Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Total Choice PPO makes it easy to find an in-network dentist because the plan provides access to the largest PPO network in Massachusetts with more than 4,200 unique providers. You will have basic coverage if you are enrolled in the UDB dental coverage under the State of Wisconsin Group Health Insurance Program. Delta Dental PPO – Point of Service Delta Dental PPO – Choice Advantage Maximum Calendar Year Benefit Payment $1,000 Per Person $1,500 Per Person Calendar Year Deductible $50 Per Person (Class II and Class III only) $50 Per Person (Levels 2, 3, and 4 Services only) Covered Services and Co-payments Refer to the Delta Dental PPO – Point Your only costs will be the patient’s share of the procedure at the time of treatment. 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. It's easy to look up your benefits online, including your dentist network, maximums and deductibles, copayment percentage for standard and orthodontic coverage, and other details. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Find the one that’s right for you. 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. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. In the benefits section, you'll see how much coverage you have for different procedure categories, and more details to help you plan your dental treatment. Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21 Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. Connect with your Delta Dental company to learn more. If you plan on enrolling in a different plan for 2021, visit the ETF website to verify eligibility and coverage. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Covered services are paid based on a percentage of the dentist's fee. The Delta Dental PPO plan, available worldwide, provides you and your family with the flexibility to choose any licensed dentist or specialist. For $259* – less than $0.75 per day, you get 12 months of Delta Dental Individual and Family PPO Value for Seniors comprehensive oral health coverage designed to protect the smile – and the health – of people age 65 and older. Please see your plan booklet or Policy for a complete description of plan benefits, limitations, and exclusions. 50% of major procedures such as crowns, bridges and implants. The Delta Dental PPO Network is available nationwide and allows you the freedom to visit any licensed dentist or specialist of your choice. These dentists agree to reduced fees, and won't charge you more than your expected share of the bill. This website shows estimates of certain dental care costs. General information regarding your health care. Please check with your employer or group for verification. Your share of the cost of services depends on whether you use a dentist in Delta Dental’s PPO network or an out-of-network dentist. World Health Organization 1995, 5Dental Actuarial Analytics 2018 Dental PPO Study, slide 16. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Delta Dental Individual and Family PPO Value for Seniors is an affordable plan for people 65 and over. (You may be responsible for a deductible, as well as charges for non-covered services and amounts over the annual maximum.). Your actual cost may be higher or lower than the estimate for various reasons. With your FEHBP medical coverage through Kaiser . Delta Dental offers one of the largest provider networks in the country, and you can choose to get care from: A Delta Dental PPO dentist. Important COVID-19 updates for enrollees and providers. Generally, Delta Dental PPO and Delta Dental Premier plans have maximums and deductibles, but the DeltaCare USA plan does not. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. 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. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Save the most by visiting a dentist from our PPO network. Delta Dental PPO Network: No Delta Dental Premier Network: No Nonparticipating: Yes 1 Covered once in a 12-month period if there is recent history of periodontal surgery or high-risk of decay because of medical disease or chemotherapy or similar type of treatment. To see the list of dentists under the Delta Dental Medicare Advantage network, please log in . They also complete your claim forms and help you understand your share of the payment. You save the most money by seeing an in-network provider. and for services provided by a Delta Dental PPO Dentist $0 $50/person $50/person *In the event that you seek treatment from a Delta Dental Premier or Nonparticipating dentist, you may be responsible for more than the percentage indicated above. The plan covers a wide array of services. Preventive services are included in this tool. This plan also covers services like fillings and simple tooth extractions. Log in. Contact us. This plan matches the UDB benefit feature for feature. Permanente, you receive dental coverage for preventive services. SEE BASIC COVERAGE PLAN DETAILS Major Coverage. © Copyright 2020 Delta Dental Plans Association. