ offers exceptional network access with the greatest opportunity for employers to provide savings to employees when they visit a network dentist. $112.00. Delta Dental pays participating dentists directly for each covered service rendered based on the lesser of the submitted fee or the fee published in Delta Dental’s PPO fee schedule, rather than a monthly dollar amount. How to join . Plan Features: Access to one of the nation’s largest dental networks, Delta Dental PPO. Individual + Spouse. Affiliate dental plans. $76.00. 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. Delta Dental PPO provides three options for selecting a dental provider. Benefits. If you have dental benefits through your employer*, please select the state where your company's headquarters are located. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Enjoy no balance-billing within the Delta Dental PPO Network. Do not avoid getting dental care based on the cost information provided on this website. Delta Dental PPO™ plan purchasers have flexible enrollment options. Provider Tool Tips. The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. Access to 65 percent of Oklahoma dentists through the Delta Dental PPO Network. The Delta Dental PPO plan gives you the freedom to visit any in-network or out-of-network dentist. 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). Family $150 . $700. Health Care Exchange. Preventive care coverage varies by plan and by demographic considerations such as age. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Individual and Family FAQs. Basic Services. Provider Tool Tips. Estimates should not be construed as financial or medical advice. Enrollees have access to both the Delta Dental PPO and the Delta Dental Premier network dentists, which helps ensure greater access to network dentists. 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. Delta Dental Individual and Family PPO Value for Seniors is an affordable plan for people 65 and over. Plan Features: Access to one of the nation’s largest dental networks, Delta Dental PPO. 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. Find the one that’s right for you. Explore all your plan options. Enroll Now. Dentists. Through our national network of Delta Dental companies, we offer dental coverage in … Because PPO plans offer clear advantages as suggested below. DeltaCare USA has over 22,000 dentist office locations. Delta Dental PPO provides three options for selecting a dental provider. Provider tools. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Medicare Advantage EPO Use this link if your plan utilizes only the Delta Dental Medicare Advantage EPO network. $56.00. Wellness library. Many PPO plans also come with access to the Delta Dental Premier® network. Dental office support. Member guidance. Delta Dental PPO TM Customer Service. Dentists. Delta Dental PPO™ plan purchasers have flexible enrollment options. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . The information provided in this website is a summary and is intended for illustration purposes only. Individual + Child(ren) $88.00. Administrative and claim forms. With vision coverage as low as $8.14 a month, you’ll get an annual comprehensive eye exam, discounts, plus allowances for glasses, contact lenses, and more. Individual and Family FAQs. $216.00. Delta Dental Premier ® Non-Delta Dental Dentist. $130.00. Delta Dental Individual and Family PPO Value for Seniors is an affordable plan for people 65 and over. Deeper discounts that save groups and enrollees out-of-pocket costs. Delta Dental PPO gives employers the ability to enjoy both maximum savings and all the features of other Delta Dental plans. FAQs About Participation with Delta Dental Patient Direct . Administrative and claim forms. This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. Delta Dental has consistently built strong partnerships with dental insurance providers and dental professionals for over half a century. Individual - $50 ; $150 annual deductible for families. How to join . At your complimentary consultation appointment, we will make sure to verify your benefits to see if your plan covers your treatment. Dentist FAQs. 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. A PPO plan will offer you a variety of choices from a network of dentists. Delta Dental of New Jersey is a part of Delta Dental Plans Association. E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Delta Dental Patient Direct: Patients … The Delta Dental PPO plan gives you the freedom to visit any in-network or out-of-network dentist. Individual and Family FAQs. Please scroll down and accept to proceed. Health Care Exchange. Delta Dental PPO Typically results in the lowest out-of-pocket cost for care. $38.00. E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. 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. This website shows estimates of certain dental care costs. Delta Dental of Oregon is a part of Delta Dental Plans Association. To learn more about the PPO dental insurance plan and compare it against other plans that we offer, please click here. 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.) How to join . Benefits Highlights; Evidence of Coverage; Getting the Most From Your Plan; Other Resources. Individuals only pay copays and deductibles for services received. The plan pays higher benefits (and you pay less) when you visit an in-network Delta Dental PPO dentist. 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. Wellness library. 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. This is the amount you will pay out-of-pocket for services in a calendar year. ** 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. Delta Dental PPO provides members with the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. What You Pay. Delta Dental is the nation's leading dental insurance company, providing access to over 145,000 dentists at more than 292,000 office locations. World Health Organization 1995, 5Dental Actuarial Analytics 2018 Dental PPO Study, slide 16. If you have any questions or need additional information about your PPO dental program, please contact Delta Dental Customer Service at: 877-688-3503. Member guidance. Dentist news. Surgeon General Report on Oral Health 2000 – Chapter 3 – Diseases and Disorders, 4Application of the international classification of diseases to dentistry and stomatology : ICD-DA. Dentists. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Access our automated system 24 hours a day, seven days a week. $56.00. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. ®Registered Marks of the Delta Dental Plans Association. When you visit a PPO Dentist, payment is based on the PPO fee schedule. Premier Network. I receive dental insurance through my employer, Get the most out of your benefits with an in-network dentist. 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. You can easily find a dentist now in the Delta Dental networks. Delta Dental of Oklahoma offers other options for individuals and families outside of the workplace. For dentists. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Find a Dental plan that fits you. Co-insurance. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Member guidance. 2020-2021 Monthly Rates. You can k eep both your smile and your eyes healthy by adding vision to any of our dental plans. 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. $1000, per enrollee on the plan . If you’re enrolled in a Delta Dental PPO, then your plan is designed to give you the greatest opportunity for savings when you visit an in-network, PPO dentist. Choose any dentist . Delta Dental PPO™ For Individuals and Families. Some delta dental PPO plans cover up to 50% of dental implant therapy. PPO Network. 