Save with PPO Visit a dentist in the PPO network to maximize your savings.1 These dentists have agreed to reduced fees, and you won’t get charged more than your expected Please scroll down and accept to proceed. In 2019, we will no longer offer the Delta Dental PPO plus Premier Plan B (plan 407). DENTAL CARE COVERAGE Distributed in 2019 Through the University of Minnesota UPlan. Benefits. It is our mission to promote oral health to the greatest number of people byproviding accessible dental benefit programs of the highest quality, service, and value. Delta Dental PPO, DPO and Delta Dental Premier: California; Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas or Utah; Delaware, District of Columbia, New York, Pennsylvania, Maryland or West Virginia; DeltaCare USA and DeltaVision ®: All states; Online Services. Click on the links below for more information on your 2019 plan. Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. The Deductible for Dental Procedures provided by Delta Dental PPO Providers is $100 per Subscriber and per Covered Dependent, per Benefit Accumulation Period. Thank you for choosing Delta Dental to protect your smile and improve your health. 2019 Plans: Delta Dental PPO Plus PremierTM - Dental Access Delta Dental PPO Plus PremierTM - Millennium Choice Delta Dental PPO Plus PremierTM - Dental Flex Delta Dental of Minnesota . DeltaORASObk 1-1-2019 (PPO Premier Plan) DeltaORASObk 1-1-2019 (PEBB PPO Plan) TABLE OF CONTENTS … Thanks to over 140,000 dentists in the network it's likely most people will be able to find a dentist near to them. Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. Benefit Summary . The wording contained within this Plan Description may be revised at any time for clarification purposes without prior notice. • Coverage for major services (crowns, root canals, dentures, bridges, partials, implants, tooth removal, gum disease treatment) • Coverage for dependents up to 26 years old Convenience On average, we save our members 23% on covered dental services.4 When you’re selecting a dental insurance plan, focus on choice, care, savings and convenience. That's not just in terms of geographical nationwide coverage but also with the number of areas within each state. The Content on this website is not medical advice. Dental benefits are administered by the independent Delta Dental companies. Coverage. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. This dental plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA). When shopping for dental insurance there are a number of factors to consider in order to choose the best plan for you and your family. Group# 04003 . If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. The value of dental insurance is questionable in the minds of many consumers. This can also be referred to as out-of-pocket costs. Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. Group- and state-specific exceptions may apply. %%EOF First, evaluate your individual needs and understand your budget. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). To cancel coverage, you must notify Delta Dental of Kansas in writing at least 30 days prior to your requested termination date. Delta Dental PPO Typically results in the lowest out-of-pocket cost for care. I receive dental insurance through my employer, Tips for choosing the best dental insurance company. Want to know before you set foot in the dentist’s office? A foster child is covered from the time of placement. 0 243 0 obj <> endobj Thank you for choosing Delta Dental to protect your smile and improve your health. To begin using the Dental Care Cost Estimator tool, click the Agree button below. h�b```c``Z����P�� Ȁ �@1V �x������$�(�m���Ǝ�8�30�"@, Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. h�bbd```b``�"V�HF?ɺD2ŀe�@$� �a� ���j΃e_�E|��N0�D����]�@���`�3@"���/���.i����"�?��W� ��R General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Claims will be processed when received according to your plan provisions. For specific questions, consult . All of those matters are things that you should decide, in consultation with your dental care professionals. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. In 2019, we will no longer offer the Delta Dental PPO plus Premier Plan A (plan 405). 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. Have a question about coverage or looking for dental insurance? DeltaCare USA is Delta Dental’s dental HMO, which offers low-cost dental coverage with a focus on preventive care. Consider and try to anticipate the specific coverage needs of each member of your family and evaluate which plan is financially feasible by looking at things like annual maximums and deductibles, along with the type of services that are covered, to ensure that you will receive the level of care your family needs. Do I Need to Buy a Dental Plan? Estimates should not be construed as financial or medical advice. Dental Network . Preventive / Diagnostic Services. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. Delta Dental Individual PPO, EHB Certified (Exchange) is an individual dental health plan issued by Delta Dental Plan of Indiana, Inc. and is available for the year 2019. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." PPO features additional cost-saving protections by giving enrollees access to two Delta Dental dentist networks of different sizes with different levels of savings. Delta Dental Select Plan (High option) - Providers exclusively participating in the Delta Dental Premier Network (not a Delta Dental PPO participating dentist) may charge the covered person for any additional cost of treatment over the PPO fee but no more than the Premier allowable charge. 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. Coverage. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Answer a few questions, get results and share them with your dentist. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. January 1, 2021 . This website shows estimates of certain dental care costs. All Rights Reserved. Connecticut, writes Dental coverage on an insured basis in Connecticut. - Deductible: The dollar amount that a member must pay towards covered services before insurance benefits are paid. Delta Dental PPO. DELTA DENTAL Premier Plan (PPO) DELTACARE USA- PLAN (HMO) ... HOW TO FIND OR CONFIRM IF A DENTIST IS A MEMBER 800-765-6003 Refer to the DeltaCare USA Evidence of Coverage (EOC) or contact DeltaCare at 800-422-4234 SPECIALTY REFERRALS Free choice by member Specialist Services must be referred by an assigned DeltaCare USA dentist. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. your agreement or call our Customer Service team at 800.234.3375. Improved overall health: Research shows good oral health has a positive effect on overall health and well-being. Delta Dental, as one of the largest dental insurance providers, offers one of the broadest ranges of coverage. Therefore, it is always best to confirm information with your health care professionals. endstream endobj 244 0 obj <. At renewal you will be moved to our PPO plus Premier Plan A Prime. (Policy management and service for individual coverage is provided by Delta Dental of Wisconsin, Inc.) Log in to download a dental claim form. Delta Dental IFP California Premium dental plan benefit and cost sharing schedule 2018. Routine brushing and flossing at home is a great place to start, but care from dental professionals is critical to achieving and maintaining a healthy smile and better overall health. Dental insurance helps you get the professional care you need to maintain your oral health, including regular teeth cleanings, fluoride and sealant treatments, and other types of preventive and restorative care. Dental Network . The replacement of crowns and/or prosthodontics is covered once every 7 years, rather than every 5 years. PPO features additional cost-saving protections by giving enrollees access to two Delta Dental dentist networks of different sizes with different levels of savings. Changes in enrollment status will be considered … You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file. The premiums for 2019 are competitive relative to the coverage benefits, dentist network, and maximum dollar benefit of other dental insurance plans on the market. Click on the links below for more information on your 2019 plan. Note the difference in network options, deductibles, and coverage levels. The dental plan rates are good through July 2019. Freedom to visit any licensed dentist. Delta Dental PPO Provider at the time the Dental Procedure is completed. For instance, PPO and Premier dentists are all in-network on DDWA Individual plans. $38.00. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. IND Family Advantage Plan 2019 INDFA 20190101 Coverage for a Newborn, Adopted or Foster Child A newborn is covered from the moment of birth, and an adopted child is covered from the date of assumption of a legal obligation for total or partial support of the child or upon placement of the child in anticipation of adoption. Individual and family dental insurance plans. Benefit Period Maximum (Per Person) $2,000 . For the rest, you’ll pay for care out of pocket until you reach your deductible — $75 for individuals or $225 for families. Delta Dental PPO dentists accept reduced fees for covered procedures when treating PPO patients. %PDF-1.6 %���� 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. Group- and state-specific exceptions may apply. Delta Dental is a leader in the oral health industry, offering quality, value-based dental benefits coverage. *Not sure where your company is headquartered? The national network of Delta Dental companies protects more smiles than any other insurance company. Grievance Forms. Delta Dental Select Plan (High option) - Providers exclusively participating in the Delta Dental Premier Network (not a Delta Dental PPO participating dentist) may charge the covered person for any additional cost of treatment over the PPO fee but no more than the Premier allowable charge. DD LG PPO 2019. DeltaVision®: DeltaVision is a vision plan, that offers pre-negotiated discounts on eye exams, glasses, contact lenses and laser vision correction. Plan Name. Effective Jan. 1, 2019, Delta Dental will replace CareFirst BlueCross BlueShield and Cigna as the university's dental provider. Delta Dental companies offer individual and family dental plans in most states. Delta Dental Individual and Family. Dental Care Be prepared for the possibility of a dental emergency before the need arises by knowing your clinic’s procedure for care needed after regular clinic hours. Dependent children are covered to age 26. This dental plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA). DeltaCare® USA 276 KB 3. 0%. With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. Delta Dental PPO gives employers the ability to enjoy both maximum savings and all the features of other Delta Dental plans. Total number of claims: 57,692 Total number of denied claims: 11,844 Total number of claim appeals: 0 (Zero) Grace Periods and Claims Pending Policies During the Grace Period. FOR COVERED EMPLOYEES OF: Supplemental Select Plus Plan (See Dental Benefit Handbook for definitions of capitalized terms.) under Delta Dental PPO. Group# 04003 . Delta Dental of California 560 Mission St., Suite 1300 We will work with you to find the plan that best fits your business. A healthy smile can make all the difference. Estimates should not be construed as financial or medical advice. Delta Dental dentists will file claims for you.But if you decide to visit a non-Delta Dental dentist, you may need to file one of the following claim forms: 1. 278 0 obj <>stream Your Delta Dental PPOSM coverage is administered by Delta Dental of Iowa. Delta Dental has the largest network of dentists nationwide. You may be responsible for the cost of procedures or services not covered by your plan. dentists and program allowance for non- Delta Dental dentists. Some services such as fillings, crowns, or bridges may have a waiting period depending on your dental plan. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Individual + Child(ren) $88.00. By encouraging preventive care, this dental program is designed to help contain den- tal costs. Dentist Network*: PPO, Premier (Prmr) or Out-of-Network (OON) PPO Prmr OON. By phone or mail. © Copyright 2020 Delta Dental Plans Association. 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. Do I Need to Buy a Dental Plan? Coverage for exams (routine, non-routine or a combination of both) reduced from 4 exams per year to 2 exams per year. Delta Dental PPO SM combines our national PPO network with our most affordable benefit designs. For a complete description of the details of your coverage, please refer to your coverage documents. Enter your state to learn more. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. There are many factors to consider when choosing a dental plan, and one size does not fit all. Network: Delta Dental PPO ℠ Choosing a network dentist Annual maximum: $1,000 Deductible: $100 Service. Affordable Dental Coverage for People 65 and Over. Silver Bronze. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. 2019 Effective Dates One-year contract 2 8/2018 Certified EHB Benefits (for members under the age of 19) Delta Dental PPO Delta Dental Premier / Nonpar Covered Services Diagnostic & Preventive Services 90% 80% Exams, cleanings, fluoride, space maintainers, radiographs, and sealants Emergency Palliative 100% 100%. 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. DELTA DENTAL Premier Plan (PPO) DELTACARE USA- PLAN (HMO) ... HOW TO FIND OR CONFIRM IF A DENTIST IS A MEMBER 800-765-6003 Refer to the DeltaCare USA Evidence of Coverage (EOC) or contact DeltaCare at 800-422-4234 SPECIALTY REFERRALS Free choice by member Specialist Services must be referred by an assigned DeltaCare USA dentist. 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