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With a variety of plans available, you can find basic dental coverage for general dental care or choose coverage for major care, such as dental … More than 4 out of 5 dentists in Washington State participate in one or both networks. In fact, three out of four dentists nationwide participate … These companies are financially responsible for their own products. Search for a network dentist near your home or work. E.g., a plan purchased on June 17 would become effective on July 1. Please note: Benefits paid to Delta Dental PPO dentists … Follow our simple, … How do I find a Delta Dental PPO provider? DeltaCare USA plans are underwritten in these states by these entities: CA — Delta Dental of California; DC (Policy- I-P-DC-dc)  and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; NV — Alpha Dental of Nevada, Inc.; PA — Delta Dental of Pennsylvania. Apply online in minutes and get the coverage that meets YOUR needs. And, if a dentist participates in the Delta Dental PPO ™ network, members may save … 8 a.m. - 7 p.m. Individual PPO plans have flexible enrollment. Whether you have a PPO or Premier dental plan, accessing in-network dental care … Affordable dental … With three out of four dentists nationwide, … Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Limitations and exclusions apply. More network savings. Have a question about coverage? For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. And whichever plan you choose, top-quality customer service that makes you smile is our priority. The Delta Dental Premier network gives you access to the nation’s largest dental network, with 341,000 dentist locations all across the United States. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. © 2001 -  2020 Delta Dental of Washington. Choose the best fit and get started. In Florida, Delta Dental Insurance Company provides DeltaCare USA Plan benefits as a Prepaid Limited Health Service Organization as described in Chapter 636 of the Florida Statutes. You can find a Delta Dental Premier provider using our Find a Dentist tool. However, most come with access to our Delta Dental PPO℠ or Delta Dental Premier® network. All rights reserved. Choose from more than 50% of dentists. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! 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. In fact, three out of four dentists nationwide participate … Best if dentist access is a high priority. Large, small and in-between: Delta Dental of Minnesota … This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Delta Dental Premier for Individuals – Summary of key exclusions and limitations Please refer to your Dental Benefit Policy for complete exclusions, limitations and coverage details. Delta Dental is here to help you find a dentist. The Dental Benefit Policy prevails if discrepancies are noted between this brochure and the Dental … However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Access to care anywhere! Delta Dental’s plans prioritize preventive care and dentist access, which may be able to keep health care costs low. Please refer to your Group Dental Service Contract, Evidence or Certificate of Coverage or Summary Plan Description for your plan’s specific coverage… Delta Dental Premier® with National Coverage Delta Dental Individual and Family Premier Option One This chart represents the approximate level of coverage for services performed by dentists who participate in the Delta Dental Premier network with national coverage… Originally published September 2019. 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. How do I find a Delta Dental Premier provider? Here is an example of the effective dates based on plans: When does coverage become effective? Our coverage makes it easy and affordable to protect your smile. These answers are only a summary of how most Delta Dental PPO and Delta Dental Premier orthodontic coverage works. 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 … With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. Refer to your plan booklet for details about your out-of-network benefits. If predictability and more cost-management are valued, our copay product might be the best choice. Plus, there are no annual deductibles, waiting periods or maximums to worry about.³. It can also help keep your overall health care costs down. Some plans are PPO-only plans. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Delta Dental PPO vs Premier: What's the Difference? Refer to your plan booklet for more information about covered services, deductibles and maximums. Best if cost management and predictability are priorities. Delta Dental Premier® Network If you have a Delta Dental Premier plan, then you may visit any PPO or Premier dentist. Plans purchased after the 21st will not be effective until the month after that. Special note:Pay attention to your coverage before you seek dental care. If you don’t visit a Delta Dental PPO dentist, you may end up with higher out-of-pocket costs. E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Our plans offer a variety of care networks. © Delta Dental. Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. Dental plans can help you plan and budget for the costs of dental care. To see if you’re included, call People Services at 800-421-1362. However, premier dentist fees may mean different out-of-pocket costs than PPO dentist fees. Visit a dentist in your network to get the most savings. They agree to provide you services at discounted rates and file all claim forms for you. Some plans allow you to see PPO or Premier dentists . Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. According to an independent consulting firm, Delta Dental PPO offers the nation’s best effective discount.² This means our networks can deliver the most value through a combination of network size, utilization and discounts. Important COVID-19 updates for enrollees and providers. Many PPO plans also come with access to the Delta Dental Premier® network. Everyone knows that one of the best ways to get the most value out of your dental coverage is to visit a dentist in your plan’s network. 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 … Floss! Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. Delta Dental PPO™ is underwritten by Delta Dental Insurance Company in AL, DC, 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. It powers everything we do as we work to remove the barriers to oral health care. Members have access to two of the nation’s largest networks. While many value the transparency and affordable premiums DeltaCare USA offers, these plans offer much more than preventive care. If you have a Delta Dental Premier plan, then you may visit any PPO or Premier dentist. Plan details and limits. A common question we get from our members is: “What’s the difference between Delta Dental PPO and Delta Dental Premier?” It’s a tricky question, and the answer depends entirely on your plan’s coverage. The Delta Dental Premier network gives you access to the nation’s largest dental network, with 341,000 dentist locations all across the United States. subject to the coverage percentages identified above if services are rendered by a Delta Dental Premier Dentist or a non-participating provider. Hours of Operation Mon-Fri 6am-5pm (PT) Home (current) Dental Quotes . 866-760-4080 In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. © 2001 -  2020 Delta Dental of Washington. Dental plans that work for you. An outline of the key benefits and coverage options for Delta Dental's insurance plans, including PPO, Premier, HMO, and individual and family plans. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental has an "A (Excellent)" rating from … Review Delta Dental Immediate Coverage Plan plan highlights and benefits. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. As the nation's leading dental benefits provider, we offer quality, cost-effective choices designed for you, your family and your well-being. DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. For instance, PPO and Premier dentists are all in-network on DDWA Individual plans. 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. Delta Dental Premier is a standard fee-for-service dental benefits program. In certain areas where PPO dentists aren’t available, you can also see any dentist in the wider Delta Dental Premier network and get the same coverage. These companies are financially responsible for their own products. PPO network dentists complete claim forms for enrollees and can help advise you on questions regarding enrollees' share of the payment. ... Members age 8 or older are eligible for orthodontic coverage *out-of-pocket cost may vary. The network you should use depends on your plan’s coverage. Dental Plans, created with you in mind . If you have a PPO-only plan, your coverage only works when you get care from an in-network dentist. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Enrollees select a primary care dentist, and this dentist will then coordinate any needed referrals to a specialist.⁵ Covered services provided by their DeltaCare USA dentist have preset copayments (dollar amounts), which are listed in their plan booklet. What separates Delta Dental PPO from other carriers of dental PPO products? Delta Dental PPO Plus Premier ™ is the best of both worlds. Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. What is the Delta Dental Premier network? To accomplish this, we must continuously be looking forward and planning for what's to come. There are no maximums, waiting periods or deductibles.⁶, producerservices@delta.org Plans purchased on or after the 15th of the month have effective date options of: the first of the next month, the 15th of the next month, the first of the month after next or the 15th of the month after next. Get the most plan value by choosing a Delta Dental PPO dentist. DeltaCare® USA Plans purchased by the 21st of the month will become effective on the first date of the following month. Costs for covered services are provided up front, so enrollees can prepare for treatment costs ahead of time. It cleans the 40 percent of tooth surfaces brushing can't reach. 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. Call Us 800-296-3800. Delta Dental Advantage Program Features a large subset of our Delta Dental Premier network and includes a larger portion of participating dentists in New Jersey than our PPO network (6,100 New … Noted between this brochure and the Dental … Dental plans Association member companies created with you in mind deductible if... Quality, cost-effective choices designed for you that meets your needs you plan and budget for the costs of PPO. Low copayments for preventive care smile is our priority PPO vs Premier: what 's the Difference and. And maximums, and more USA network acts as the DeltaCare USA network search a. 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