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Delta Dental is here to help you find a dentist. Have a question about coverage or looking for dental insurance? Total Choice PPO The best of Delta Dental of Massachusetts with new benefits and a lower cost for you and your employees. Total Choice PPO gives you the best of Delta Dental – service, choice and value – with upgrades in benefits, such as coverage for white fillings and implants. Insurance companies develop a network of dentists who agree to charge you fees that are lower than their usual rates. Dental coverage is often designed to pay for: 100% of routine preventive and diagnostic care such as cleanings and exams. You also have the flexibility to visit any licensed dentist – even out-of-network dentists— but you can maximize your savings and benefits by visiting a PPO network dentist who has agreed to lower fees. You can easily find a dentist now in the Delta Dental networks. The County is pleased to offer Delta Dental PPO as your dental plan option. One last thing – the Delta Dental discount applies to all care you receive from an in-network provider. Benefits paid by the plan for covered oral evaluations and routine prophylaxis (cleanings) will not reduce your annual per person maximum for Preventive/Diagnostic Services, Basic Services and Major Services. You can k eep both your smile and your eyes healthy by adding vision to any of our dental plans. All of those matters are things that you should decide, in consultation with your dental care professionals. This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. Any General Dentist Oral Surgeon Endodontist Orthodontist Pediatric Dentist Periodontist Prosthodontist Oral Pathologist Public Health Full Time Faculty Oral Maxillofacial Radiologist A Delta Dental Premier dentist. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. The Content on this website is not medical advice. If you have a fee-for-service benefit plan, your plan pays a predetermined percentage of the treatment cost and you’re responsible for paying the balance. Get additional resources from Delta Dental. DeltaCare USA has over 22,000 dentist office locations. Your Dental Dental PPO Individual Basic plan will keep you smiling well into the future! Delta Dental PPO – Options Plus is designed for employees who have greater oral care needs and prefer the added support richer benefits offer. Get 100% coverage for essential preventive care, like routine cleanings and exams.². By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. For a complete description of the details of your coverage, please refer to your coverage documents. Member resources. How much is it going to cost? All Covered Classes Individual coverage amount PPO and Non- PPO $1000 Under this Delta Dental PPO plan, you may visit any Provider of your choice. 80% of basic procedures such as fillings, root canals and tooth extractions. Delta Dental can help keep your smile healthy with these articles: 3U.S. Delta Dental PPO™ plan. 5 You know you will receive quality care because all dentists in our network are credentialed to make certain they meet or exceed our requirements. Delta Dental PPO - Delta Dental Mass Delta Dental PPO ™ Higher savings, lower premiums, and a quality network. Looking for more information? Delta Dental of Tennessee’s Individual & Family Plans are designed to help maintain good oral health while also balancing your budget. Members with a Delta Dental PPO TM (Point-of-Service) plan may see any dentist they like. Because PPO plans offer clear advantages as suggested below. Refer to your benefit plan to determine whether these requirements apply to you. Refer to your benefit plan to determine whether preventive services are covered for you. Delta Dental PPOTM and Delta Dental Premier® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. Delta Dental PPO gives employers the ability to enjoy both maximum savings … Here are the benefits of creating an account, You can choose from many different kinds of dental plans, but Preferred Provider Organizations (PPO) are by far the most popular. In addition to better health, greater savings and more choice and flexibility, with the Delta Dental PPOTM network: Delta Dental’s PPO network is one of the nation’s largest, with more than 112,000 dentists participating in over 278,000 locations nationwide.6 This not only gives you a great selection of qualified dentists to choose from, but increases the likelihood that your dentist already participates in the network. Health information changes quickly. 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. If you don't see your information online, it may be that you are not eligible yet. Delta Dental PPO™⁴ Best if dentist access is a high priority. Estimates should not be construed as financial or medical advice. English; Español; Toggle navigation. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Please scroll down and accept to proceed. All Rights Reserved. You may also seek care from a Delta Dental PPO dentist. Surgeon General Report on Oral Health 2000 – Chapter 3 – Diseases and Disorders, 4Application of the international classification of diseases to dentistry and stomatology : ICD-DA. Those discounts are the deepest when you visit a PPO network dentist. DeltaCare® USA plan. Or, your employer or group may have requested that we do not display this information. Delta Dental has the largest network of dentists nationwide. 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. 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. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. If you are currently enrolled in a major coverage supplemental plan through Delta Dental of Wisconsin, you will automatically be re-enrolled for 2021 and don’t need to do anything. If you choose a PPO dentist, you will usually pay less for services. *Not sure where your company is headquartered? 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. 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