0000478300 00000 n Delta Dental offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier Basic and the Delta Dental Preferred Provider Option (PPO). The information provided in this website is a summary and is … 0000016339 00000 n trailer 0000439047 00000 n When you visit a Delta Dental Premier dentist (or a dentist Based on Delta Dental maximum plan allowance; Balance billing possible. Many PPO plans also come with access to the Delta Dental Premier® network. 0 Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted … Control Plan - Delta Dental of Colorado . How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. Simple extractions (procedure codes D7111 and D7140) are the only oral surgery services covered under the Standard and Enhanced plan, and the only services covered in the first 12 months under the Comprehensive plan. Non-participating dentists are paid at a reduced level. No. You will always pay the deductibles, coinsurance, optional procedures, and any services not covered by this policy. Your Security is Our Top Priority. A simple explanation of what your dental insurance will pay for. DELTA DENTAL PREMIER® FOR SMALL BUSINESSES – ENHANCED PLAN BENEFITS SUMMARY (Continued) UNDER AGE 19 AGE 19 & OVER *Out-of-network care: This is the amount Delta Dental pays. Option 2: Delta Dental PPO Plus Premier™ Select Plus Plan. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. Delta Dental Premier is a standard fee-for-service dental benefits program. There are no deductibles, and each members eligible to receive up to $1,500 in benefits each year. Delta Dental PPOSM and Delta Dental Premier ® ... covered by your plan, Delta Dental will usually apply an allowance toward the cost of the actual orthodontic treatment, thus reducing your cost. Your coverage allows you to see a PPO dentist. Delta Dental offers six plans in total that cross the PPO and DHMO options as well as appealing to individuals, families and employers. 0000002327 00000 n Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Do I have access to the Delta Dental PPO network under my Premier plan? 49 - Retirees (GROUP) This Program has been established … 0000017861 00000 n Delta Dental Individual and Family - EPO offers you comprehensive benefits, but at a lower cost. The Delta Dental Premier Voluntary Enhanced Table Plan The Delta Dental Premier Voluntary Enhanced Table Plan is an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care. B��g�7v K#��pb��} �̀��G�o�� S�v0�20ej`�`�i0������� © 2001 -  2021 Delta Dental of Washington. It is ideal for groups wanting to offer their employees and dependents nationwide access to one of the largest networks of licensed dentists. No balance billing. Both plans are summarized below. TCF Financial Corporation . 0000014920 00000 n O rthodontia lifetime benefit based on enrollment at time of appliance banding; only one benefit payable for both Delta Dental Standard and Delta Dental Enhanced. Although this plan has a more focused network than other Delta Dental plans, it can be a great choice for people looking for the best value in traditional dental coverage. 0000014155 00000 n Benefit Year – Policy Year. Enhanced Plan Full preventive coverage, cost-sharing for restorative and major services More Details Hide Details Starts at $58.42* ... Delta Dental of New Jersey is a part of Delta Dental Plans Association. 0000014364 00000 n Floss! 1344 58 CompEnhEHB_June2014 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: I.U.O.E. Delta Dental Summary Plan Description . On the Premium, Enhanced, and Basic plans, you can see any dentist you wish, however, out-of-pocket costs may vary, depending on whether you see a Delta Dental PPO℠ or a Delta Dental Premier® network dentist, or see a dentist outside the Delta Dental network. 0000435040 00000 n 0000001488 00000 n Dental Benefit Plan Summary . Whether you have the Standard or Enhanced Plan, you can choose a dentist from either the Delta Dental PPO network or the Delta Dental Premier network. Diagnostic and Preventive Services Oral exams … DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary C & A Industries, Inc. All Active Full-Time In House Employees Group Number 322193 . DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: Duluth Joint Powers Enterprise Trust (GROUP) This Program has been established and … Based on Premier- maximum plan allowance . Delta Dental Premier is a standard fee-for-service dental benefits program. If a member sees a Delta Dental Premier dentist who does not participate in our Delta Dental PPO ™ network, the member receives benefits as if he or she has Delta Dental Premier coverage in most cases. Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. 0000006330 00000 n Everyone knows that one of the best ways to get the most value out of your dental coverage is to visit a dentist who participates in your plan’s network. Pay special attention to your coverage and network before you seek dental care. Network: Delta Dental PPO℠ and Delta Dental Premier® Choosing a network dentist Annual maximum: $2,500 Deductible: $25 For services received out -of-network, your costs will be greater. You may also seek care from a Delta Dental PPO dentist. 