Members may seek dental services from a nonparticipating provider, however out-of-pocket expenses may increase. Comprised of a select panel of dentists, over 97,000 dental offices participate in the Delta Dental PPO program. Delta Dental PPO plus Premier TM: Our PPO plus Premier plan allows you to choose from more than 3,400 participating providers across the state. Preventive Services … Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. 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 the Delta Dental PPO network. Members are responsible for fixed copayments for many of the services they receive, which they pay directly to their dentists. Delta Dental PPO plus Premier Network Base Plan High Option 1 Available to: United Electrical Members ONLY High Option 2 Available to: United Academics, Physicians, Teamsters, and Non-Represented Staff ONLY Coverage A DIAGNOSTIC: Evaluations - 2 per Calendar Year X-Rays - complete series or panoramic once in a 3-year period Bitewing x-rays once each Calendar Year … High Option Dental Plan Delta Dental PPO Plus Premier™ Delta Dental PPO™ Dentist Delta Dental Premier® Dentist Non- participating Dentist Diagnostic & Preventive Cleanings, X-rays, Sealants, Fluoride 100% 100% 100% Basic Services Fillings, Crown Repair, Root Canals, Extractions, Denture Repair, Occlusal Guards, Oral Surgery Delta Dental is America's largest and most trusted dental benefits carrier. 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. Premier plans offer members access to the Delta Dental Premier Network, the nation’s largest dental network, with almost 90% of dentists participating. Members with this plan have the freedom to choose their own dentist. Delta Dental PPO plus Premier Network . 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. You are responsible only for your deductible and coinsurance (based on your plan), as well as any charges for non-covered services. And once you are a Delta Dental enrollee, you can refer to the benefits information and dental health materials at any time. DeltaCare works much like a dental HMO. To ensure your services are covered under your patient's Delta Dental benefits plan, please make sure to check the upper right-hand corner of their ID card for network information. Search for a specific dentist or find dentists in your area. 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. A way to save (primary enrollee, spouse and eligible children) Employees and Dependents: Employees, Retirees and Dependents: Employees, Retirees and Dependents: Deductible (per person annually) … Get 100% coverage for essential preventive care, like routine cleanings and exams.² You can review open enrollment materials to help you learn about the dental options available to you. When they see Delta Dental Premier Network providers, there is no balance billing. This program features two levels of claims savings. Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO™ and Delta Dental Premier®. 5 If dentist access is a high priority, Delta Dental PPO might be a great fit. All Rights Reserved. Delta Dental Premier. The Delta Dental PPO Option Plan allows each person covered under the plan to have the freedom to visit any dentist. PCDs prepare and implement a formal treatment plan for each member after an initial examination. The plan covers a wide array of services. We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and affordable to a wide variety of employers, groups and individuals. There are no claim forms to complete. Delta Dental PPO plus Premier Employee Choice - Preventive Plus. Delta Dental PPO TM. Covered persons will receive the maximum benefit when receiving dental care from a participating Delta Dental PPO provider. This program features two levels of claims savings. Search for a specific dentist or find dentists in your area. To locate a participating dentist, click here. There are many advantages when you use a dentist who participates in the Delta Dental PPO or Delta Dental Premier network. Dental Plans for All Employers. This page features a timed image rotator. After all, the better we help you take care of your teeth, the better your family will look and feel. Click on the links below for more information on your Delta Dental plan. While this change may not impact your dentist choice since your current dentist may participate in both the Delta Dental PPO and DeltaCare networks, to ensure no disruption to your coverage, we recommend that you verify your dentist's participation at "Find A Dentist". Our plans are designed to provide you and your family with access to easy-to-use care that will help you maintain your teeth for life. 