Get to know your plan | Delta Dental 60%* Orthodontic Services N/A *$50 Annual Per Person Deductible Applies Maximums What Plan Pays Annual Per Person Maximum $1,000 Lifetime Orthodontic Maximum N/A Contact | Delta Dental Full coverage dental insurance plans are those that help cover the costs of a wide range of dental treatments and procedures including preventive care, basic care, major restorative care, and sometimes, orthodontic treatment. Provide access to dental expertise. Preauthorization is not required, DeltaCare USA (DHMO) **** Get 100% coverage for preventive dental care such as exams, cleanings and x-rays. Estimates should not be construed as financial or medical advice. You can always recommend your dentist to us and we'll invite them to join our PPO network (though this may not necessarily result in their participation). Welcome to Delta Dental's PPO Network | Delta Dental Once you have a solid understanding of the types of dental insurance plans available in your area or offered by your employer, individual & family dental insurance plans, or Medicare Advantage. After each dental visit, you'll be able to find details about your claims and treatment. For example, Delta Dental may pay 80 percent of a given service, while you are responsible for 20 percent. What are the different types of dental insurance plans. For more information,log into your account or check your plan booklet or policy. Compare Plans Additional coverage per To begin using the Dental Care Cost Estimator tool, click the Agree button below. A member usually has a copayment or coinsurance, but not both. To begin using the Dental Care Cost Estimator tool, click the Agree button below. 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. Find answers to common questions about Delta Dental PPO plans. A pre-treatment estimate is usually submitted by a dentist for Delta Dental to review and provide an estimate of benefits before treatment starts. Complete the following steps to quickly and easily contact our offices. Basic Coverage Plans Which Basic Plan Should You Choose? This means there is a period of time after your plan starts that you must wait before you can use benefits for that treatment. Delta Dental offers DHMO dental plans under DeltaCare USA. Delta Dental Patient Direct is a dental service discount plan. If you can't locate your enrollee ID number, enter your Social Security number with no dashes or spaces. Estimates should not be construed as financial or medical advice. Claims will be processed when received according to your plan provisions. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. MONFRI 7 a.m.11 p.m. **Non-Delta Dental, non-contracted dentists (out-of-network dentists) are paid based on usual and customary charges; therefore, you may pay higher out-of-pocket costs when using a non-network dentist. You can also ask your general dentist for a recommendation. Read on to learn more. Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. only. I'm in the middle of treatment that was covered under my previous plan. Log in to your online account and select Get to know your plan or Benefits details. Full coverage dental insurance Wondered about the different parts of your dental insurance that span benefits, deductibles, maximums and networks? Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. If your dentist is not in the PPO network, you can try searching the Delta Dental Premier network. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Delta Dental - POS Plan 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. Delta Dental of California Do not avoid getting dental care based on the cost information provided on this website. Here are the benefits of creating an account. How much is it going to cost? Delta Dental network dentists file claim forms and accept payment directly from Delta Dental, PPO Out-of-Network ** If you are covered by other dental insurance, coordination of benefits does not apply. PDF Individual and Family Basic Plan - Delta Dental Covers Me Is oral surgery covered by medical or dental insurance? Find a Dentist. Box 2105 The national network of Delta Dental companies protects more smiles than any other insurance company. Why are Basic Dental Care Services Important This plan also covers services like fillings and simple tooth extractions. Phone:844-825-8111 (24 hours automated), Call Delta Dental toll-free 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 description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. Unlock the power today, Check out our new DeltaVision plans None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Can't find what you're looking for? Every dental insurance company will offer slightly different plan types with different benefits and levels of coverage. Have a question about coverage or looking for dental insurance? Member perks for your smile and beyond Note that the app may not include as many details about your benefits and out-of-pocket costs. P&D, Basic, and Major Services - Delta Dental PPO plans Find the answer in our Member Resources. Aside from monetary costs, you will want to choose a dental insurance plan that fits your lifestyle and ensures you are seeing a dentist regularly. Learn more about your preferred provider organization (PPO) plan and how to make the most of your benefits. Find the one that's . Therefore, it is always best to confirm information with yourhealth careprofessionals. Be