Find a dentist. A Delta Dental Premier dentist. 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. In the benefits section, you'll see how much coverage you have for different procedure categories, and more details to help you plan your dental treatment. Information regarding the Cost Estimator content. All Rights Reserved. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Therefore, it is always best to confirm information with your health care professionals. English; Español; Toggle navigation. Any General Dentist Oral Surgeon Endodontist Orthodontist Pediatric Dentist Periodontist Prosthodontist Oral Pathologist Public Health Full Time Faculty Oral Maxillofacial Radiologist Please see the “How Payment is Made” section and “Choosing a Dentist” section of this Certificate for more details. The plan covers a wide array of services. Please check with your employer or group for verification. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Preventive services are included in this tool. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Delta Dental has the largest network of dentists nationwide. Estimates may vary depending on your benefit plan and the state you live in. One last thing – the Delta Dental discount applies to all care you receive from an in-network provider. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Get 100% coverage for preventive dental care such as exams, cleanings and x-rays. The national network of Delta Dental companies protects more smiles than any other insurance company. In other words, your out-of-pocket expense is much less. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. Your actual cost may be higher or lower than the estimate for various reasons. Refer to your benefit plan to determine whether these requirements apply to you. For individuals. If you choose a PPO dentist, you will usually pay less for services. 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. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Claims will be processed when received according to your plan provisions. You get the highest level of coverage and the lowest out-of-pocket costs when you see a Delta Dental PPO dentist. To begin using the Dental Care Cost Estimator tool, click the Agree button below. For a complete description of the details of your coverage, please refer to your coverage documents. It's easy to look up your benefits online, including your dentist network, maximums and deductibles, copayment percentage for standard and orthodontic coverage, and other details. If you have a fee-for-service benefit plan, your plan pays a predetermined percentage of the treatment cost and you’re responsible for paying the balance. 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. Get additional resources from Delta Dental. 5 You know you will receive quality care because all dentists in our network are credentialed to make certain they meet or exceed our requirements. 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. Estimates should not be construed as financial or medical advice. *Not sure where your company is headquartered? World Health Organization 1995, 5Dental Actuarial Analytics 2018 Dental PPO Study, slide 16. 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. Member resources. Log in. They also complete your claim forms and help you understand your share of the payment. To learn more about the PPO dental insurance plan and compare it against other plans that we offer, please click here. This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. The information and content (collectively, "Content") on this website is for your general educational information only. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Delta Dental PPO – Options Plus is designed for employees who have greater oral care needs and prefer the added support richer benefits offer. 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. Delta Dental PPO gives employers the ability to enjoy both maximum savings … Delta Dental PPOTM and Delta Dental Premier® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. Delta Dental can help keep your smile healthy with these articles: 3U.S. This plan also covers services like fillings and simple tooth extractions. Delta Dental PPO ™ plan Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. The data is based on actual, non-discounted charges that providers have billed. More than 4 out of 5 dentists in Washington State participate in one or both networks. Contact your company's human resources department. Find the one that’s right for you. and for services provided by a Delta Dental PPO Dentist $0 $50/person $50/person *In the event that you seek treatment from a Delta Dental Premier or Nonparticipating dentist, you may be responsible for more than the percentage indicated above. © Copyright 2020 Delta Dental Plans Association. Looking for more information? Save the most by visiting a dentist from our PPO network. Total Choice PPO The best of Delta Dental of Massachusetts with new benefits and a lower cost for you and your employees. 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. Delta Dental PPO - Delta Dental Mass Delta Dental PPO ™ Higher savings, lower premiums, and a quality network. Want to know before you set foot in the dentist’s office? DeltaCare® USA plan. 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. You will have basic coverage if you are enrolled in the UDB dental coverage under the State of Wisconsin Group Health Insurance Program. 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. Or, your employer or group may have requested that we do not display this information. The Delta Dental PPO plan, available worldwide, provides you and your family with the flexibility to choose any licensed dentist or specialist. Your only costs will be the patient’s share of the procedure at the time of treatment. There are three levels of Providers to choose from who are located nationwide: This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Dental coverage is often designed to pay for: 100% of routine preventive and diagnostic care such as cleanings and exams. Skip to main content. 50% of major procedures such as crowns, bridges and implants. This free service ensures that you know up front how much, if anything, the dental plan will pay and how much you will be responsible for. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Your share of the cost of services depends on whether you use a dentist in Delta Dental’s PPO network or an out-of-network dentist. Insurance companies develop a network of dentists who agree to charge you fees that are lower than their usual rates. 80% of basic procedures such as fillings, root canals and tooth extractions. Important COVID-19 updates for enrollees and providers. 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. Delta Dental Patient Direct coverage is not available in all 50 states. Delta Dental offers one of the largest provider networks in the country, and you can choose to get care from: A Delta Dental PPO dentist. Learn more about maximums. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Covered services are paid based on a percentage of the dentist's fee. Members with a Delta Dental PPO TM (Point-of-Service) plan may see any dentist they like. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. In fact, more than 80% of dental insurance plans are PPOs.1. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Dental coverage is an important part of your benefits package and regular dental care is key to your overall health. You can visit any licensed dentist, anywhere, or keep the dentist you know and trust. Health information changes quickly. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. 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. I receive dental insurance through my employer, Get the most out of your benefits with an in-network dentist. Delta Dental is here to help you find a dentist. All of those matters are things that you should decide, in consultation with your dental care professionals. Get 100% coverage for essential preventive care, like routine cleanings and exams.². Get started here. To see the list of dentists under the Delta Dental Medicare Advantage network, please log in . "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Get 100% coverage for essential preventive care, like routine cleanings and exams.² Individuals & families. The plan covers a wide array of services. How much is it going to cost? Important COVID-19 updates for enrollees and providers, Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. You save the most money by seeing an in-network provider. Benefits paid by the plan for covered oral evaluations and routine prophylaxis (cleanings) will not reduce your annual per person maximum for Preventive/Diagnostic Services, Basic Services and Major Services. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Preventive care coverage varies by plan and by demographic considerations such as age. If you are currently enrolled in a major coverage supplemental plan through Delta Dental of Wisconsin, you will automatically be re-enrolled for 2021 and don’t need to do anything. You may be responsible for the cost of procedures or services not covered by your plan. Delta Dental PPO preventive dental coverage. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Please scroll down and accept to proceed. Please see your plan booklet or Policy for a complete description of plan benefits, limitations, and exclusions. Delta Dental PPO – Point of Service Delta Dental PPO – Choice Advantage Maximum Calendar Year Benefit Payment $1,000 Per Person $1,500 Per Person Calendar Year Deductible $50 Per Person (Class II and Class III only) $50 Per Person (Levels 2, 3, and 4 Services only) Covered Services and Co-payments Refer to the Delta Dental PPO – Point In 2008, Delta Dental member companies processed over 81 million dental … Your Dental Dental PPO Individual Basic plan will keep you smiling well into the future! This plan matches the UDB benefit feature for feature. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. If you plan on enrolling in a different plan for 2021, visit the ETF website to verify eligibility and coverage.