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delta dental ppo plus premier coverage

| January 9, 2021

While many value the transparency and affordable premiums DeltaCare USA offers, these plans offer much more than preventive care. Delta Dental Unique Dentists Penetration Report, 2019, Dental Actuarial Analytics, 2017 Dental PPO Study, includes all Delta Dental member companies. All dental plans give you access to one of the largest networks of dentists in Arkansas (more than 95% of dentists are in our PPO and Premier networks 2) and the nation. Limitations and exclusions apply. Best if dentist access is a high priority. One set of post-treatment retainers is covered. ET M - F. Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy- IENT-P-CORE-DC-REV2018), 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. Delta Dental PPO Plus Premier Certificate Delta Dental of Kentucky, Inc., issues this Certificate to you, the Subscriber. 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. 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. What should you expect from your dentist? 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. Under this HMO-type plan, enrollees have their choice of skilled primary care dentists from the DeltaCare USA network. Select any licensed orthodontist under your plan; however, your costs will typically be lower if you choose an in-network orthodontist. Note: Under some plans, you may lose eligibility if coverage has lapsed more than 30 or 60 days. Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. 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. Pre- and post-treatment records (x-rays and study models), Limited, interceptive and comprehensive orthodontic treatment, Orthodontist-recommended tooth extractions, Retainers (one set typically covered in a lifetime – see below). Get the most plan value by choosing a Delta Dental PPO dentist. © Delta Dental. Delta Dental is America's largest and most trusted dental benefits carrier. Delta Dental PPO Plus Premier - Plan Details Overview of benefits coverage on the dental plan for State of Arizona employees and retirees. Get assistance in a language other than English, Viewing your eligibility information online, Finding your Delta Dental plan information, Beware of offers to waive coinsurance amounts, Go Paperless: Access Your Statements Online, Adding a spouse or dependent to your plan, Mobile Online Services – your ID card and benefits on the go. Choose from more than 50% of dentists. E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Choose the best fit and get started. If an appliance is not covered, Delta Dental usually covers some of the orthodontic treatment costs. 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. Delta Dental PPO This network provides the best value and lower out-of-pocket costs. Simply pay your copayment for covered services directly to your DeltaCare USA orthodontist. These companies are financially responsible for their own products. SEE BASIC COVERAGE PLAN DETAILS For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. You do not have to file any claims. If predictability and more cost-management are valued, our copay product might be the best choice. Get … Enrollees have access to both the Delta Dental PPO SM  and the Delta Dental Premier® network dentists, which helps ensure greater access to in-network dentists. E.g., a plan purchased on July 15 can be effective August 1. Your coverage begins on the first day of the month following the date we receive your application and initial premium. 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. By combining the extensive size of our Premier network and the deeper discounts of our PPO network, the Delta Dental PPO plus Premier plan can help reduce claims costs. Here is an example of the effective dates based on plans: When does coverage become effective? For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. These companies are financially responsible for their own products. 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. Premier: Coverage percent is based on the Participating Dentist Maximum Approved Charge (PMAC). DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. Delta Dental Summary Plan Description DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Effective: January 1, 2020 Benefit period : January 1, 2020 to December 31, 2020 Enrollees simply visit a DeltaCare USA contracted dentist and pay the predefined copayment. 866-760-4080 In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. You might be covered for orthodontic services under your Delta Dental plan. Costs depend on the services you need, but Delta Dental can help estimate costs before treatment begins. Orthodontic copayments vary by plan design. Important COVID-19 updates for enrollees and providers. Open your browser settings and turn on javascript to start finding a dentist. Costs depend on the services you need. Orthodontic payment schedules depend on your contract. © Delta Dental. 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