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. Benefits Certificate - information on your benefits and coverage. AZ, CA, CO*, FL, IN, MA, TX, and VA Employees: To locate a participating dentist, click here. Coverage under Delta Dental (Enhanced) Premier Delta Dental PPO; Excluded Employees (1) In-Network Delta Dental PPO dentists (2) Out-of-Network (non- Delta Dental PPO dentists) Who's covered? Enrolled members get broad choice of dentists in two networks and lower out-of-pocket costs. FAQs About Participation with Delta Dental Premier . 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. Delta Dental PPO Plus Premier™ 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. For example, with a participating network dentist: To receive the highest level of benefits payable under your plan, be sure your dentist is a participating Delta Dental PPO or Delta Dental Premier network dentist. To locate a dentist who participates, click here. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹ Dentists who are in our preferred provider organization charge reduced fees for covered services. Participating providers file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. Click on the dental plan you are enrolled in for more information. You'll save the most when you choose to receive services from a participating Delta Dental PPO dentist. At least one eligible employee must be enrolled in a plan option in order for that option to be available to the group. This page features a timed image rotator. Delta Dental PPO plus Premier Benefits for Hampden-Sydney College High Plan Group Number: 700100 Effective Date: January 1, 2017 Annual Deductible (Applies to Basic and Major Services) $50 per person; $150 per family, per calendar year Annual Maximum $1,250 per enrollee, per calendar year Orthodontic Lifetime Maximum $1,000 per person Prevention First Visits to the dentist for Diagnostic … © Copyright 2020 Delta Dental Plans Association. Delta Dental PPO Plus Premier™ – Preventive Plan. You generally pay less each time you receive care, since your share of the cost is based on specially negotiated rates. Delta Dental PPO High (Group 9014) 800-524-0149; www.deltadentalmi.com; Employee Monthly Premiums (LTFT30 = Less Than Full T ime 30 -39 Hours/Week; LTFT20 = Less Than Full Tmi e 20 -29 Hours/Week) No ; Full Time LTFT30; 1; LTFT20; … Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. A minimum of two subscribers must be enrolled in either Delta Dental PPO – Preventive Plus, PPO, PPO - Plus Premier and/or - Plus Premier “Elite” plans. A group of providers is often called a network. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. Your 2021 Plan Documents. Large, small and in-between: Delta Dental of Minnesota has a plan that's a perfect fit. oral health — a preventive dental benefit administered by Delta Dental (Delta Dental PPO™), which is included as part of your High Option or Standard Option benefits, and a separate optional plan (DeltaCare® USA), which you may be eligible to purchase for an additional premium. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. The Delta Dental PPO Plus Premier program combines two of Delta Dental's national dental networks - "Delta Dental PPO" and "Delta Dental Premier" - giving you access to dentists that participate in both. DeltaCare USA is easy for members to use since there are never any claim forms to fill out when they visit their DeltaCare USA dentist or a specialist their dentist refers them to. Delta Dental PPO TM is a preferred provider organization program. Your total out‐of‐pocket costs for services rendered to a Covered Person age 18 and under from a Delta Dental PPO Provider or Delta Dental Premier Provider, will not exceed $350 per Benefit Accumulation Period. For greatest flexibility, members can choose a dentist in our Premier network, which includes three out of four dentists in the country and 96% of dentists in Massachusetts. PPO Plus Premier Group, individual and family plans are Delta Dental PPO Plus Premier plans. Nationwide, Delta Dental covers more than 73 million people actively seeking treatment from participating dentists. There's an Individual and Family Plan for You. Increased benefits may also be provided for members receiving dental care from a Delta Dental Premier dentist. SEE BASIC COVERAGE PLAN DETAILS Major Coverage. If you would like to disable it, press enter now. The Delta Dental PPO Plus Premier program combines two of Delta Dental's national dental networks - "Delta Dental PPO" and "Delta Dental Premier" - giving you access to dentists that participate in both. All Rights Reserved. 2021 DeltaCare USA Co-Payment Schedule. 2021 Costs and Coverages ― Delta Dental Options. When you visit a PPO Dentist, payment is based on the PPO fee schedule. These dentists agree to: Our 2018 products offer the best of the business - tried and true, affordable, and now with even more options - all built on the value that comes from the nation's largested dental network. If you would like to disable it, press enter now. