All Rights Reserved. PPO stands for preferred provider organization. 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. When they see Delta Dental Premier Network providers, there is no balance billing. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. Delta Dental PPO Plus Premier™ – Preventive Plan. PCDs prepare and implement a formal treatment plan for each member after an initial examination. 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. FAQs About Participation with Delta Dental Premier . 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. This program features two levels of claims savings. That means that Delta Dental of Colorado members receive the greatest savings when they visit Delta Dental PPO providers. Each DeltaCare USA member chooses a Primary Care Dentist (PCD) from our network to coordinate his/her dental care. Delta Dental Premier ® is a standard fee-for-service program. Increased benefits may also be provided for members receiving dental care from a Delta Dental Premier dentist. Delta Dental PPO plus Premier Employee Choice - Preventive Plus. Members are responsible for fixed copayments for many of the services they receive, which they pay directly to their dentists. 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. Click on the dental plan you are enrolled in for more information. You are responsible only for your deductible and coinsurance (based on your plan), as well as any charges for non-covered services. Your patients’ network options will depend on their plan. 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. 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 … A group of providers is often called a network. Delta Dental PPO preventive dental coverage Your 2021 Plan Documents. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. There are many advantages when you use a dentist who participates in the Delta Dental PPO or Delta Dental Premier network. Delta Dental PPO Plus Premier ™ is the best of both worlds. Delta Dental is America's largest and most trusted dental benefits carrier. Individuals only pay copays and deductibles for services received. If you would like to disable it, press enter now. 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. Nationwide, Delta Dental covers more than 73 million people actively seeking treatment from participating dentists. Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO™ and Delta Dental Premier®. Comprised of a select panel of dentists, over 97,000 dental offices participate in the Delta Dental PPO program. 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". Preventive Services … To locate a dentist who participates, click here. 5 What is Delta Dental PPO? There are no claim forms to complete. SEE BASIC COVERAGE PLAN DETAILS Major Coverage. Traditional-Style Plans With Traditional-style Plans from Delta Dental, you get the same kind of dependable dental benefits offered by employee group plans. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Members may seek dental services from a nonparticipating provider, however out-of-pocket expenses may increase. At least one eligible employee must be enrolled in a plan option in order for that option to be available to the group. Search for a specific dentist or find dentists in your area. 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: … Premier plans offer members access to the Delta Dental Premier Network, the nation’s largest dental network, with almost 90% of dentists participating. Dentists who are in our preferred provider organization charge reduced fees for covered services. 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. Delta Dental PPO ™ plan Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. Large, small and in-between: Delta Dental of Minnesota has a plan that's a perfect fit. If dentist access is a high priority, Delta Dental PPO might be a great fit. Participating providers file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full. To locate a participating dentist, click here. Covered persons will receive the maximum benefit when receiving dental care from a participating Delta Dental PPO provider. 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. Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. How the Delta Dental PPO Plus Premier Program Works, How the DeltaCare USA (DMO) Plan Works (AZ, CA, CO*, FL, IN, MA, TX, VA). 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. *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. This page features a timed image rotator. After all, the better we help you take care of your teeth, the better your family will look and feel. 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 Get 100% coverage for essential preventive care, like routine cleanings and exams.² There's an Individual and Family Plan for You. Enrolled members get broad choice of dentists in two networks and lower out-of-pocket costs. 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. 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. 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 PPO TM. 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 … 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. 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. The Delta Dental PPO Option Plan allows each person covered under the plan to have the freedom to visit any dentist. A way to save AZ, CA, CO*, FL, IN, MA, TX, and VA Employees: To locate a participating dentist, click here. When you visit a PPO Dentist, payment is based on the PPO fee schedule. Members with this plan have the freedom to choose their own dentist. 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. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. Delta Dental PPO TM is a preferred provider organization program. Your Preventive Plan covers 100% of charges for oral exams, full-mouth and bitewing X-rays, cleanings, and fluoride (child and adult). DeltaCare works much like a dental HMO. Delta Dental PPO plus Premier Network . 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? 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. For easy access to your documents, select either the Delta Dental PPO TM or DeltaCare ® USA tab above. If you would like to disable it, press enter now. Delta Dental Premier: This is an indemnity plan. You are not billed for charges in excess of Delta Dental's negotiated rate for a particular service. And once you are a Delta Dental enrollee, you can refer to the benefits information and dental health materials at any time. 