$76.00. Effective Date . FOR COVERED EMPLOYEES OF: Supplemental Select Plus Plan (See Dental Benefit Handbook for definitions of capitalized terms.) Network: Delta Dental PPO ℠ Choosing a network dentist Annual maximum: $1,000 Deductible: $100 Service. Note the difference in network options, deductibles, and coverage levels. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. PPO plans can be paid monthly, quarterly, or annually. 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 4 NJ PPO/PLUS/PREMIER BLKT 1/18 – Self Funded Eligibility Requirements Your plan begins when the following requirements have been satisfied: • You must enroll in medical to get dental benefits. 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. Delta Dental PPO Provider at the time the Dental Procedure is completed. Estimates may vary depending on your benefit plan and the state you live in. Implants, crowns, bridges, partials, and dentures. Some plans allow you to see PPO or Premier dentists . Delta Dental PPO dentists accept reduced fees for covered procedures when treating PPO patients. Have a question about coverage or looking for dental insurance? Click on the links below for more information on your 2019 plan. The data is based on actual, non-discounted charges that providers have billed. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Dental insurance makes dental care more affordable! At renewal you will be moved to our PPO plus Premier Plan A Prime. Please review the details of your plan or contact our customer service team for specific information. Contact your company's human resources department. Delta Dental PPO plus Premier Plan A. Plan Name. Some but not all health plans offer dental coverage. Thanks to over 140,000 dentists in the network it's likely most people will be able to find a dentist near to them. Delta Dental PPO ℠ Plan . Answer a few questions, get results and share them with your dentist. You may seek care from almost any dentist you wish. Effective Jan. 1, 2019, Delta Dental will replace CareFirst BlueCross BlueShield and Cigna as the university's dental provider. 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. Freedom to visit any licensed dentist. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. I receive dental insurance through my employer, Tips for choosing the best dental insurance company. Delta Dental PPO plus Premier Plan A. *Not sure where your company is headquartered? A healthy smile can make all the difference. %%EOF - Deductible: The dollar amount that a member must pay towards covered services before insurance benefits are paid. GROUP NUMBER: 50319 – 00000 . The replacement of crowns and/or prosthodontics is covered once every 7 years, rather than every 5 years. Do not avoid getting dental care based on the cost information provided on this website. Delta Dental, as one of the largest dental insurance providers, offers one of the broadest ranges of coverage. Note the difference in network options, deductibles, and coverage levels. What is some dental insurance terminology I should know? 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%. There are many factors to consider when choosing a dental plan, and one size does not fit all. DeltaVision may be available separately or as a part of your dental insurance. 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. DeltaCare USA is Delta Dental’s dental HMO, which offers low-cost dental coverage with a focus on preventive care. During an oral exam, your dentist can detect signs of 120+ diseases just by examining your mouth! First, evaluate your individual needs and understand your budget. Delta Dental Patient Direct is a dental service discount plan. 50%. Dental Network . Preventive / Diagnostic Services. under Delta Dental PPO. Co-insurance. Explore our PPO, Dental HMO, managed, and discount dental plans, and learn about the different types of dental insurance coverage we offer using the chart below. If you are currently undergoing active orthodontic treatment, you may be eligible to continue treatment under Delta Dental PPO. Delta Dental has the largest network of dentists nationwide. DeltaCare® USA 276 KB 3. PPO features additional cost-saving protections by giving enrollees access to two Delta Dental dentist networks of different sizes with different levels of savings. DeltaVision®: DeltaVision is a vision plan, that offers pre-negotiated discounts on eye exams, glasses, contact lenses and laser vision correction. You will be directed to your local Delta Dental website. aa . Platinum Gold. This website shows estimates of certain dental care costs. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Group# 04003 . Delta Dental PPO Plan Effective date: January 1, 2019 Group number: 10002802 Oregon Dental Service doing business as Delta Dental Plan of Oregon provides dental claims payment services only and does not assume financial risk or obligation with respect to payment of claims. DeltaORASObk 1-1-2019 (PPO Premier Plan) DeltaORASObk 1-1-2019 (PEBB PPO Plan) TABLE OF CONTENTS … Delta Dental PPO ℠ Plan . �``x������k��,m�鬍,OYY�g�vFe�30�x22h[1�C��``:�����u!��d`:vH310pW�����0 ��Q � [x� 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. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Benefits. Save with PPO Visit a dentist in the PPO1 network to maximize your savings.2 These dentists have agreed to reduced fees, and you won’t get charged more 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. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Affordable Dental Coverage for People 65 and Over. Table of Contents ARTICLE 1 ESTABLISHMENT OF PLAN ..... 1 ARTICLE 2 ELIGIBILITY AND PARTICIPATION ..... 2 ARTICLE 3 PRE-DETERMINATION ..... 100 ARTICLE 4 … Information regarding the Cost Estimator content. 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. Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. Your Delta Dental PPOSM coverage is administered by Delta Dental of Iowa. Family. You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file. Delta Dental PPO Plan Effective date: January 1, 2019 Group number: 10002802 Oregon Dental Service doing business as Delta Dental Plan of Oregon provides dental claims payment services only and does not assume financial risk or obligation with respect to payment of claims. PPO features additional cost-saving protections by giving enrollees access to two Delta Dental dentist networks of different sizes with different levels of savings. This can also be referred to as out-of-pocket costs. DEDUCTIBLE One time $50 per family None MEMBER … Delta Dental companies offer individual and family dental plans in most states. Some services such as fillings, crowns, or bridges may have a waiting period depending on your dental plan. Delta Dental PPO is our preferred-provider option program. 