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. Delta Dental offers a choice of plans for adults and children. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. Delta Dental Premier ® is a standard fee-for-service program. Your Preventive Plan covers 100% of charges for oral exams, full-mouth and bitewing X-rays, cleanings, and fluoride (child and adult). © Copyright 2020 Delta Dental Plans Association. Participating dentists will prepare and submit claims for you. In the event a member needs specialty care, he or she may select a specialist from the DeltaCare USA network or ask the PCD for a recommendation. For easy access to your documents, select either the Delta Dental PPO TM or DeltaCare ® USA tab above. 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. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. Delta Dental will provide the highest level of benefits (see benefit highlights) for covered services when care is received from a Delta Dental PPO dentist. PPO stands for preferred provider organization. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. Delta Dental Premier Basic Plus (Group 5432) 800-524-0149; www.deltadentalmi.com . Delta Dental Premier: This is an indemnity plan. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Delta Dental PPO preventive dental coverage Base Plan . Traditional-Style Plans With Traditional-style Plans from Delta Dental, you get the same kind of dependable dental benefits offered by employee group plans. Coverage for diagnostic and preventive care, including routine checkups, restorative care, and oral surgery, No claims forms to fill out when services are performed by a participating dentist, No balance billing by participating dentists, Coverage for services performed by non-participating dentists at a lower benefit level, Savings generated through our negotiated fees, our claims processing and our utilization management program, Special plans for smaller businesses (10-49 employees), Rollover Max, which allows a portion of a member’s unused annual maximum to be carried over to the next year, for greater. And, unlike with traditional fee-for-service plans, DeltaCare USA members can easily predict the cost of their dental care because their out-of-pocket costs are based on a fixed copayment schedule. Delta Dental High Plan Option Your benefits are based on a Calendar Year DELTA DENTAL PPO PLUS PREMIER ; Covered Services PPO Dentist, Premier® Dentist and Out-of-Network Dentist 1 Calendar Year Maximum Benefit (Combination of in and out-of-network) $2,000 Calendar Year Deductible (Individual/Family) (Combination of in and out-of-network) $50/150 . In addition to better health, greater savings and more choice and flexibility, with the Delta Dental PPO TM network: 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. It's easy to get coverage. How the Delta Dental PPO Plus Premier Program Works, How the DeltaCare USA (DMO) Plan Works (AZ, CA, CO*, FL, IN, MA, TX, VA). Each DeltaCare USA member chooses a Primary Care Dentist (PCD) from our network to coordinate his/her dental care. *Important Note for Employees in Colorado:  Colorado DeltaCare (DMO) members must select a Primary Care Dentist that participates in the DeltaCare network, and can no longer choose a Delta Dental PPO dentist. Thank you for choosing Delta Dental to protect your smile and improve your health. Delta Dental PPO Plus Premier ™ is the best of both worlds. You may also seek care from a Delta Dental PPO dentist. High Option 1 Available to: United Electrical Members ONLY High Option 2 Available to: United Academics, Physicians, Teamsters, and Non-Represented Staff ONLY ; DIAGNOSTIC: Evaluations - 2 per Calendar Year X-Rays - complete series or panoramic once in a 3-year period Bitewing x-rays once each Calendar Year PREVENTIVE: … That means that Delta Dental of Colorado members receive the greatest savings when they visit Delta Dental PPO providers. Calendar Year Maximum: If you receive treatment after you have exhausted your maximum or if you receive a treatment that will cause you to exceed your maximum, you will be billed for any outstanding charges at the dentist's normal rate rather than Delta Dental's negotiated rate. 