This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. 1Your benefits may differ from the general information provided here. Delta Dental orthodontists will submit claims for you. This program features two levels of claims savings. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary South Washington County Schools Group … 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™ 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. PPO Dentist: Coverage percent is based on the PPO Schedule of Fees. Delta Dental Premier Choose if you’re interested in a broader selection of providers – and are willing to 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. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. 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. You do not have to file any claims. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Delta Dental’s plans prioritize preventive care and dentist access, which may be able to keep health care costs low. 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. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. However, your out-of- pocket expenses may be more. SEE BASIC COVERAGE PLAN DETAILS Your orthodontist will provide you with payment options (monthly, quarterly, etc.). The national network of Delta Dental companies protects more smiles than any other insurance company. 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. 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 PPO Plus Premier™ – Preventive Plan Delta Dental PPO Plus Premier ™ Flexibility and value, times two. Delta Dental is America's largest and most trusted dental benefits carrier. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. Costs for covered services are provided up front, so enrollees can prepare for treatment costs ahead of time. Choose from more than 50% of dentists. Your dentist can submit a pre-treatment estimate (or you can submit one if you choose a non-Delta Dental orthodontist). Note: Under some plans, you may lose eligibility if coverage has lapsed more than 30 or 60 days. 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). 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. Access to care anywhere! 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 PPO Plus Premier - Plan Details Overview of benefits coverage on the dental plan for State of Arizona employees and retirees. Delta Dental offers you three great plans to choose from and you can sign up whenever you’re ready. ET M - F. Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy- IENT-P-CORE-DC-REV2018), 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. To find out, review your Contract, Policy or Evidence of Coverage booklet or check with your benefits administrator. 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 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. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Costs depend on the services you need, but Delta Dental can help estimate costs before treatment begins. Does dental insurance cover cosmetic procedures? Choose the best fit and get started. In the following states, you can maximize your savings when you visit a network dentist, although you may visit any licensed dentist and receive out-of-network coverage: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT. Get the most plan value by choosing a Delta Dental PPO dentist. Open your browser settings and turn on javascript to start finding a dentist. It reflects and is subject to a 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 PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefits with Orthodontic Coverage Dental Benefit Plan Summary Pipe Trades Services … If dentist access is a high priority, Delta Dental PPO might be a great fit. A way to save 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. 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. One set of post-treatment retainers is covered. 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. These companies are financially responsible for their own products. You may also seek care from a Delta Dental PPO dentist. 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. Limitations and exclusions apply. 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 Refer to your plan booklet for details about your out-of-network benefits. 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 … 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: If your benefits cover two-phase orthodontic treatment, retainers are typically covered after each phase. You don’t need a referral to begin orthodontic treatment. You might be covered for orthodontic services under your Delta Dental plan. There are no maximums, waiting periods or deductibles.⁶, producerservices@delta.org In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Your Delta Dental PPO Plus PremierIncented Voluntary Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. Dental plans that work for you. Important COVID-19 updates for enrollees and providers. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. You must visit a Delta Dental PPO prosthodontist or Delta Dental PPO orthodontist to receive the maximum in-network benefits under the program. Review your plan booklet for specific details regarding orthodontic coverage under your plan. DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. If your benefits cover two-phase orthodontic treatment, retainers are usually covered after each phase. Delta Dental PPO Plus Premier Certificate Delta Dental of Kentucky, Inc., issues this Certificate to you, the Subscriber. 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. 6 This not only gives you a … However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. (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. Delta Dental PPO Plus Premier Delta Dental PPO Plus Premier maximizes the advantages of our dual networks. Your orthodontist will provide you with payment options (monthly, quarterly, etc.). What should you expect from your dentist? 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. We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and … Typically, one set of post-treatment retainers (for orthodontic purposes) is covered in a lifetime. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Costs depend on the services you need. What separates Delta Dental PPO from other carriers of dental PPO products? Best if dentist access is a high priority. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. 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. 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. Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. Orthodontic copayments vary by plan design. Your coverage begins on the first day of the month following the date we receive your application and initial premium. Orthodontic payment schedules depend on your contract. Plans purchased after the 21st will not be effective until the month after that. What if your dentist isn’t a Delta Dental dentist? This plan matches the UDB benefit feature for feature. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. Best if dentist access is a high priority. We’ll send an overview of the total treatment cost, including how much your plan pays and your share. In WY, you do not need to select a primary care dentist, but you must visit a network dentist to receive benefits. Select any licensed orthodontist under your plan; however, your costs will typically be lower if you choose an in-network orthodontist. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Preparing for orthodontic treatment? Under this HMO-type plan, enrollees have their choice of skilled primary care dentists from the DeltaCare USA network. 866-760-4080 Health Care Marketplace (Exchange) Customers: This feature uses javascript. 8 a.m. - 7 p.m. Refer to your plan booklet for more information about covered services, deductibles and maximums. Delta Dental PPO This network provides the best value and lower out-of-pocket costs. The Certificate is a summary of your dental benefits coverage. E.g., a plan purchased on July 15 can be effective August 1. Premier: Coverage percent is based on the Participating Dentist Maximum Approved Charge (PMAC). Plus, there are no annual deductibles, waiting periods or maximums to worry about.³. *Members will be subject to balance billing for covered services. 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. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Delta Dental PPO Higher savings, lower premiums, and a quality network. More network savings. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Here is an example of the effective dates based on plans: When does coverage become effective? These companies are financially responsible for their own products. Get … This coverage depends on your plan, and is typically only offered for enrollees undergoing active orthodontic treatment. 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. Delta Dental PPO Plus Premier 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. 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