For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. With an emphasis on preventive care benefits, the plan's specially negotiated provider fees also help control patient out-of-pocket costs for major services. Delta Dental PPO™ plan. Find a Dental plan that fits you. This is the amount you will pay out-of-pocket for services in a calendar year. 2020-2021 Monthly Rates. Delta Dental PPO Plus Premier™ - 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 plan can help reduce claims costs. 60%. Benefits. The information provided in this website is a summary and is intended for illustration purposes only. Monday - Thursday, 7:00 a.m. - 6:00 p.m.Friday, 7:00 a.m. - 5:00 p.m. Contact your company's human resources department. Many of our benefit plans give members access to both of our networks with the added benefit of our extensive Premier network safety net feature in case you can't find a PPO provider. Benefits. Looking for a Delta Dental participating dentist? Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Each option provides coverage for the same types of services, but at different cost levels. Premier Network. Want to know before you set foot in the dentist’s office? Individual + Spouse. Health Care Exchange. Calendar Year Deductible . Delta Dental Premier ® Non-Delta Dental Dentist. $38.00. The national Delta Dental PPO ™ network is one of the nation’s largest PPO networks.. Large network of participating dentists; More cost-effective for employers than traditional indemnity plans This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. Initial 6-month specific benefit limitation period applies. Do not avoid getting dental care based on the cost information provided on this website. To begin using the Dental Care Cost Estimator tool, click the Agree button below. 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. Provider tools. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . Delta Dental member companies posted approximately $15 billion in premium revenue during fiscal year 2008, the system's 29th consecutive year of financial gains. The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. Health Care Exchange. Premier Network. Insurance companies develop a network of dentists who agree to charge you fees that are lower than their usual rates. Co-insurance for: What You Pay. Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. Dental office support. For dentists. Delta Dental PPO. Individual. Dentist news. 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. 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. PPO Network. Coinsurance. Delta Dental PPO; Delta Dental Premier; Delta Dental PPO Plus Premier   Below is an example of sample quotes for two adults aged 35 and 34 with two children residing in Chicago. Affiliate dental plans. Explore all your plan options. Refer to your benefit plan to determine whether these requirements apply to you. Delta Dental is comprised of a network of companies to help you connect to your dental benefits and improve your oral health. Individual - $50 ; $150 annual deductible for families. Delta Dental PPO. Employers. 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. About Delta Dental Individual and Family PPO Value for Seniors . Plus the premium plan also includes specialty coverage for implants, crowns and root canals. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Special Programs . Delta Dental PPO has a national network of more than 68,000 dentists practicing in over 119,000 locations. Delta Dental Premier: This is an indemnity plan. Provider Tool Tips. 2020-2021 Monthly Rates. Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. Delta Dental PPO provides three options for selecting a dental provider. The Delta Dental PPO plan gives you the freedom to visit any in-network or out-of-network dentist. Employers. Individual and Family FAQs. Plans purchased from the first through the 14th of the month have effective date options of: the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next. Out-of-Network. 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. 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). Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Individual + Child(ren) $150.00. Preventive / Diagnostic Services. Estimates should not be construed as financial or medical advice. If you have any questions or need additional information about your PPO dental program, please contact Delta Dental Customer Service at: 877-688-3503. Affiliate dental plans. $112.00. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. Administrative and claim forms. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Why stay in network? Employers. Plan Features: Access to one of the nation’s largest dental networks, Delta Dental PPO. Dentists. If you have any questions or need additional information about your PPO dental program, please contact Delta Dental Customer Service at: 877-688-3503. 0%. Connect with us to learn more. All of those matters are things that you should decide, in consultation with your dental care professionals. Delta Dental of Oklahoma offers other options for individuals and families outside of the workplace. Seminars and Events. Delta Dental PPO TM Customer Service. Dentists. How to join . The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Delta Dental PPO has a national network of more than 68,000 dentists practicing in over 119,000 locations. 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. In fact, more than 80% of dental insurance plans are PPOs.1. Estimates may vary depending on your benefit plan and the state you live in. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. 60%. FAQs About Participation with Delta Dental Patient Direct . When you visit a PPO Dentist, payment is based on the PPO fee schedule. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Delta Dental Individual and Family PPO Value for Seniors is an affordable plan for people 65 and over. Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Wellness library. Individual + Child(ren) $150.00. Our combination of network size, quality and discounts help your customers give their employees in-network care while keeping out-of-pocket costs low. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Enjoy no balance-billing within the Delta Dental PPO Network. Delta Dental of Alaska is a part of Delta Dental Plans Association. Access our automated system 24 hours a day, seven days a week. DeltaCare® USA plan. Health Care Exchange. Affiliate dental plans. Delta Dental PPO Plus Premier™ - 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 plan can help reduce claims costs. General information regarding your health care. $700. Benefits Highlights; Evidence of Coverage; Getting the Most From Your Plan; Other Resources. 