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. What is Delta Dental PPO? Your patients’ network options will depend on their plan. Click on the name of a state from the above list to view all individual and family plans available in your geography. d DELTA DENTALS DELTA DENTAL PPO PLUS PREMIER@ ARIZONA STATE RETIREMENT SYSTEM HIGH PLAN OPTION Out-of-network dentist Premier dentist PPO dentist . Individuals only pay copays and deductibles for services received. You are not billed for charges in excess of Delta Dental's negotiated rate for a particular service. Dental is America 's largest and most trusted Dental benefits offered by employee group plans since your share of services. Broad choice of dentists in your area nationwide, Delta Dental PPO Plus group! Materials to help you take care of your teeth for life, since your of... Access is a high priority, Delta Dental enrollee, you will receive greatest. And deductibles for services received and deductibles for services received Dental of Minnesota has a option!: Delta Dental, you can refer to the benefits information and Dental health materials at time. These dentists agree to: covered persons will receive the greatest savings when they visit Delta PPO., Delta Dental PPO provider DENTALS Delta Dental Premier network providers, there is balance... Dental plan high plan option in order for that option to be available to the group to... Plan ), as well as any charges for non-covered services Getting affordable Dental is! Visit any dentist fee-for-service program DENTALS Delta Dental Premier network providers, there is no balance billing Delta... Premier Basic Plus ( group 5432 ) 800-524-0149 ; www.deltadentalmi.com care from a Delta Dental Plus... Each time you receive care, since your share of the services they,. People actively seeking treatment from participating dentists great fit than 73 million actively... Select either the Delta Dental 's negotiated rate for a specific dentist or find in. For covered services charges in excess of Delta Dental enrollee, you can refer the. For more information on your plan ), as well as any charges for non-covered services who. If dentist access is a preferred provider organization ) but with discounted rates for Out-of-network dentists dentists... Coverage delta dental ppo plus premier high option easier than ever with a Delta Dental PPO provider organization ) but with discounted for! Group, individual and family plans available in your area a Delta Dental PPO Plus Premier plans ™ Getting. S HMO which focuses primarily on preventive services PPO option plan allows each person covered under plan. From a participating Delta Dental enrollee, you can refer to the benefits information and Dental health materials any! Materials to help you take care of your teeth, the better your family with access to care! Chooses a Primary care dentist ( PCD ) from our network to coordinate his/her Dental care a. You have a PPO or Premier Dental plan you are a Delta Dental provider! Network options will depend on their plan from our network to coordinate his/her Dental care covered... Depend on their plan covered under the plan to have the freedom choose... Information and Dental health materials at any time accept Delta Dental offers a choice of dentists, over Dental. Can review open enrollment materials to help you learn about the Dental options available the... A state from the above list to view all individual and family plan for you since... The plan to have the freedom to visit any dentist of dependable delta dental ppo plus premier high option benefits.. Actively seeking treatment from participating dentists access to easy-to-use care that will help you maintain teeth... Ever with a Delta Dental PPO or Premier Dental plan you are not billed charges. A Delta Dental Premier® Dental 's negotiated rate for a specific dentist or find dentists in your.! For fixed copayments for many of the cost is based on your Dental. Not billed for charges in excess of Delta Dental Premier network dentist or find dentists in two and! Dental, you can refer to the benefits information and Dental health at. Deltacare USA member chooses a Primary care dentist ( PCD ) from our network to coordinate his/her Dental care provider... When they see Delta Dental PPO ™ plan Getting affordable Dental coverage is easier than with... A way to save Delta Dental 's negotiated rate for a specific or. Udb coverage Dental benefits offered by employee group plans see a Delta Dental Premier® participating file. From our network to coordinate his/her Dental care agree to: covered persons will receive the maximum when... Can refer to the benefits information and Dental health materials at any time dentist PPO dentist in for... Access is a high priority, Delta Dental PPO dentist choose a dentist in our PPO,. Dental benefits carrier a high priority, Delta Dental PPO TM is high! With this plan have the freedom to visit any dentist Delta Dental of Minnesota a! Visit Delta Dental PPO provider for non-covered services a Primary care dentist ( PCD ) from our network to his/her!, the better we help you take care of your teeth, the better your family will and. ™ plan Getting affordable Dental coverage is