sure to visit a specialist in the PPO or Premier network to limit your out-of-pocket costs. You may be responsible for the cost of procedures or services not covered by your plan. We are the dental insurance experts. Having trouble? You can check whether your dentist is in the Delta Dental PPO network use our Find a dentist tool (orlog in to your account)to search by your dentist's name or the practice name. Member perks for your smile and beyond For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. The specifics of each dental plan varies, but most follow a benefit period, typically one year, that is not necessarily a calendar year (for example, November 1 to October 31). How long can I stay on my parents dental insurance? Depending on your plan, it may also be possible to pay annually, semi-annually or quarterly. Customer Service representatives are available 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. Delta Dental. For replacement of a missing tooth within 24 months of enrollment, the plan pays at 30%, and you will pay 70%. Enter your personal information (first and last name, enrollee ID and date of birth). coverages, limitations, and exclusions, please refer to the Policy or call Delta Dental's Benefit Services Department at 855.864.6335. Choose your network All DeltaCare Delta Dental PPO . Once you enroll, youll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. The information and content (collectively, "Content") on this website is for your general educational information only. How much is it going to cost? Monday through Friday between 8:00 am and 9:00 pm, Eastern Time, Appeals Take the time to consider your level of oral health and whether or not having more coverage makes sense for your budget. I receive dental insurance through my employer, Tips for choosing the best dental insurance company. If you have an individual dental plan. International Callers dial direct: Before you get started, its a good idea to familiarize yourself with the various types of dental plans out there. zip code. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. 855-343-2337(TTY/TDD 866-847-1264) No annual deductible, DeltaCare USA (DHMO) **** For plans you purchased as an individual: One of the most common payment optionsis a monthly premium. Some plans may not provide coverage for particular dentists. The data is based on actual, non-discounted charges that providers have billed. The data is based on actual, non-discounted charges that providers have billed. If not, they're listed as inactive. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. Some dental plans have waiting periods for certain treatments. As a Delta Dental member, you have access to educational articles, discounts and other resources. Delta Dental - Basic Plan. Dependents who are currently covered under your plan are listed as active. . Do not avoid getting dental care based on the cost information provided on this website. 5.00 ( 16 reviews) Our Most Affordable Dental Plan. If so, just know that your plan dollars won't go as far when you continue to visit your current dentist. A full coverage dental insurance plan may provide for the following: What should I consider before purchasing a full coverage dental insurance plan? What is the value of dental insurance? Health information changes quickly. There are a number of factors that could contribute to your out-of-pocket insurance costs, including things like: the dental insurance carrier and plan you choose, the type of care you need, how many people in your family need coverage, and their ages. Box 1809 Alpharetta, GA 30023 Customer Service 888-282-8784 deltadentalins.com . In-network dentists cannot balance bill patients. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Non-Delta Dental dentists may require payment upfront and may require you to file your own claim for reimbursement, DeltaCare USA (DHMO) **** Create your username and password and enter your email address. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. How can I find out how much my dental treatment will cost? Get current location. Some dental insurance plans may not cover select procedures, such as orthodontia. You choose from a panel of participating dentists who charge discounted fees for their services. (n.d.). How can I check my Health Care Exchange (Marketplace) enrollment status? PDF Basic Dental Plan provided by Delta Dental - Home | Blue Cross MN Have a question about coverage or looking for dental insurance? This is also why the members in manage fee-for-service plans pay a higher out-of-pocket cost. The discounts are available through participating healthcare providers Refer to your benefit plan to determine whether preventive services are covered for you. Dental benefit carriers partner with dentists to make sure claims are handled correctly, and often provide resources and tools dedicated to helping you get the most out of your dental benefits. For login and registration support, submit a web support request. (866) 583-2085 Call toll-free: You can use Find a Dentist on this page to easily locate a PPO dentist. American Dental Association. Once you enroll, you'll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. If you or a family member needs help in a language other than English,language assistance is offered free of charge to members. Depending on the plan,Delta Dental may coordinate with your other carrier to share the cost of your treatment. 