49 – Retirees Group Number 51010 . You must still meet the eligibility requirements set forth in the Plan. DELTA DENTAL PREMIER® FOR SMALL BUSINESSES – ENHANCED PLAN BENEFITS SUMMARY (Continued) UNDER AGE 19 AGE 19 & OVER *Out-of-network care: This is the amount Delta Dental pays. 0000005170 00000 n Create or sign in to your MySmile® account to review your coverage and see which network your plan uses. More than four out of five dentists nationwide are participating Premier ™ dentists. If you see a Delta Dental Premier dentist, Delta Dental pays up to the Maximum Plan Allowance. Delta Dental PPO and Delta Dental Premier Dentists have agreed to accept the MPA for any covered procedure and you will not have to pay for any amount above that. 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. The Delta Dental Premier Voluntary Enhanced Table Plan is an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care. 0000000016 00000 n These break down like this: Delta Dental PPO: Individual access to the discounted network rates. 0000008605 00000 n 0000024238 00000 n 0000011470 00000 n DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary South Washington County Schools Group Number 6049 . To Go SM can be offered with Delta Dental PPO SM Platinum, Gold and Silver options. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. On the Premium, Enhanced, and Basic plans, you can see any dentist you wish, however, out-of-pocket costs may vary, depending on whether you see a Delta Dental PPO℠ or a Delta Dental Premier® network dentist, or see a dentist outside the Delta Dental network. For services received out -of-network, your costs will be … 0000460640 00000 n Benefits paid under the former Wachovia Dental Plan are considered when determining the lifetime maximum orthodontia benefit under Delta Dental Standard or Delta Dental Enhanced. Since our Premier network is slightly larger than our PPO network, it acts like a “safety net” to ensure you can access in-network care. With three out of four dentists in the country and 96% of Massachusetts dentists participating in the Delta Dental Premier network, it’s our largest. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Secure Choice Group Number 50777 Notice: Receipt of the Summary Plan Description does not mean that you have coverage under this Plan. Enroll with Delta Dental. It offers more than 800 plans from over 270 dental insurance companies, including Nationwide, Delta Dental and UnitedHealthOne. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! If you see a Delta Dental PPO dentist, the amount you pay is based on a reduced fee which is usually less than if you see other dentists. CompEnhEHBJun2014 DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary The Boyd Group (U.S.) Inc. 0000010266 00000 n To find a dental plan… It’s kind of like a network within a network. %PDF-1.4 %���� 0000439173 00000 n Request a Quote . • Step 2 – At enrollment, employees choose between two options (they can change their plan option at renewal): — Plan Option One gives members access to dentists in the Delta Dental PPO network or the Delta Dental Premier network, with more comprehensive coverage at Delta Dental PPO network dentists. 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 of Massachusetts PPO and Premier insurance products are offered by Dental Service of Massachusetts, Inc. Delta Dental of Massachusetts EPO and DeltaCare insurance products are offered by DSM Massachusetts Insurance Company, Inc. May only be purchased and used by those who have primary residence in Massachusetts. 0000008465 00000 n However, you will get the most savings from your Premier plan when you visit a Premier dentist. Delta Dental PPO + Premier (Non EHB) Delta Dental Care. Read more + less - Compare Plan Classic Plan. © 2001 -  2021 Delta Dental of Washington.All rights reserved. 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. With these Delta Dental plans, you can visit any licensed dentist; however, you will save the most money by choosing a dentist who participates in the Delta Dental network. How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. <<642D7345E9D6F94EB8A09AA4AAC89051>]/Prev 818747/XRefStm 1959>> This also has low out-of-pocket costs. In the dental insurance industry, we refer to these dentists as participating or in-network. No balance billing. 0000010295 00000 n Your total out-of-pocket costs will increase when your care is provided by an out-of-network dentist. Dental benefits are important, and so is this document. Delta Dental has a Maximum Plan Allowance (MPA) for benefits, which is the highest amount Delta Dental will pay for dental procedures. Please refer to your Certificate of Coverage DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED . Our coverage makes it easy and affordable to protect your smile. Three out of four dentists Compare savings when you have access to both our Delta Dental PPO and Delta Dental Premier networks. 0000520628 00000 n 0000002871 00000 n 0000494269 00000 n 0000014615 00000 n Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. 