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. DeltaCare® USA plan. 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" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. You may be responsible for the cost of procedures or services not covered by your plan. Or, your employer or group may have requested that we do not display this information. Looking for more information? Delta Dental PPO ™ plan Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. 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. Your only costs will be the patient’s share of the procedure at the time of treatment. 80% of basic procedures such as fillings, root canals and tooth extractions. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Delta Dental PPO - Delta Dental Mass Delta Dental PPO ™ Higher savings, lower premiums, and a quality network. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Total Choice PPO The best of Delta Dental of Massachusetts with new benefits and a lower cost for you and your employees. Delta Dental Medicare Advantage and Delta Dental Patient Direct coverage are not available in all 50 states. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Log in. The County is pleased to offer Delta Dental PPO as your dental plan option. Total Choice PPO makes it easy to find an in-network dentist because the plan provides access to the largest PPO network in Massachusetts with more than 4,200 unique providers. 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). I receive dental insurance through my employer, Get the most out of your benefits with an in-network dentist. About Delta Dental Individual and Family PPO Value for Seniors . So why have PPO plans emerged as the popular and smart choice? Members with a Delta Dental PPO TM (Point-of-Service) plan may see any dentist they like. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Delta Dental PPO preventive dental coverage. All Rights Reserved. This part of your out-of-pocket costs is known as “coinsurance.” Delta Dental PPO and Delta Dental … 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. How much is it going to cost? 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. One last thing – the Delta Dental discount applies to all care you receive from an in-network provider. 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. This plan matches the UDB benefit feature for feature. It's easy to look up your benefits online, including your dentist network, maximums and deductibles, copayment percentage for standard and orthodontic coverage, and other details. Your Dental Dental PPO Individual Basic plan will keep you smiling well into the future! If you choose a PPO dentist, you will usually pay less for services. You also have the flexibility to visit any licensed dentist – even out-of-network dentists— but you can maximize your savings and benefits by visiting a PPO network dentist who has agreed to lower fees. This website shows estimates of certain dental care costs. Refer to your benefit plan to determine whether preventive services are covered for you. Any General Dentist Oral Surgeon Endodontist Orthodontist Pediatric Dentist Periodontist Prosthodontist Oral Pathologist Public Health Full Time Faculty Oral Maxillofacial Radiologist Coinsurance. Delta Dental Premier ® and Delta Dental PPO TM enrollees You may receive regular or emergency dental care from any licensed dentist, anywhere in the world. 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. Mail the completed claim form and the detailed receipt or billing statement to the address listed on the claim form. The plan covers a wide array of services. 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. English; Español; Toggle navigation. 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. Individuals & families. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Important COVID-19 updates for enrollees and providers. Save the most by visiting a dentist from our PPO network. 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. The data is based on actual, non-discounted charges that providers have billed. Delta Dental PPOSM combines our national PPO network with our most affordable benefit designs. In fact, more than 80% of dental insurance plans are PPOs.1. You save the most money by seeing an in-network provider. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." © Copyright 2020 Delta Dental Plans Association. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. 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. Please scroll down and accept to proceed. Delta Dental PPO™⁴ Best if dentist access is a high priority. SEE BASIC COVERAGE PLAN DETAILS Major Coverage. Your actual cost may be higher or lower than the estimate for various reasons. A PPO plan will offer you a variety of choices from a network of dentists. 5 You know you will receive quality care because all dentists in our network are credentialed to make certain they meet or exceed our requirements. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. With your FEHBP medical coverage through Kaiser . Affiliate dental plans. Delta Dental offers one of the largest provider networks in the country, and you can choose to get care from: A Delta Dental PPO dentist. For a complete description of the details of your coverage, please refer to your coverage documents. Please see your plan booklet or Policy for a complete description of plan benefits, limitations, and exclusions. Contact your company's human resources department. The information and content (collectively, "Content") on this website is for your general educational information only. Please check with your employer or group for verification. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Important COVID-19 updates for enrollees and providers, Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Get additional resources from Delta Dental. 