Your coverage begins on the first day of the month following the date we receive your application and initial premium. 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. 1Your benefits may differ from the general information provided here. Delta Dental is America's largest and most trusted dental benefits carrier. 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. Refer to your plan booklet for more information about covered services, deductibles and maximums. 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. Refer to your plan booklet for details about your out-of-network benefits. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. *Members will be subject to balance billing for covered services. 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. Costs for covered services are provided up front, so enrollees can prepare for treatment costs ahead of time. If dentist access is a high priority, Delta Dental PPO might be a great fit. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Individual PPO plans have flexible enrollment. We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and … Here are … Some plans may cover alternative appliances like Invisalign. 6 This not only gives you a … 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. 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). Your Delta Dental PPO Plus PremierIncented Voluntary Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. © Delta Dental. If you don’t have basic coverage through the UDB or another dental plan, you may want to enroll in the Delta Dental PPO Plus Premier – Preventive Plan. Get … Covered services are paid based on a percentage — if, for example, fillings are covered at 80%, enrollees pay the remaining 20%. If your benefits cover two-phase orthodontic treatment, retainers are usually covered after each phase. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Choose from more than 50% of dentists. Under this HMO-type plan, enrollees have their choice of skilled primary care dentists from the DeltaCare USA network. E.g., a plan purchased on June 17 would become effective on July 1. If an appliance is not covered, Delta Dental usually covers some of the orthodontic treatment costs. Get the most plan value by choosing a Delta Dental PPO dentist. The Delta Dental PPO Plus Premier Enhanced Plan is primarily an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care from dentists in Massachusetts and across the country. In WY, you do not need to select a primary care dentist, but you must visit a network dentist to receive benefits. Delta Dental’s plans prioritize preventive care and dentist access, which may be able to keep health care costs low. Delta Dental offers you three great plans to choose from and you can sign up whenever you’re ready. Delta Dental PPO plus Premier Network Read Your Dental Plan Description Carefully—This Outline of Coverage provides a very brief description of the important features of your dental benefitsplan. You don’t need a referral to begin orthodontic treatment. Preparing for orthodontic treatment? We offer two plan options, each with distinct advantages. You may also seek care from a Delta Dental PPO dentist. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary South Washington County Schools Group … This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. 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. Costs depend on the services you need, but Delta Dental can help estimate costs before treatment begins. What if your dentist isn’t a Delta Dental dentist? Choose the best fit and get started. Delta Dental PPO Plus Premier 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. E.g., a plan purchased on July 25 would not be effective until September 1. 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 … Visit any licensed dentist, but save with in-network dentist, Online or via phone (will become effective the following month)⁷, Care provided by a specialist is coordinated through the selected primary care dentist. And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹. Access to care anywhere! Delta Dental Patient Direct ® is a discount card program based on the Delta Dental PPO fee schedule. Your orthodontic coverage and options may vary based on your plan type: Note: A pre-treatment estimate is not a guarantee of Delta Dental’s final payment. Open your browser settings and turn on javascript to start finding a dentist. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. If your benefits cover two-phase orthodontic treatment, retainers are typically covered after each phase. PPO network dentists complete claim forms for enrollees and can help advise you on questions regarding enrollees' share of the payment. Your orthodontist will provide you with payment options (monthly, quarterly, etc.). This plan matches the UDB benefit feature for feature. It reflects and is subject to a Plus, there are no annual deductibles, waiting periods or maximums to worry about.³. Members have access to … PPO Dentist: Coverage percent is based on the PPO Schedule of Fees. DeltaCare® USA Plans purchased by the 21st of the month will become effective on the first date of the following month. Your dentist can submit a pre-treatment estimate (or you can submit one if you choose a non-Delta Dental orthodontist). What should you expect from your dentist? Your orthodontist creates an initial estimate of costs, called a “pre-treatment estimate.” If you agree to proceed, the orthodontist will create a treatment plan with the associated copayments and fees. This option offers an added advantage to patients receiving treatment from a Delta Dental PPOSM Provider. Delta Dental PPO Plus Premier™ – Preventive Plan For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. 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. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. More network savings. This coverage depends on your plan, and is typically only offered for enrollees undergoing active orthodontic treatment. 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. 8 a.m. - 7 p.m. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefits with Orthodontic Coverage Dental Benefit Plan Summary Pipe Trades Services … The Certificate is a summary of your dental benefits coverage. Costs depend on the services you need. Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. 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. E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. Delta Dental of Virginia 4818 Starkey Road, Roanoke, VA 24018-8510 800-237-6060 DeltaDentalVA.com Rev 3.2020 Delta Dental PPO plus Premier Benefits for … Simply pay your copayment for covered services directly to your DeltaCare USA orthodontist. You do not have to file any claims. Dental plans that work for you. 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. Plans purchased after the 21st will not be effective until the month after that. Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO and Delta Dental Premier®. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Your orthodontist will provide you with payment options (monthly, quarterly, etc.). Here is an example of the effective dates based on plans: When does coverage become effective? Health Care Marketplace (Exchange) Customers: This feature uses javascript. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. 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. A way to save DeltaCare ® USA Delta Dental PPO TM and Delta Dental Premier ® Getting started You don’t need a referral to begin orthodontic treatment. Review your plan booklet for specific details regarding orthodontic coverage under your plan. DeltaCare USA: Network for most group plan enrollees, DeltaCare USA Individual: Network for Individual plan enrollees (CA only), DeltaCare USA Medicare: Network for Medicare Advantage plan enrollees (CA only), DeltaCare USA Connect: Network available only to enrollees in select southern California groups. 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