0000002167 00000 n More than four out of five dentists nationwide are participating Premier ™ dentists. How do I find a Delta Dental Premier provider? Get a quote today for an individual adult dental plan. We offer a few dentist networks for accessing care. If you are interested in these types of braces, we recommend you or your orthodontist submit a pre-treatment estimate before treatment begins. Safety net … Individuals only pay copays and deductibles for services received. If you have a Delta Dental PPO plan, then your plan is designed to give you the greatest opportunity for savings when you visit a Delta Dental PPO network dentist. You can find a Delta Dental Premier provider using our Find a Dentist tool. How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. h�b```e``w``c`�hbf@ a�;�F��� � � ˦>d �8*�2��ih|f=5M��cs��D5�MGV]V��}C#�ǣ�ё�I�"!OfWYo�5� �< ����F�v�9s-�x���;Tmt.�Ћ�-��� RRRR6vqqɀ The following chart depicts the three plans offered to you under the Delta Dental Veterans Affairs Dental Insurance Program. TCF Financial Corporation . 0000003619 00000 n In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. 0000415690 00000 n Compare Your Options with Delta Dental. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary North Dakota Public Employees Retirement System Group Number 537482 . 0000414970 00000 n 0000414074 00000 n Effective: January 1, 2020 . 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. Dental benefits are important to you and those around you, so thank you for recognizing this and buying benefits from Delta Dental. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. This means that even if a procedure is covered at 100%, you may have out of pocket costs if you use a Delta Dental Premier® or non-network dentist because they can bill for charges above the allowed Delta Dental PPO℠ amount. CompEnhEHBJun2014 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: South Washington County Schools … Delta Dental Premier: This is an indemnity plan. When treatment is provided in-network by a Delta Dental PPO (DPO in Texas) network dentist your cost shares will be substantially lower. You will enjoy great benefits when you receive your dental care from a participating dentist in either the Delta Dental PPO or Delta Dental Premier networks. 0000005386 00000 n Find a Delta Dental network dentist near you. 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. Delta Dental offers an indemnity plan, which gives you an additional option compared to what Cigna offers. 0000460711 00000 n Covered Services ; Plan Pays Plan Pays Plan Pays . Individual pediatric dental plans. startxref xref Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. CompEnh2017 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: North Dakota Public Employees … Plan payments will be the highest (and your payment responsibility the lowest) when you choose a dentist in the Delta Dental PPO network. 0000003012 00000 n Estimates should not be construed as financial or medical advice. Some plans are PPO-only plans. Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. ENHANCED PLAN Control Plan - Delta Dental of Colorado Benefit Year – Policy Year PPO Provider Delta Dental Premier Provider *Non-Participating Provider Covered Services Plan Pays Plan Pays Plan Pays Waiting Period Type I - Diagnostic & Preventive Services Oral Exams and Cleanings 100% 100% 100% NONE X-Rays 100% 100% 100% Sealants 100% 100% 100% Fluoride Treatments 100% … ... your Group Dental Plan Contract Number 537482 issued by Delta Dental of Minnesota (PLAN). Please see our Enhanced Benefits Program brochure for more information. with Orthodontic Coverage. Delta Dental Plans. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. A new way to do dental. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. However, if you'd like support in being proactive regarding your dental health, you'll want to choose Cigna for its Cigna Dental Health Connect™ program. 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. If a member sees a Delta Dental Premier dentist who does not participate in our Delta Dental PPO ™ network, the member receives benefits as if he or she has Delta Dental Premier coverage in … Waiting Period Type I - Diagnostic & Preventive Services . You can find a Delta Dental PPO provider using our Find a Dentist tool. 0000009812 00000 n 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. 0000522568 00000 n Delta Dental Patient Direct: Patients choose a dentist from the Delta Dental network and pay the dentist their pre-negotiated, discounted fee. 0000460869 00000 n There are no deductibles, and each members 0000006445 00000 n On the Premium, Enhanced, Classic and Basic plans, you can see any dentist you wish, however, out-of-pocket costs may vary, depending on whether you see a Delta Dental PPO℠ or a Delta Dental Premier® network dentist, or see a dentist outside the Delta Dental network. 0000011045 00000 n 0000022258 00000 n ®Registered marks of the Delta Dental Plans Association. 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