Dental Plans for All Employers. To locate a participating dentist, click here. You can review open enrollment materials to help you learn about the dental options available to you. Delta Dental Premier. 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: … Increased benefits may also be provided for members receiving dental care from a Delta Dental Premier dentist. Delta Dental of Virginia has two participating dentist networks — Delta Dental PPO™ and Delta Dental Premier®. It's easy to get coverage. 2021 DeltaCare USA Co-Payment Schedule. Your Preventive Plan covers 100% of charges for oral exams, full-mouth and bitewing X-rays, cleanings, and fluoride (child and adult). 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? FAQs About Participation with Delta Dental Premier . Members are responsible for fixed copayments for many of the services they receive, which they pay directly to their dentists. Get 100% coverage for essential preventive care, like routine cleanings and exams.² 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. 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 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. 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". PPO stands for preferred provider organization. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. You may also seek care from a Delta Dental PPO dentist. For easy access to your documents, select either the Delta Dental PPO TM or DeltaCare ® USA tab above. When they see Delta Dental Premier Network providers, there is no balance billing. This program features two levels of claims savings. Nationwide, Delta Dental covers more than 73 million people actively seeking treatment from participating dentists. 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. All Rights Reserved. There are many advantages when you use a dentist who participates in the Delta Dental PPO or Delta Dental Premier network. Click on the dental plan you are enrolled in for more information. Enrolled members get broad choice of dentists in two networks and lower out-of-pocket costs. Delta Dental Premier ® is a standard fee-for-service program. Delta Dental PPO Plus Premier: Like the Delta Dental PPO (Preferred Provider Organization) but with discounted rates for out-of-network dentists. 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. *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. Covered persons will receive the maximum benefit when receiving dental care from a participating Delta Dental PPO provider. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. Your 2021 Plan Documents. 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 … Click on the name of a state from the above list to view all individual and family plans available in your geography. Base Plan . There are no claim forms to complete. With Delta Dental PPOSM plus Premier, you may visit the dentist of your choice, but you will pay nothing for covered procedures (after you’ve met your deductible) when you visit a participating 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. 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 … If you would like to disable it, press enter now. 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 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. Dentists who are in our preferred provider organization charge reduced fees for covered services. If dentist access is a high priority, Delta Dental PPO might be a great fit. Your patients’ network options will depend on their plan. What is Delta Dental PPO? 2021 Costs and Coverages ― Delta Dental Options. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. Delta Dental PPO Plus Premier™ – Preventive Plan. Delta Dental PPO plus Premier Employee Choice - Preventive Plus. You'll save the most when you choose to receive services from a participating Delta Dental PPO dentist. 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. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. 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. 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. If you would like to disable it, press enter now. Delta Dental PPO TM. This page features a timed image rotator. 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. Large, small and in-between: Delta Dental of Minnesota has a plan that's a perfect fit. 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. This program features two levels of claims savings. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. At least one eligible employee must be enrolled in a plan option in order for that option to be available to the group. Comprised of a select panel of dentists, over 97,000 dental offices participate in the Delta Dental PPO program. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. Individuals only pay copays and deductibles for services received. 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 . AZ, CA, CO*, FL, IN, MA, TX, and VA Employees: To locate a participating dentist, click here. Traditional-Style Plans With Traditional-style Plans from Delta Dental, you get the same kind of dependable dental benefits offered by employee group plans. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. After all, the better we help you take care of your teeth, the better your family will look and feel. 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. 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. 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. These dentists agree to: 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. 5 A group of providers is often called a network. And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹ 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. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. 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. 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. Each DeltaCare USA member chooses a Primary Care Dentist (PCD) from our network to coordinate his/her dental care. Members may seek dental services from a nonparticipating provider, however out-of-pocket expenses may increase. You are responsible only for your deductible and coinsurance (based on your plan), as well as any charges for non-covered services. 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. You generally pay less each time you receive care, since your share of the cost is based on specially negotiated rates. (primary enrollee, spouse and eligible children) Employees and Dependents: Employees, Retirees and Dependents: Employees, Retirees and Dependents: Deductible (per person annually) … Participating providers file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full. PPO Plus Premier Group, individual and family plans are Delta Dental PPO Plus Premier plans. The Delta Dental PPO Option Plan allows each person covered under the plan to have the freedom to visit any dentist. How the Delta Dental PPO Plus Premier Program Works, How the DeltaCare USA (DMO) Plan Works (AZ, CA, CO*, FL, IN, MA, TX, VA). The plan covers a wide array of services. © Copyright 2020 Delta Dental Plans Association. Delta Dental offers a choice of plans for adults and children. PCDs prepare and implement a formal treatment plan for each member after an initial examination. Participating dentists will prepare and submit claims for you. 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. Members with this plan have the freedom to choose their own dentist. All Rights Reserved. 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. DeltaCare works much like a dental HMO. You are not billed for charges in excess of Delta Dental's negotiated rate for a particular service. When you visit a PPO Dentist, payment is based on the PPO fee schedule. 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. Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. Delta Dental PPO TM is a preferred provider organization program. 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