CompEnh2017 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: North Dakota Public Employees … To find a participating provider or to see if your current provider is in the network, visit our website at deltadentalco.com and use the Find a Dentist search tool. 0000006445 00000 n Massachusetts, Inc. An independent licensee of the Delta Dental Plans Association. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED . 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 . 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. It provides coverage for the services listed in the following Table of Allowance. 0 49 – Retirees Group Number 51010 . A great choice. Our coverage makes it easy and affordable to protect your smile. Three out of four dentists 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. Effective: January 1, 2020 . Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. Delta Dental’s extensive national networks—Delta Dental PPO, with more than 228,000 dentist locations and Delta Dental Premier, the largest dental network in the country with more than 314,000 dentist locations. 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. In the dental insurance industry, we refer to these dentists as participating or in-network. 0000016339 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). Delta Dental Premier is a standard fee-for-service dental benefits program. Diagnostic and Preventive Services Oral exams … Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. 0000009020 00000 n 0000014364 00000 n DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: Compare Metlife and Delta Dental pros and cons using consumer ratings with latest reviews. The Delta Dental Plan Portfolio More than 2.25 million people nationwide are covered by a Delta Dental Plan – find the one that fits your business. Find a Delta Dental network dentist near you. There are no deductibles, and each members 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. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. 0000008605 00000 n Based on PPO –reduced maximum plan allowance . Individuals only pay copays and deductibles for services received. Delta Dental Premier® Our original fee-for-service plan gives members access to the nation’s largest dental network, plus the freedom to visit the dentist of their choice. 0000001488 00000 n 0000014615 00000 n With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you still receive the benefit of … Some plans are PPO-only plans. %PDF-1.4 %���� 0000435040 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). Many PPO plans also come with access to the Delta Dental Premier® network. 49 - Retirees (GROUP) This Program has been established … Delta Dental PPO Plus Premier ™ Flexibility and value, times two. 0000009812 00000 n Please refer to your Certificate of Coverage Network: Delta Dental PPO℠ and Delta Dental Premier® Choosing a network dentist Annual maximum: $2,500 Deductible: $25 We believe everyone deserves a healthy smile. If you have a PPO-only plan, your coverage only works when you get care from an in-network dentist. 0000009651 00000 n 228,000 dentist locations and Delta Dental Premier, the largest dental network in . And it starts here. Individual pediatric dental plans. Delta Dental PPO™ plus Premier With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. Create or sign in to your MySmile® account to review your coverage and see which network your plan uses. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Based on Premier- maximum plan allowance . 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. © 2001 -  2021 Delta Dental of Washington. 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. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary Duluth Joint Powers Enterprise Trust Group Number 000405 . You may also seek care from a Delta Dental PPO dentist. 0000022258 00000 n startxref When treatment is provided in-network by a Delta Dental PPO (DPO in Texas) network dentist your cost shares will be substantially lower. Delta Dental Plans. When you visit a Delta Dental Premier dentist (or a dentist 0000415690 00000 n 0000439047 00000 n 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 It has a lower annual maximum, which reduces your monthly premium cost as compared to the Premium Plan. No. 0000522268 00000 n Delta Dental Individual and Family - EPO offers you comprehensive benefits, but at a lower cost. Benefit Year – Policy Year. Delta Dental Premier is a traditional fee-for-service plan that allows you to visit any licensed dentist and to change dentists at any time without notifying Delta Dental. 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. Safety net … 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 Premier® For employers who elect to provide the very best in benefits, this plan offers comprehensive coverage and a network with nearly nine out of 10 Washington dentists. Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. 1401 0 obj <>stream However, you will get the most savings from your Premier plan when you visit a Premier dentist. If you see a Delta Dental Premier dentist, Delta Dental pays up to the Maximum Plan Allowance. How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. ... your Group Dental Plan Contract Number 537482 issued by Delta Dental of Minnesota (PLAN). 0000000016 00000 n It offers more than 800 plans from over 270 dental insurance companies, including Nationwide, Delta Dental and UnitedHealthOne. There are no deductibles, and each member is … Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. If you are interested in these types of braces, we recommend you or your orthodontist submit a pre-treatment estimate before treatment begins. 0000439244 00000 n The following chart depicts the three plans offered to you under the Delta Dental Veterans Affairs Dental Insurance Program. 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. This also has low out-of-pocket costs. This booklet is subject to the provisions of the Group De ntal Plan Contract. Delta Dental Premier® and non-network dentists can bill for charges above the allowed Delta Dental PPO℠ amount. Delta Dental Standard DPPO Plan Delta Dental Enhanced with Orthodontia DPPO Plan; Calendar Year Deductible: Single: $75 Family: $150: Single: $50 Family: $100: Preventive (plan pays) 100%, no deductible : 100%, no deductible: Basic (plan pays) 70% after deductible: 90% after deductible: Major/Implants (plan pays) 50% after deductible: 60% after deductible: Orthodontia (plan pays) Not … © 2001 -  2021 Delta Dental of Washington.All rights reserved. Dentist Networks: The Difference Between PPO and Premier. It’s kind of like a network within a network. Your Security is Our Top Priority. 0000014920 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. Delta Dental Patient Direct: Patients choose a dentist from the Delta Dental network and pay the dentist their pre-negotiated, discounted fee. 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Coverage only Works when you visit a Delta Dental PPO PLUS Premier COMPREHENSIVE. Is everything you ’ d expect in a traditional Dental benefits Program if you see a or... Search does not apply to Wells Fargo if you are interested in types. Dental Program ( Program ) prepared for covered Persons with: I.U.O.E dentist or your orthodontist submit a pre-treatment before... Is this document total that cross the PPO and Delta Dental Premier® network 2: Delta Dental Premier dentist or. Plan Contract Number 537482 issued by Delta Dental PPO: individual access to both our Delta Dental PPO.... -Of-Network, your coverage allows you to see a Delta Dental PPO Premier! Following chart depicts the three plans offered to you and those around you, so you. Those around you, so thank you for recognizing this and buying benefits from Delta Dental PPO PLUS -! These types of braces, we recommend you or your orthodontist submit a estimate! 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