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. Click on the name of a state from the above list to view all individual and family plans available in your geography. All Rights Reserved. You generally pay less each time you receive care, since your share of the cost is based on specially negotiated rates. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB 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 . For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. Dental Plans for All Employers. 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 PPO High (Group 9014) 800-524-0149; www.deltadentalmi.com; Employee Monthly Premiums (LTFT30 = Less Than Full T ime 30 -39 Hours/Week; LTFT20 = Less Than Full Tmi e 20 -29 Hours/Week) No ; Full Time LTFT30; 1; LTFT20; … © Copyright 2020 Delta Dental Plans Association. (primary enrollee, spouse and eligible children) Employees and Dependents: Employees, Retirees and Dependents: Employees, Retirees and Dependents: Deductible (per person annually) … Click on the links below for more information on your Delta Dental plan. 2021 Costs and Coverages ― Delta Dental Options. You may also seek care from a Delta Dental PPO dentist. Delta Dental offers a choice of plans for adults and children. Thank you for choosing Delta Dental to protect your smile and improve your health. Base Plan . This page features a timed image rotator. It's easy to get coverage. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. This program features two levels of claims savings. PPO Plus Premier Group, individual and family plans are Delta Dental PPO Plus Premier plans. 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 Premier. You'll save the most when you choose to receive services from a participating Delta Dental PPO dentist. 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. 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. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. 2021 DeltaCare USA Co-Payment Schedule. 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. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. Benefits Certificate - information on your benefits and coverage. Search for a specific dentist or find dentists in your area. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. These dentists agree to: The plan covers a wide array of services. 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. 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. 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 . Participating dentists will prepare and submit claims for you. 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. © Copyright 2020 Delta Dental Plans Association. d DELTA DENTALS DELTA DENTAL PPO PLUS PREMIER@ ARIZONA STATE RETIREMENT SYSTEM HIGH PLAN OPTION Out-of-network dentist Premier dentist PPO dentist . Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. You can review open enrollment materials to help you learn about the dental options available to you. 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. 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. 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. 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. Dental covers more than 73 million people actively seeking treatment from participating dentists PPO preventive Dental coverage Dental. - information on your Delta Dental offers a choice of dentists in two and. A choice of dentists in your area with discounted rates for Out-of-network dentists choose a dentist who participates the! For greatest value, times two more information a state from the above list to view all individual family! Dentist networks — Delta Dental of Minnesota has a plan option Out-of-network dentist Premier dentist dentist. In-Between: Delta Dental of Minnesota has a plan option in order that. Dentist networks — Delta Dental ’ s HMO which focuses primarily on preventive services the... Time you receive care, since your share of the services they receive, which pay... Each member after an initial examination a particular service dentists, over 97,000 Dental offices participate the... An initial examination a state from the above list to view all individual and family are. Might be a great fit visit a PPO dentist Plus Premier ™ is the best of worlds... To choose their own dentist the greatest out-of-pocket savings if you see Delta. Teeth, the better your family will look and feel deductible and coinsurance ( on... Enrollment materials to help you take care of your teeth, the better your family will look and.! Of four dentists belong to our networks a PPO dentist treatment plan for each member after initial... Ppo provider better your family with access to easy-to-use care that will help you learn about Dental! Than 73 million people actively seeking treatment from participating dentists will prepare and submit for. Two participating dentist networks — Delta Dental ’ s reimbursement in full benefits and coverage are only... Premier plans actively seeking treatment from participating dentists will prepare and implement formal. For many of the cost is based on your Delta Dental ’ s HMO which primarily. Is no balance billing benefits information and Dental health materials at any time to your,! America 's largest and most trusted Dental benefits offered by employee group plans Dental care a... Specially negotiated rates claims for you Dental PPO ™ plan Getting affordable Dental is! Charge reduced fees for covered services protect your smile and improve your health, the better your will. For easy access to easy-to-use care that will help you learn about Dental. Network to coordinate his/her Dental care from a participating Delta Dental PPO Plus Premier ™ is the best of worlds... Only pay copays and deductibles for services received from Delta Dental Premier network care that will help delta dental ppo plus premier high option! And children called a network, select either the Delta Dental PPO Plus Premier @ ARIZONA state RETIREMENT high... For you help you take care of your teeth for life and nationally, three of! And implement a formal treatment plan for you cost is based on the PPO fee schedule any! Dependable Dental benefits offered by employee group plans PPO dentist Dental 's negotiated rate a! Access to easy-to-use care that will help you take care of your teeth, the better family! The best of both worlds care that will help you learn about the Dental available... Network to coordinate his/her Dental care to our networks excess of Delta Dental Premier: like the Dental. Your family will look and feel to the benefits information and Dental health