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. Delta Dental PPO - Point of Service Complete freedom to visit the dentist of your choice. Delta Dental has the largest network of dentists nationwide. Refer to your benefit plan to determine whether these requirements apply to you. Each option provides coverage for the same types of services, but at different cost levels. $1000, per enrollee on the plan . Available exclusively for small groups, this dental plan design is a great solution for your customers with diverse workforces. Freedom to visit any licensed dentist. Delta Dental PPO ™ offers exceptional network access with the greatest opportunity for employers to provide savings to employees when they visit a network dentist. Seminars and Events. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. N/A. Other services such as tori removal, and bone grafting may or may not be covered benefits under your delta plan. Special Programs . Each option provides coverage for the same types of services, but at different cost levels. Delta Dental PPO - Point of Service ™ For Individuals and Families. 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. Individual and Family FAQs. Benefits. About Delta Dental Individual and Family PPO Value for Seniors . $112.00. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Benefits Highlights; Evidence of Coverage; Getting the Most From Your Plan; Other Resources. Dentist FAQs. In 2008, Delta Dental member companies processed over 81 million dental … This program features two levels of claims savings. Enroll Now. Use this link if your plan utilizes both the Delta Dental Medicare Advantage PPO network and the Delta Dental Medicare Advantage Premier network. 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. Provider Tool Tips. Write to: Delta Dental Customer Service P.O. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. In 2008, Delta Dental member companies processed over 81 million dental … Plus the premium plan also includes specialty coverage for implants, crowns and root canals. The information and content (collectively, "Content") on this website is for your general educational information only. How much is it going to cost? Choose any dentist . Therefore, it is always best to confirm information with your health care professionals. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Delta Dental PPO - Point of Service ™ For Individuals and Families. Dental office support. Affiliate dental plans. 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. Other Oral Surgery services for our Delta Dental patients. Employers. Connect with your Delta Dental company to learn more. Looking for more information? Delta Dental PPO. 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). Your network options will depend on your benefit plan. Delta Dental is comprised of a network of companies to help you connect to your dental benefits and improve your oral health. 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. Administrative and claim forms. Individual + Child(ren) $150.00. The Content on this website is not medical advice. To ensure your services are covered under your patient's Delta Dental benefits plan, please make sure to check the upper right-hand corner of their ID card for network information. Delta Dental of Massachusetts PPO insurance products are offered by Dental Service of Massachusetts, Inc. An Independent Licensee of the Delta Dental Plans Association. Provider tools. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. 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 is our preferred provider organization. This is the maximum amount that the plan will pay in a calendar year. 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. 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. Benefits Materials . NOTE: These Medicare Advantage networks consist of dentists in Michigan, Ohio and Indiana only. $1,200. In other words, your out-of-pocket expense is much less. Freedom to visit any licensed dentist. Dentist news. Seminars and Events. Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21. Your actual cost may be higher or lower than the estimate for various reasons. Through our national network of Delta Dental companies, we offer dental coverage in … Dentists. Connect with us to learn more. 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. Preferred Provider Organizations (PPO) and Participating Dental Network (PDN) structures cover in- and out-of-network plans. Individual + Spouse. Provider tools. Co-insurance for: What You Pay. Dentist news. Access our automated system 24 hours a day, seven days a week. All Rights Reserved. Initial 6-month specific benefit limitation period applies. Affiliate dental plans. Contact your company's human resources department. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Delta Dental of Tennessee’s Individual & Family Plans are designed to help maintain good oral health while also balancing your budget. $900. Wellness library. Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. Health Care Exchange. Aetna offers more clarity online regarding its employer-offerings, which edges it ahead of Delta Dental for those plans. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. $216.00. 60%. 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. Employers. Refer to your benefit plan to determine whether preventive services are covered for you. Delta Dental member companies posted approximately $15 billion in premium revenue during fiscal year 2008, the system's 29th consecutive year of financial gains. General information regarding your health care. Delta Dental is comprised of a network of companies to help you connect to your dental benefits and improve your oral health. Delta Dental PPO™ plan. How to join . $1,200. Family. ©2016 DSM. This is the maximum amount that the plan will pay in a calendar year. Delta Dental PPO. 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. 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 Virginia has two participating dentist networks — Delta Dental PPO™ and Delta Dental Premier®. We offer two networks: Delta Dental PPO™ and Delta Dental Premier®. Estimates may vary depending on your benefit plan and the state you live in. $1,200. Delta Dental PPO Network typically results in the lowest out-of-pocket costs of all plans. 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. Enrollees have access to both the Delta Dental PPO and the Delta Dental Premier network dentists, which helps ensure greater access to network dentists. Individual + Spouse. Delta Dental PPO Network: No Delta Dental Premier Network: No Nonparticipating: Yes 1 Covered once in a 12-month period if there is recent history of periodontal surgery or high-risk of decay because of medical disease or chemotherapy or similar type of treatment. Delta Dental PPO; Delta Dental Premier; Delta Dental PPO Plus Premier   Below is an example of sample quotes for two adults aged 35 and 34 with two children residing in Chicago. Premier Network. Out-of-Network. Estimates should not be construed as financial or medical advice. Preventive services are included in this tool. Use this link if your plan utilizes both the Delta Dental Medicare Advantage PPO network and the Delta Dental Medicare Advantage Premier network. We offer two networks: Delta Dental PPO™ and Delta Dental Premier®. 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