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. Dentist news. Delta Dental has consistently built strong partnerships with dental insurance providers and dental professionals for over half a century. A PPO plan will offer you a variety of choices from a network of dentists. Benefits Materials . N/A. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover, or your out-of-pocket costs. No balance billing. Individual and Family FAQs. Member guidance. Individual and Family FAQs. Administrative and claim forms. Other Oral Surgery services for our Delta Dental patients. Delta Dental of Tennessee’s Individual & Family Plans are designed to help maintain good oral health while also balancing your budget. $1000, per enrollee on the plan . Benefits Highlights; Evidence of Coverage; Getting the Most From Your Plan; Other Resources. The national network of Delta Dental companies protects more smiles than any other insurance company. If you have dental benefits through your employer*, please select the state where your company's headquarters are located. Write to: Delta Dental Customer Service P.O. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Have a question about coverage or looking for dental insurance? Family. ** 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. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Available exclusively for small groups, this dental plan design is a great solution for your customers with diverse workforces. Delta Dental PPO™ plan. Dental office support. Plan Features: Access to one of the nation’s largest dental networks, Delta Dental PPO. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. About Delta Dental Individual and Family PPO Value for Seniors . Plan allowance. Delta Dental PPO gives employers the ability to enjoy both maximum savings and all the features of other Delta Dental plans. For employers. Delta Dental is the nation's leading dental insurance company, providing access to over 145,000 dentists at more than 292,000 office locations. Enrollees have access to both the Delta Dental PPO and the Delta Dental Premier network dentists, which helps ensure greater access to network dentists. How much is it going to cost? Seminars and Events. The Delta Dental PPO Option Plan allows each person covered under the plan to have the freedom to visit any dentist. Freedom to visit any licensed dentist. World Health Organization 1995, 5Dental Actuarial Analytics 2018 Dental PPO Study, slide 16. Coinsurance. Delta Dental PPO ™ Higher savings, lower premiums, and a quality network. Our combination of network size, quality and discounts help your customers give their employees in-network care while keeping out-of-pocket costs low. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Delta Dental PPO™ Core Buy-Up More low-cost employee choices. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Member guidance. Provider tools. © Copyright 2020 Delta Dental Plans Association. In 2008, Delta Dental member companies processed over 81 million dental … For dentists. Enrollees have access to both the Delta Dental PPO and the Delta Dental Premier network dentists, which helps ensure greater access to network dentists. For dentists. If your group has selected the Delta Dental PPO fee basis, all claims are calculated at the PPO contract allowance (more balance billing out of network). Medicare Advantage EPO Use this link if your plan utilizes only the Delta Dental Medicare Advantage EPO network. Those discounts are the deepest when you visit a PPO network dentist. Health Care Exchange. Administrative and claim forms. Provider Tool Tips. Delta Dental PPO. The Delta Dental PPO plan gives you the freedom to visit any in-network or out-of-network dentist. PPO dental plans entail higher out-of-pocket costs than DHMO plans – but they also offer a greater degree of flexibility when choosing a dentist or dental facility. Enroll Now. Individual. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Dentist FAQs. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. 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. *Not sure where your company is headquartered? 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. You can easily find a dentist now in the Delta Dental networks. Provider Tool Tips. There are three plan options with variations on Core and buy-up benefits. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. To learn more about the PPO dental insurance plan and compare it against other plans that we offer, please click here. Delta Dental PPO; Delta Dental Premier; Delta Dental PPO Plus Premier   Below is an example of sample quotes for two adults aged 35 and 34 with two children residing in Chicago. NOTE: These Medicare Advantage networks consist of dentists in Michigan, Ohio and Indiana only. Plus the premium plan also includes specialty coverage for implants, crowns and root canals. Health Care Exchange. 60%. Delta Dental pays participating dentists directly for each covered service rendered based on the lesser of the submitted fee or the fee published in Delta Dental’s PPO fee schedule, rather than a monthly dollar amount. Wellness library. 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. Delta Dental PPO is our preferred provider organization. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. You can k eep both your smile and your eyes healthy by adding vision to any of our dental plans. ®Registered Marks of the Delta Dental Plans Association. $1,200. Individual - $50 ; $150 annual deductible for families. Write to: Delta Dental Customer Service P.O. If you’re enrolled in a Delta Dental PPO, then your plan is designed to give you the greatest opportunity for savings when you visit an in-network, PPO dentist. Individual + Spouse. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. Plans purchased from the first through the 14th of the month have effective date options of: the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Delta Dental of Oregon is a part of Delta Dental Plans Association. Delta Dental PPO Network typically results in the lowest out-of-pocket costs of all plans. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Family $150 . $1,200. Dentists. Your patients’ network options will depend on their plan. 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