Dentists who are in our preferred provider organization charge reduced fees for covered services. If you would like to disable it, press enter now. After all, the better we help you take care of your teeth, the better your family will look and feel. Nationwide, Delta Dental covers more than 73 million people actively seeking treatment from participating dentists. In the event a member needs specialty care, he or she may select a specialist from the DeltaCare USA network or ask the PCD for a recommendation. The Delta Dental PPO Option Plan allows each person covered under the plan to have the freedom to visit any dentist. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. You may also seek care from a Delta Dental PPO dentist. These dentists agree to: Dental Plans for All Employers. And, unlike with traditional fee-for-service plans, DeltaCare USA members can easily predict the cost of their dental care because their out-of-pocket costs are based on a fixed copayment schedule. Delta Dental PPO plus Premier TM: Our PPO plus Premier plan allows you to choose from more than 3,400 participating providers across the state. Delta Dental PPO Plus Premier™ – Preventive Plan. For greatest flexibility, members can choose a dentist in our Premier network, which includes three out of four dentists in the country and 96% of dentists in Massachusetts. PPO stands for preferred provider organization. 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. Members with this plan have the freedom to choose their own dentist. There's an Individual and Family Plan for You. Coverage under Delta Dental (Enhanced) Premier Delta Dental PPO; Excluded Employees (1) In-Network Delta Dental PPO dentists (2) Out-of-Network (non- Delta Dental PPO dentists) Who's covered? Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. DeltaCare works much like a dental HMO. Members may seek dental services from a nonparticipating provider, however out-of-pocket expenses may increase. Click on the links below for more information on your Delta Dental plan. Delta Dental PPO ™ plan Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. This page features a timed image rotator. Delta Dental offers a choice of plans for adults and children. Traditional-Style Plans With Traditional-style Plans from Delta Dental, you get the same kind of dependable dental benefits offered by employee group plans. Delta Dental will provide the highest level of benefits (see benefit highlights) for covered services when care is received from a Delta Dental PPO dentist. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. You can review open enrollment materials to help you learn about the dental options available to you. There are many advantages when you use a dentist who participates in the Delta Dental PPO or Delta Dental Premier network. Individuals only pay copays and deductibles for services received. You are not billed for charges in excess of Delta Dental's negotiated rate for a particular service. You'll save the most when you choose to receive services from a participating Delta Dental PPO dentist. 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. Delta Dental Premier: This is an indemnity plan. There may be a savings advantage to receiving care from a PPO Dentist because your out-of-pocket costs tend to be lower than visiting a non-Delta Dental dentist. Coverage for diagnostic and preventive care, including routine checkups, restorative care, and oral surgery, No claims forms to fill out when services are performed by a participating dentist, No balance billing by participating dentists, Coverage for services performed by non-participating dentists at a lower benefit level, Savings generated through our negotiated fees, our claims processing and our utilization management program, Special plans for smaller businesses (10-49 employees), Rollover Max, which allows a portion of a member’s unused annual maximum to be carried over to the next year, for greater. © Copyright 2020 Delta Dental Plans Association. 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. Preventive Services … There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. This program features two levels of claims savings. Enrolled members get broad choice of dentists in two networks and lower out-of-pocket costs. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. While this change may not impact your dentist choice since your current dentist may participate in both the Delta Dental PPO and DeltaCare networks, to ensure no disruption to your coverage, we recommend that you verify your dentist's participation at "Find A Dentist". If you would like to disable it, press enter now. That means that Delta Dental of Colorado members receive the greatest savings when they visit Delta Dental PPO providers. 