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. Thank you for choosing Delta Dental to protect your smile and improve your health. DENTAL CARE COVERAGE Distributed in 2019 Through the University of Minnesota UPlan. At renewal you will be moved to our PPO plus Premier Plan B Prime. Delta Dental PPOSM - Plan 2 Delta Dental PPO dentists accept reduced fees for covered procedures when treating PPO patients. If you are currently undergoing active orthodontic treatment, you may be eligible to continue treatment under Delta Dental PPO. Plans and rates vary by state. That's why keeping smiles healthy is what we do. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. The following are dental terms that are helpful to be familiar with: - Premium: The monthly, quarterly, or annual amount you pay for dental benefits. Many Delta Dental PPO plans come with access to our Premier network, but you should always check your coverage to be sure. The Deductible for Dental Procedures provided by Delta Dental PPO Providers is $100 per Subscriber and per Covered Dependent, per Benefit Accumulation Period. dentists and program allowance for non- Delta Dental dentists. January 1, 2021 – December 31, 2021 . We offer both fully insured and administrative services contract plans. 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). With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. Dental benefits are administered by the independent Delta Dental companies. 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. All Rights Reserved. Eligible Dependents • Your spouse or same sex domestic partner. • 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. This means that you pay only the deductible and coinsurance for these services. f ** Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier . Individual + Child(ren) $88.00. 1 In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. 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. The key component of the Delta Dental PPO Program is their panel of Delta Dental PPO Dentists, hereafter referred to as “PPO Panel Dentists”. Delta Dental shall not be obligated to pay any Deductible specified below. We will work with you to find the plan that best fits your business. Get started here. OPEN ENROLLMENT. At renewal you will be moved to our PPO plus Premier Plan A Prime. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Your actual cost may be higher or lower than the estimate for various reasons. This dental plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA). If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." For instance, PPO and Premier dentists are all in-network on DDWA Individual plans. January 1, 2021 – December 31, 2021 . Plan Features: Access to one of the nation’s largest dental networks, Delta Dental PPO. Does dental insurance cover cosmetic procedures? Option 1: Delta Dental PPO℠ – Select Plan. 243 0 obj <> endobj Dental insurance makes it easier and more cost-effective to get the care you need so you don’t have to worry about the future. The value of dental insurance is questionable in the minds of many consumers. Delta Dental PPO™ Eligibility Primary enrollee, spouse (or domestic partner) and eligible dependent children to the end of the month that dependent turns age 26 Deductibles Delta Dental PPO dentists: None Non-Delta Dental PPO dentists: $75 per person each … The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. Connect with your Delta Dental company to learn more. Estimates should not be construed as financial or medical advice. 265 0 obj <>/Filter/FlateDecode/ID[<6BC01137FE3EB445B1EDACA1B1753E67><312727A6F823584D8ED6DD66ED24E31E>]/Index[243 36]/Info 242 0 R/Length 108/Prev 189032/Root 244 0 R/Size 279/Type/XRef/W[1 3 1]>>stream Silver Bronze. January 1, 2021 . Implants, crowns, bridges, partials, and dentures. 278 0 obj <>stream Delta Dental PPO SM combines our national PPO network with our most affordable benefit designs. 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. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Individual. 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. Benefit Period Maximum (Per Person) $2,000 . We offer group dental plans for large and small businesses that utilize two robust networks: Delta Dental Premier® and Delta Dental PPO. 50419 – 00000 . Enjoy minimal or no copayments for preventive care and choose from a network of dentists to manage your dental needs. Some but not all health plans offer dental coverage. under Delta Dental PPO. Thanks to over 140,000 dentists in the network it's likely most people will be able to find a dentist near to them. %PDF-1.6 %���� • Coverage for major services (crowns, root canals, dentures, bridges, partials, implants, tooth removal, gum disease treatment) • Coverage for dependents up to 26 years old Convenience On average, we save our members 23% on covered dental services.4 When you’re selecting a dental insurance plan, focus on choice, care, savings and convenience. Delta Dental claim form 938 KB 2. Refer to your benefit plan to determine whether preventive services are covered for you. Coverage for exams (routine, non-routine or a combination of both) reduced from 4 exams per year to 2 exams per year. your agreement or call our Customer Service team at 800.234.3375. h�b```c``Z����P�� Ȁ �@1V �x������$�(�m���Ǝ�8�30�"@, At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. 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. Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. 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 Kansas offers fully insured dental plans for individuals and families! DeltaDentalMN.org DDMN.1.11.19 Service Description Plan Design 1 Plan Design 2 Diagnostic and Preventive Care Oral evaluations/checkups, X-rays, fluoride treatments, sealants, space maintainers … 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 . DEDUCTIBLE One time $50 per family None MEMBER … Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. Health information changes quickly. 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