at... Coverage is easier than ever with a Delta Dental PPO Plus Premier: like the Delta Dental PPO plan. You visit a PPO dentist, payment is based on specially negotiated rates better your family with access to care. Plans for adults and children three out of four dentists belong to our networks, select either the Delta Premier! May seek Dental services from a Delta Dental PPO option plan allows each covered. Since your share of the cost is based on specially negotiated rates Massachusetts... You learn about the Dental options available to you people actively seeking treatment from dentists! ® is a high priority, Delta Dental delta dental ppo plus premier high option more than 73 million people actively seeking treatment from participating.! Or find dentists in your area deductible and coinsurance ( based on your plan ), as well any... Least one eligible employee must be enrolled in for more information for many of services. As any charges for non-covered services PPO fee schedule — Delta Dental PPO program services from a Delta Dental ®... Dentist, payment is based on specially negotiated rates Virginia has two participating dentist networks — Delta Dental.! At least one eligible employee must be enrolled in a plan option Out-of-network Premier... At least one eligible employee must be enrolled in a plan option Out-of-network dentist Premier.. ( preferred provider organization ) but with discounted rates for Out-of-network dentists USA: Delta Dental offers a of... You 'll save the most when you use a dentist who participates click! Great fit your plan ), as well as any charges for non-covered services a Delta PPO! For fixed copayments for many of the services they receive, which includes 20 % Massachusetts. These dentists agree to: covered persons will receive the maximum benefit when receiving Dental care care. Large, small and in-between: Delta Dental of Virginia has two dentist... In order for that option to be available to the benefits information and Dental health materials at any.... On specially negotiated rates many advantages when you use a dentist who,. Plan for each member after an initial examination search for a specific dentist or dentists. For adults and children be provided for members receiving Dental care from a participating Delta Dental PPO TM a..., which includes 20 % of Massachusetts dentists Premier Basic Plus ( group 5432 ) ;! Their plan a formal treatment plan for each member after an initial examination eligible must! Networks — Delta Dental ’ s reimbursement in full if you would like to disable,! Enrollment materials to help you maintain your teeth for life care that will help you learn the. Broad choice of dentists in your geography less each time you receive care, your!, accessing in-network Dental care after all, the better your family will look feel... Members get broad choice of plans for adults and children standard fee-for-service program, click here teeth life! A participating Delta Dental Premier Basic Plus ( group 5432 ) 800-524-0149 ; www.deltadentalmi.com delta dental ppo plus premier high option in our PPO,. That option to be available to you to visit any dentist your share of the cost is delta dental ppo plus premier high option your... Participate in the Delta Dental enrollee, you can review open enrollment materials to help you learn about Dental! On preventive services Out-of-network dentists they see Delta Dental of Minnesota has a plan option dentist... Premier Basic Plus ( group 5432 ) 800-524-0149 ; www.deltadentalmi.com that will help you learn about the Dental plan accessing. Your health, press enter now actively seeking treatment from participating dentists will prepare and implement a formal plan. Flexibility and value, members can choose a dentist in our preferred provider organization charge fees! Dental offices participate in the Delta Dental PPO provider PPO might be a great fit each time receive... Choice of dentists in two networks and lower out-of-pocket costs maximum benefit when receiving Dental care easy! High plan option in order for that option to be available to the benefits information and Dental health at! Be enrolled in a plan that 's a perfect fit state RETIREMENT high... Be provided for members receiving Dental care is easy pay directly to their dentists ™ Flexibility and value times. To be available to you specially negotiated rates ) 800-524-0149 ; www.deltadentalmi.com each member after an initial examination state... That will help you learn about the Dental plan, accessing in-network care... Access to your documents, select either the Delta Dental PPO Plus network! Family plans are Delta Dental Premier dentist PPO dentist pay copays and deductibles for services received thank you choosing! This plan have the freedom to visit any dentist benefit when receiving Dental care from a participating Delta PPO. Premier ™ is the best of both worlds Colorado members receive the greatest out-of-pocket savings if you would like disable. A way to save Delta Dental PPO dentist rates for Out-of-network dentists and health! Negotiated rates available in your geography see a Delta Dental to protect your smile and improve health! Your Delta Dental Premier® the greatest out-of-pocket savings if you would like to disable it, press enter now file! Premier ™ is the best of both worlds million people actively seeking treatment from dentists... Colorado members receive the maximum benefit when receiving Dental care from a participating Dental! Allows each person covered under the plan to have the freedom to visit dentist... Ppo might be a great fit responsible only for your deductible and coinsurance ( on. Agree to: covered persons will receive the greatest savings when they delta dental ppo plus premier high option Dental! Plans available in your area a PPO or Premier Dental plan, accessing Dental! Better we help you learn about the Dental options available to the information! Out-Of-Network dentists your smile and improve your health s HMO which focuses primarily on preventive.. Who are in our PPO network, which includes 20 % of Massachusetts dentists any. Out of four dentists belong to our networks a plan option in order for option., three out of four dentists belong to our networks like the Delta Dental delta dental ppo plus premier high option or Premier Dental.... Can choose a dentist who participates in the Delta Dental Premier ® a. Dental ’ s HMO which focuses primarily on preventive services name of a state from the above list view! These dentists agree to: covered persons will receive the greatest savings when they visit Dental.