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. Delta Dental . The plan provides for both in and out-of-network benefits; however, you will usually receive the greatest benefit when you visit a participating in-network dentist. Estimates should not be construed as financial or medical advice. Delta Dental PPO - Point of Service Complete freedom to visit the dentist of your choice. Remember that you'll need to pay any charges for non-covered services and amounts over the plan's annual maximum or the lifetime maximum for orthodontic services. Estimates may vary depending on your benefit plan and the state you live in. Dual dental coverage: can I have two dental insurance plans? If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. 2021 Summary of Benefit Changes Class I Services Diagnostic, Preventive Class II Services Basic Restorative, Endodontics, Periodontics, Oral Surgery Retrieved from mouthhealthy.org/en/dental-care-concerns/types-of-dental-plans. Log in to youronline accountorcheck your plan booklet or Evidence of Coverageto review your coverage for a specific dental procedure. Looking for more information? In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. If you can't find a dentist in the PPO network, you can try searching the Delta Dental Premier network. If you wish to review that information in advance of your enrollment, please contact the Delta Dental Customer Service department at 844-883-4288 and request a copy. Preventive, Diagnostic, Basic & Major Services Dental Plans for 2-9 Employees | Delta Dental of New Jersey Online tools Dental plans Dental health Notice Monday, June 5, 2023 through Friday, September 8, 2023: Customer Service hours will be 8:00 AM - 6:30 PM ET Monday through Thursday and 8:00 AM - 1:00 PM ET on Friday. You can also contact us. You don't need a referral to see a specialist. (required) *city, zip or partial address is required. 800-322-6384(TTY/TDD 711) Your DeltaCare USA (DHMO) dentist will coordinate authorization for specialty care treatment, DeltaCare USA (DHMO) **** If you can't find your enrollee ID number, enter your Social Security number with no dashes or spaces as an alternative. Your Delta Dental PPO plan is a fee-for-service plan that gives you the flexibility to visit any dentist while offering the most savings when you stay in the PPO network. If you are covered by other dental insurance, coordination of benefits is applicable. 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. its provided. ****DeltaCare USA plan: If you enroll in the DHMO option, you will be sent complete information on covered services, policy limitations and benefit exclusions for the DeltaCare USA plan in your area. The percentage covered by your dental plan often varies by benefit level. Premier Choice Dental: 100%: Basic services at 50% in year one, 65% in year two, and 80% in year three; major services at 10% in year one, 40% in year two, and 50% in year three . Preventive services are included in this tool. Cover the full cost of dental care. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. To locate your enrollee ID number, review the welcome letter or email you received from Delta Dental. Members can obtain treatment from any licensed dentist and do not need to select a dentist upon enrolling in the plan. Get started here. Providers cannot request to alter or remove reviews. As an employee, the OCC Dental Insurance Program offers you the choice of two quality dental options the PPO option called Delta Dental PPO and the dental HMO (DHMO) option known DeltaCare USA. Preventive care coverage varies by plan and by demographic considerations such as age. One very important requirement is that any dental coverage you may have under either of the federal benefit programs (Federal Employees Health Benefits [FEHB] or Federal Employees Dental and Vision Insurance Program [FEDVIP]) is the primary payer to any benefits payable under this program. Monday through Friday A lifetime maximum is the amount a plan will pay over the course of a lifetime. ET Highly recommended. All of those matters are things that you should decide, in consultation with your dental care professionals. to California residents or on Fully Insured Plans. The information and content (collectively, "Content") on this website is for your general educational information only. PDF Delta Dental Basic Plan You can access your online account through our mobile-friendly website to get your plan ID card and the most detailed information specific to your benefits. This may apply to an individual or a family and usually applies to specific treatments such as orthodontia. Dental Health Maintenance Organization (HMO), A dental HMO provides lower cost coverage with a focus on preventive care, which typically includes cleanings, periodic oral evaluations, x-rays and sealants.2 Dental HMO benefits are provided in exchange for a fixed monthly premium, and members must use in-network dentists in order to obtain coverage. Use the Advanced Search options below. PDF 2022 Delta Dental PPO Plan Benefit Summary - Members home 844-825-8111(24 hours automated), Corporate Headquarters If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. 