5 DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. Participating dentists will prepare and submit claims for you. Delta Dental PPO TM. oral health — a preventive dental benefit administered by Delta Dental (Delta Dental PPO™), which is included as part of your High Option or Standard Option benefits, and a separate optional plan (DeltaCare® USA), which you may be eligible to purchase for an additional premium. High Option 1 Available to: United Electrical Members ONLY High Option 2 Available to: United Academics, Physicians, Teamsters, and Non-Represented Staff ONLY ; DIAGNOSTIC: Evaluations - 2 per Calendar Year X-Rays - complete series or panoramic once in a 3-year period Bitewing x-rays once each Calendar Year PREVENTIVE: … Covered persons will receive the maximum benefit when receiving dental care from a participating Delta Dental PPO provider. Search for a specific dentist or find dentists in your area. Large, small and in-between: Delta Dental of Minnesota has a plan that's a perfect fit. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. With Delta Dental PPOSM plus Premier, you may visit the dentist of your choice, but you will pay nothing for covered procedures (after you’ve met your deductible) when you visit a participating Delta Dental dentist. For example, with a participating network dentist: To receive the highest level of benefits payable under your plan, be sure your dentist is a participating Delta Dental PPO or Delta Dental Premier network dentist. 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. We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and affordable to a wide variety of employers, groups and individuals. Members are responsible for fixed copayments for many of the services they receive, which they pay directly to their dentists. *Important Note for Employees in Colorado: Colorado DeltaCare (DMO) members must select a Primary Care Dentist that participates in the DeltaCare network, and can no longer choose a Delta Dental PPO dentist. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. Delta Dental is America's largest and most trusted dental benefits carrier. Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. And once you are a Delta Dental enrollee, you can refer to the benefits information and dental health materials at any time. Delta Dental Premier ® is a standard fee-for-service program. Benefits Certificate - information on your benefits and coverage. Delta Dental PPO preventive dental coverage Delta Dental High Plan Option Your benefits are based on a Calendar Year DELTA DENTAL PPO PLUS PREMIER ; Covered Services PPO Dentist, Premier® Dentist and Out-of-Network Dentist 1 Calendar Year Maximum Benefit (Combination of in and out-of-network) $2,000 Calendar Year Deductible (Individual/Family) (Combination of in and out-of-network) $50/150 . This page features a timed image rotator. PPO Plus Premier Group, individual and family plans are Delta Dental PPO Plus Premier plans. The Delta Dental PPO Plus Premier program combines two of Delta Dental's national dental networks - "Delta Dental PPO" and "Delta Dental Premier" - giving you access to dentists that participate in both. 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. A way to save Your Preventive Plan covers 100% of charges for oral exams, full-mouth and bitewing X-rays, cleanings, and fluoride (child and adult). d DELTA DENTALS DELTA DENTAL PPO PLUS PREMIER@ ARIZONA STATE RETIREMENT SYSTEM HIGH PLAN OPTION Out-of-network dentist Premier dentist PPO dentist . And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹ Delta Dental Premier Basic Plus (Group 5432) 800-524-0149; www.deltadentalmi.com . Delta Dental PPO Plus Premier™ Its “safety net” feature combines the traditional Delta Dental Premier network with the Delta Dental PPO network, giving members maximum access to participating dentists and maximum savings. AZ, CA, CO*, FL, IN, MA, TX, and VA Employees: To locate a participating dentist, click here. Participating providers file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full. Delta Dental PPO plus Premier Network Base Plan High Option 1 Available to: United Electrical Members ONLY High Option 2 Available to: United Academics, Physicians, Teamsters, and Non-Represented Staff ONLY Coverage A DIAGNOSTIC: Evaluations - 2 per Calendar Year X-Rays - complete series or panoramic once in a 3-year period Bitewing x-rays once each Calendar Year … How the Delta Dental PPO Plus Premier Program Works, How the DeltaCare USA (DMO) Plan Works (AZ, CA, CO*, FL, IN, MA, TX, VA). Increased benefits may also be provided for members receiving dental care from a Delta Dental Premier dentist. Each DeltaCare USA member chooses a Primary Care Dentist (PCD) from our network to coordinate his/her dental care. All Rights Reserved. 2021 DeltaCare USA Co-Payment Schedule. 