Delta Dental encourages prevention, so generally, services like cleanings, x-rays, and exams are covered from day one. You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file. There are two major supplemental dental plans, Delta Dental PPO™ – Select Plan and Delta Dental PPO Plus Premier™ – Select Plus Plan. You will be directed to your local Delta Dental website. OON - Out of Network PPO / Premier - Delta Dental PPO. These plans are not considered to be qualified health plans under the To begin using the Dental Care Cost Estimator tool, click the Agree button below. zip code. Savings plans are NOT insurance and the savings will vary by provider, plan and **Please consult the plan Policy for a description of plan benefits, limitations and exclusions. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. available plans in your location. 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. 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. Please click Continue to view Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Prices may vary by age and ZIP code.One-time, enrollment fee: $10.00. 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). For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 5. In the event of any inconsistency between this document and the plan Policy, the terms of the Policy will prevail. 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. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. 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. General information regarding your health care. If for some reason your benefit isn’t handled automatically, you can file a claim through the plan’s website. Limitations and/or waiting periods may apply for some benefits; some services may be excluded from the plan. 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. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Enter your state to learn more. The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. 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. There are more advantages. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. - Coinsurance: The percentage of the costs you pay for a dental treatment after you meet your deductible. If you have a Delta Dental Premier plan, then you may visit any PPO or Premier dentist. Preventive services are included in this tool. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Want to know before you set foot in the dentist’s office? 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 How much is it going to cost? Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Plans starting* from That's why keeping smiles healthy is what we do. Primary enrollee, spouse or domestic partner, eligible dependent children up to age 26. 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 Delta Dental has the largest network of dentists nationwide. By far, Delta Dental PPO (enhanced) is our most popular plan design and network. 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. Look at you smiling. Plans and rates vary by state. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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). Connect with your Delta Dental company to learn more. 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. Pay any required charges during your visit. In the event of any inconsistency between this document and the plan Policy, the terms of the Policy will prevail. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Delta Dental PPO preventive dental coverage. Are you at risk for oral health problems like gum disease and tooth decay? This is the total amount per person your plan will pay toward the cost of dental care each year. DeltaVision®: DeltaVision is a vision plan, that offers pre-negotiated discounts on eye exams, glasses, contact lenses and laser vision correction. Some plans are PPO-only plans. ** 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. 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. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. That was pretty easy. View our Privacy Policy. DeltaVision may be available separately or as a part of your dental insurance. 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. Through our national network of Delta Dental companies, we offer dental coverage in … You may be responsible for the cost of procedures or services not covered by your plan. Sign up if you would like to receive occasional treats. Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Find the one that’s right for you. 2 You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. Apply online in minutes and get the coverage that meets YOUR needs. Get Delta Dental's most comprehensive plan with the highest coverage for services at a moderate rate. The plan benefits deliver comprehensive dental coverage including preventive, restorative and other major treatments. Dental insurance makes dental care more affordable! Hours of Operation Mon-Fri 6am-5pm (PT) Home (current) Dental Quotes . In Texas, Delta Dental Insurance Company provides a Dental Provider Organization (DPO) plan. Call Us 800-296-3800. Claims will be processed when received according to your plan provisions. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Delta Dental Patient Direct is a dental service discount plan. 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. Your Dental Dental PPO Individual Basic plan will keep you smiling well into the future! 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. - Copay: The fixed dollar amount you pay for a service covered under your dental plan. it’s provided. The national network of Delta Dental companies protects more smiles than any other insurance company. Review Delta Dental Immediate Coverage Plan plan highlights and benefits. Here are the benefits of creating an account. These dentists agree to reduced fees, and won’t charge you more than your expected share of the bill. 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 5 Vision corrective services and Amplifon’s hearing health care services are not insured benefits. Plans starting* from With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. This benefit information is only a summary and is not intended or designed to replace or serve as the plan Policy. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Anthem has one of the largest dental preferred provider organization (PPO) networks in the country. If you don’t visit a Delta Dental PPO dentist, you may end up with higher out-of-pocket costs. The most coverage available You’ll get the most coverage with a lower deductible than PPO Plan B. You will also want to look at network size and applicable restrictions. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. Plus the premium plan also includes specialty coverage … At open enrollment each year, you have the opportunity to select the dental plan option you want to use for the year. This plan also covers services like fillings and simple tooth extractions. Your actual cost may be higher or lower than the estimate for various reasons. With Delta Dental PPO, you may visit the dentist of … under Delta Dental PPO. Delta Dental Premier® Network. We have plans for individuals, seniors, and families. During an oral exam, your dentist can detect signs of 120+ diseases just by examining your mouth! Covered services are paid based on a percentage — if, for example, fillings are covered at 80%, enrollees pay the remaining 20%. The information and content (collectively, "Content") on this website is for your general educational information only. 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. Then, take a look at the different kinds of dental plans available in your area and what’s covered in each plan. 2021 Delta Dental of Minnesota . Do not avoid getting dental care based on the cost information provided on this website. 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. 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. Lifetime Orthodontic Maximum. Per Month Network dentists are paid contracted fees. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Refer to your benefit plan to determine whether these requirements apply to you. 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. 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. 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. - Deductible: The dollar amount that a member must pay towards covered services before insurance benefits are paid. We encourage you to check with your participating provider prior Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21. Annual Per Person Maximum. Choose one based on the type of coverage you think you may need. 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. 3 You are responsible for any applicable deductibles, coinsurance, amounts over plan maximums and charges for non-covered services. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. 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