888-282-9501(TTY/TDD 711) You'll generally save the most by visiting a dentist from our PPO network. Delta Dental Insurance Review 2023 - Forbes Advisor Delta Dental offers this under a plan called Delta Dental Patient Direct. The Basic Plan is created for those looking to save on costs while still receiving 100% coverage on most preventive care services and 50% coverage on fillings i and non-surgical extractions. Please scroll down and accept to proceed. Basic (Class 2 services) Oral Surgery Limited to extractions and other minor surgical procedures. 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). PDF OCC Dental Insurance Program - Delta Dental These dentists agree to reduced fees, and wont charge you more than your expected share of the bill. Preauthorization is not required, PPO Out-of-Network ** This is the maximum amount that the plan will pay in a calendar year. We encourage you to check with your participating provider prior Get started here. Unlock the power today, Check out our new DeltaVision plans Find the one thats right for you. 800-422-4234(TTY/TDD 711) All Rights Reserved. If a DeltaCare USA provider determines that a patient requires services from a specialist and there is no DeltaCare USA specialist within the lesser of 35 miles or one hour commuting time, the patient will be authorized to seek treatment from a PPO, Premier or non-network specialist. Some benefit plans waive deductibles for preventive and diagnostic services; be sure to check your benefits before your dental visit to see if this applies to you. Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates, When you're covered by more than one plan (dual coverage), Get benefits information in your language, How to manage your Health Care Exchange (Marketplace) plan, Vision care benefits through DeltaVision. fees when you pay. Keeping your smile healthy is an important part of keeping your body healthy. Get your estimated out-of-pocket expense for a procedure before you visit the dentist. Making note of these factors can help you determine the dental insurance plan that aligns best with your budget. Refer to your benefit plan to determine whether preventive services are covered for you. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Affordable Dental Insurance Plans | Delta Dental After I enroll, am I covered for dental treatment right away? Beneficiary Services This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Contact your company's human resources department. You'll need your enrollee ID number you can find this in your welcome letter or email. Preventive services are included in this tool. Coinsurance is a fixed percentage of a dental treatment cost that you share with your dental plan. You can set up autopay when you first enroll in your chosen plan, or at any time from youronline account. Choose your primary care dentist. Best Dental Insurance Companies of 2023 Make dental care more affordable. Monday through Friday between 5:00 am and 6:00 pm, Pacific time, Call toll-free: We provide our more than 1.3 million members with the convenience of local customer service backed by a national network of dental providers. Call toll-free: such as fillings and tooth extractions. Refer to your benefit plan to determine whether these requirements apply to you. Out-of-Network Dentists: $1,000 per person per benefit year on all covered services Waiting period for EHB covered services There are no waiting periods for individuals age 18 and under seeking EHB covered services. Is the dental insurance plan available in your area? calendar/ contract year. Dependents who are currently covered under your plan are listed as active. We'll provide you with a copy that includes an estimate of your coverage and out-of-pocket costs. Most plans including the following benefit levels: A copayment (copay) is a set dollar amount you are required to pay your dentist for a service. An annual maximum is the maximum dollar amount your plan will pay toward the cost of dental care within a specific period, usually a calendar year. Basic services: includes procedures such as fillings, root canals, periodontal (gum) treatment and simple tooth extractions. This website shows estimates of certain dental care costs. You pay the discounted fee directly to your dentist at the time of treatment - with no paperwork to file Plans and rates vary by state. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. Customer Service (toll-free): Delta Dental Plans Association National Dentist Search Portal. Full coverage dental insurance plans are those that help cover the costs of a wide range of dental treatments and procedures including preventive care, basic care, major restorative care, and sometimes, orthodontic treatment. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Compare your options | Delta Dental To review your benefits details, log into your account. Delta Dental PPO Individual Basic Plan | DentalPlans.com ***Missing Tooth Limitation Replacement of a missing tooth is covered under Class III benefits, however a 24-month coverage limitation exists. Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy IENT-P-CORE-DC-R22), FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA - Delta Dental of California; PA, MD - Delta Dental of Pennsylvania; NY - Delta Dental of New York, Inc.; DE - Delta Dental of Delaware, . 800-422-4234(TTY/TDD 711) Emergency services: dental services that are required immediately to avoid jeopardizing the patients health, or to relieve pain, swelling or bleeding. Learn more about dental insurance: Copyright 2023 Delta Dental Plans Association.
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