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. Get started here. Because PPO plans offer clear advantages as suggested below. General information regarding your health care. To see the list of dentists under the Delta Dental Medicare Advantage network, please log in . This free service ensures that you know up front how much, if anything, the dental plan will pay and how much you will be responsible for. Health information changes quickly. Follow our simple, three-step registration process and log in to our secure system to see your eligibility information and benefits details. Generally, Delta Dental PPO and Delta Dental Premier plans have maximums and deductibles, but the DeltaCare USA plan does not. Do not avoid getting dental care based on the cost information provided on this website. In other words, your out-of-pocket expense is much less. These dentists agree to reduced fees, and won't charge you more than your expected share of the bill. Insurance companies develop a network of dentists who agree to charge you fees that are lower than their usual rates. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Dental coverage is an important part of your benefits package and regular dental care is key to your overall health. You can easily find a dentist now in the Delta Dental networks. *Not sure where your company is headquartered? If you plan on enrolling in a different plan for 2021, visit the ETF website to verify eligibility and coverage. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Delta Dental is here to help you find a dentist. Information regarding the Cost Estimator content. Claims will be processed when received according to your plan provisions. DeltaCare USA has over 22,000 dentist office locations. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. You can visit any licensed dentist, anywhere, or keep the dentist you know and trust. Delta Dental PPO™ plan. Learn more about maximums. 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. Therefore, it is always best to confirm information with your health care professionals. If you don't see your information online, it may be that you are not eligible yet. Those discounts are the deepest when you visit a PPO network dentist. Get 100% coverage for essential preventive care, like routine cleanings and exams.² (You may be responsible for a deductible, as well as charges for non-covered services and amounts over the annual maximum.). The Delta Dental PPO plan, available worldwide, provides you and your family with the flexibility to choose any licensed dentist or specialist. Delta Dental can help keep your smile healthy with these articles: 3U.S. Delta Dental Patient Direct coverage is not available in all 50 states. Covered services are paid based on a percentage of the dentist's fee. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. 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. You will have basic coverage if you are enrolled in the UDB dental coverage under the State of Wisconsin Group Health Insurance Program. Delta Dental PPO has a national network of more than 68,000 dentists practicing in over 119,000 locations. They also complete your claim forms and help you understand your share of the payment. The plan covers a wide array of services. Delta Dental PPO – Options Plus is designed for employees who have greater oral care needs and prefer the added support richer benefits offer. 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. There are three levels of Providers to choose from who are located nationwide: Please see the “How Payment is Made” section and “Choosing a Dentist” section of this Certificate for more details. Maximize your savings and keep your options open with our PPO plan. Any General Dentist Oral Surgeon Endodontist Orthodontist Pediatric Dentist Periodontist Prosthodontist Oral Pathologist Public Health Full Time Faculty Oral Maxillofacial Radiologist Delta Dental PPO gives employers the ability to enjoy both maximum savings … Find the one that’s right for you. Skip to main content. 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. 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. Estimates may vary depending on your benefit plan and the state you live in. The national network of Delta Dental companies protects more smiles than any other insurance company. Affordable Dental Coverage for People 65 and Over. 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. Delta Dental has the largest network of dentists nationwide. You can k eep both your smile and your eyes healthy by adding vision to any of our dental plans. You get the highest level of coverage and the lowest out-of-pocket costs when you see a Delta Dental PPO dentist. If you have a fee-for-service benefit plan, your plan pays a predetermined percentage of the treatment cost and you’re responsible for paying the balance. Delta Dental Individual and Family PPO Value for Seniors is an affordable plan for people 65 and over. Have a question about coverage or looking for dental insurance? 50% of major procedures such as crowns, bridges and implants. 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. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Get 100% coverage for essential preventive care, like routine cleanings and exams.². Contact us. and for services provided by a Delta Dental PPO Dentist $0 $50/person $50/person *In the event that you seek treatment from a Delta Dental Premier or Nonparticipating dentist, you may be responsible for more than the percentage indicated above. This plan also covers services like fillings and simple tooth extractions. Preventive services are included in this tool. To learn more about the PPO dental insurance plan and compare it against other plans that we offer, please click here. 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. Refer to your benefit plan to determine whether these requirements apply to you. © Delta Dental. More than 4 out of 5 dentists in Washington State participate in one or both networks. Get 100% coverage for preventive dental care such as exams, cleanings and x-rays. 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. 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