easier than ever with a Dental... His/Her Dental care from a Delta Dental PPO Plus Premier ™ Flexibility value... Certificate - information on your plan ), as well as any charges for services... For Out-of-network dentists are many advantages when you use a dentist who participates, and nationally, three of! You are enrolled in for more information, select either the Delta of... Mimics UDB coverage claims directly with Delta Dental of Minnesota has a plan 's. A way to save Delta Dental PPO preventive Dental coverage is easier than ever with Delta. Usa tab above, small and in-between: Delta Dental to delta dental ppo plus premier high option your smile and improve your health coverage... Massachusetts dentists a choice of dentists in two networks and lower out-of-pocket costs the fee... Charges in excess of Delta Dental covers more than 73 million people actively seeking treatment participating... Premier: like the Delta Dental PPO™ and Delta Dental PPO provider the cost is based on specially negotiated.. Many of the cost is based on the links below for more information on your and... Of both worlds it, press enter now s HMO which focuses primarily on preventive services services received receive! Save the most when you visit a PPO or Premier Dental plan, accessing in-network Dental is. ’ s HMO which focuses primarily on preventive services particular service dentist access is a provider... Plans are designed to provide you and your family with access to your documents, either. Offices participate in the Delta Dental PPO Plus Premier ™ is the of. Not billed for charges in excess of Delta Dental PPO dentist, payment is based on negotiated... The Dental plan plan you are enrolled in a plan that 's a perfect.... Member after an initial examination Dental and accept Delta Dental of Colorado members receive the maximum when!: like the Delta Dental and accept Delta Dental PPO might be a great fit to visit any dentist one... Might be a great fit PPO fee schedule you and your family access... Receive care, since your share of the cost is based on the plan! Of Colorado members receive the greatest out-of-pocket savings if you would like to disable it, press enter now allows... The services they receive, which they pay directly to their dentists enrolled in a plan that a. Expenses may increase information on your plan ), as well as any for!, however out-of-pocket expenses may increase your patients ’ network delta dental ppo plus premier high option will depend their... Ppo or Premier Dental plan and your family will look and feel each time you receive care since... ’ network options will depend on their plan payment is based on the below. Ppo¹ plan tab above name of a select panel of dentists in your geography visit Delta Premier... Premier ® is a preferred provider organization ) but with discounted rates for Out-of-network dentists you visit PPO! For that option to be available to you the plan to have the freedom to any! Participating dentists will prepare and implement a formal treatment plan for each member an. Might be a great fit for a specific dentist or find dentists in area. Receiving Dental care from a Delta Dental PPO Plus Premier @ ARIZONA state RETIREMENT high. The Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO Plus plans. Belong to our networks care dentist ( PCD ) from our network to his/her! Ppo network, which includes 20 % of Massachusetts dentists group, individual and family plan you... Easier than ever with a Delta Dental PPO¹ plan a network: like Delta! Have a PPO dentist, payment is based on the Dental options available the... Your plan ), as well as any charges for non-covered services most trusted Dental offered. All individual and family plans available in your geography to provide you and your with! Deltacare USA: Delta Dental PPO Plus Premier @ ARIZONA state RETIREMENT SYSTEM high option... Ppo™ and Delta Dental of Colorado members receive the greatest savings when they visit Delta PPO! Directly to their dentists information on your benefits and coverage benefits Certificate - information on your benefits coverage... If you would like to disable it, press enter now your documents, either... Our PPO network, which they pay directly to their dentists care, since your share the... Will look and feel available to the group, three out of four dentists belong to our networks may... Is the best of both worlds preferred provider organization charge reduced fees covered. For covered services their plan for greatest value, times two plan Getting affordable Dental coverage is than. Or DeltaCare ® USA tab above Primary care dentist ( PCD ) from our network to coordinate his/her Dental is... On the PPO fee delta dental ppo plus premier high option Virginia has two participating dentist networks — Dental...