2021 Costs and Coverages ― Delta Dental Options. A group of providers is often called a network. Our plans are designed to provide you and your family with access to easy-to-use care that will help you maintain your teeth for life. DeltaCare USA is easy for members to use since there are never any claim forms to fill out when they visit their DeltaCare USA dentist or a specialist their dentist refers them to. 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. You generally pay less each time you receive care, since your share of the cost is based on specially negotiated rates. © Copyright 2020 Delta Dental Plans Association. When they see Delta Dental Premier Network providers, there is no balance billing. There are no claim forms to complete. SEE BASIC COVERAGE PLAN DETAILS Major Coverage. Your patients’ network options will depend on their plan. Comprised of a select panel of dentists, over 97,000 dental offices participate in the Delta Dental PPO program. Delta Dental PPO Plus Premier ™ is the best of both worlds. Base Plan . You are responsible only for your deductible and coinsurance (based on your plan), as well as any charges for non-covered services. Your total out‐of‐pocket costs for services rendered to a Covered Person age 18 and under from a Delta Dental PPO Provider or Delta Dental Premier Provider, will not exceed $350 per Benefit Accumulation Period. All Rights Reserved. Your 2021 Plan Documents. Click on the dental plan you are enrolled in for more information. Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO™ and Delta Dental Premier®. The plan covers a wide array of services. To locate a dentist who participates, click here. If dentist access is a high priority, Delta Dental PPO might be a great fit. Delta Dental PPO plus Premier Employee Choice - Preventive Plus. A minimum of two subscribers must be enrolled in either Delta Dental PPO – Preventive Plus, PPO, PPO - Plus Premier and/or - Plus Premier “Elite” plans. Delta Dental Premier. What is Delta Dental PPO? High Option Dental Plan Delta Dental PPO Plus Premier™ Delta Dental PPO™ Dentist Delta Dental Premier® Dentist Non- participating Dentist Diagnostic & Preventive Cleanings, X-rays, Sealants, Fluoride 100% 100% 100% Basic Services Fillings, Crown Repair, Root Canals, Extractions, Denture Repair, Occlusal Guards, Oral Surgery To locate a participating dentist, click here. 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. Delta Dental PPO plus Premier Benefits for Hampden-Sydney College High Plan Group Number: 700100 Effective Date: January 1, 2017 Annual Deductible (Applies to Basic and Major Services) $50 per person; $150 per family, per calendar year Annual Maximum $1,250 per enrollee, per calendar year Orthodontic Lifetime Maximum $1,000 per person Prevention First Visits to the dentist for Diagnostic … Our 2018 products offer the best of the business - tried and true, affordable, and now with even more options - all built on the value that comes from the nation's largested dental network. Get 100% coverage for essential preventive care, like routine cleanings and exams.² Search for a specific dentist or find dentists in your area. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. Delta Dental PPO plus Premier Network . This program features two levels of claims savings. Premier plans offer members access to the Delta Dental Premier Network, the nation’s largest dental network, with almost 90% of dentists participating. PCDs prepare and implement a formal treatment plan for each member after an initial examination. For easy access to your documents, select either the Delta Dental PPO TM or DeltaCare ® USA tab above. Delta Dental PPO TM is a preferred provider organization program. (primary enrollee, spouse and eligible children) Employees and Dependents: Employees, Retirees and Dependents: Employees, Retirees and Dependents: Deductible (per person annually) … When you visit a PPO Dentist, payment is based on the PPO fee schedule. Click on the name of a state from the above list to view all individual and family plans available in your geography. 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. Calendar Year Maximum: If you receive treatment after you have exhausted your maximum or if you receive a treatment that will cause you to exceed your maximum, you will be billed for any outstanding charges at the dentist's normal rate rather than Delta Dental's negotiated rate. It's easy to get coverage. 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. The Delta Dental PPO Plus Premier program combines two of Delta Dental's national dental networks - "Delta Dental PPO" and "Delta Dental Premier" - giving you access to dentists that participate in both. At least one eligible employee must be enrolled in a plan option in order for that option to be available to the group. 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