Delta Dental PPO™⁴. Coverage for diagnostic and preventive care, including routine checkups, restorative care, and oral surgery, No claims forms to fill out when services are provided 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 a combination of our negotiated fees, our claims processing, and our utilization management program, Special plans for smaller businesses (10-49 employees). Network: Delta Dental PPO℠ Choosing a network dentist Annual maximum: $1,000 Deductible: $100 Service. The national network of Delta Dental companies protects more smiles than any other insurance company. h�b``�```:������� �XX86 9��@�d~�PK�SQr־��bA���K(-������d`�l�r@,����w�7�g?�?�C� �_ۘE.�L����J�Ӏ��uS�����\>��DL1`�Y������X��!���4#0 �H(d The network you should use depends on your plan’s coverage. Out-of-Network Coverage Your Delta Dental PPO Plus Premier Enhanced Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. 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. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. the country with more than 314,000 dentist locations. Access to care anywhere! Delta Dental PPO Plus Premier plan with extra benefits for teeth whitening, nitrous oxide, extra cleanings and family orthodontic benefit; $3,000 annual maximum benefit (per person) $2,000 maximum lifetime orthodontic benefit (per person) A minimum of two subscribers must be enrolled in either Delta Dental PPO, PPO - Plus Premier and/or - Plus Premier “Elite” plans. Get the coverage you need for a healthy smile. Plus the premium plan also includes specialty coverage for implants, crowns and root canals. Dental coverage provided shall include, but is not limited to, coverage for congenital anomalies of infant children. Connect with your Delta Dental to learn more. Learn how the plan works. h�bbd``b`VS�����|�@��$"~��{@�}9�`4����I "H�Y �D ��b��Q��k� �� �2H�ŀ�� �v !�����$������30�?�� ��� Thank you for choosing Delta Dental to protect your smile and improve your health. Compare plans. This page features a timed image rotator. Benefit Summary. We offer a few dentist networks for accessing care. %%EOF 611 0 obj <>stream However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Delta Dental PPO – Plus Premier View Plan Details. The information contained herein is not intended as a Summary Plan Description, nor is it designed to serve as Evidence of Coverage for this program. PLEASE LIST ALL ELIGIBLE DEPENDENT(S) COVERED UNDER YOUR POLICY. Connect with us. PLEASE PRINT OR TYPE. A way to save . The national network of Delta Dental companies protects more smiles than any other insurance company. Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. Delta Dental PPO Plus Premier . 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 However, your out-of-pocket expenses may be more. Click on the links below for more information on your Delta Dental plan. It’s designed to provide you and your family with easy-to-use care that will help you live a healthier life. Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. They receive Delta Dental PPO ™ coverage when they see participating PPO dentists, and Delta Dental Premier coverage when they see participating Premier dentists. Delta Dental PPO Plus Premier Certificate Delta Dental of Kentucky, Inc., issues this Certificate to you, the Subscriber. Delta Dental Premier offers all the benefits and national coverage you've come to expect from the country's largest network: more than 152,600 dentists and 339,500 dental locations. Delta Dental Delta Dental PPO Plus Premier ... the member receives benefits as if he or she has Delta Dental Premier coverage in most cases. When you need dental coverage, you can count on Delta Dental of Massachusetts. © Copyright 2020 Delta Dental Plans Association. Choose any dentist. Option 1: Delta Dental PPO ℠ – Select Plan. Choose the best fit and get started. �G߽�6��Mc\�c"�$�v8*�"2L�PV.��� �Ԗl���Z�x�CB�Ac NbabE6���F�G���i�(�"�q��L����qb�a�'� ����[p8��8 The Delta Dental PPO Plus PremierIncented Voluntary Plan is an employee-paid dental plan, that will enable you and your family to enjoy the benefits of quality, affordable dental care from dentists in Massachusetts and across the country. Safety net protection.This program gives members access to two national dental networks. Delta Dental Premier vs. PPO: What’s the Difference? Connect with your Delta Dental to learn more. And Delta Dental PPO Plus Premieris one of our most comprehensive plans. The Certificate is a summary of your dental benefits coverage. Plan Highlights. Delta Dental PPO plus Premier Individual Choice - Preventive Plus. Other Documents: Update / Enrollment Form View. PPO Plus Premier™ 5 2-9 Enrolled Employees . We have plans for individuals, seniors, and families. Search for a specific dentist or find dentists in your area. 0 SM. There's an Individual and Family Plan for You. These answers are only a summary of how most Delta Dental PPO and Delta Dental Premier orthodontic coverage works. PLEASE PRINT OR … %PDF-1.7 %���� Delta Dental Premier® is our largest fee-for-service network and most widely purchased program. 50%. Create or sign in to your MySmile® account to review your coverage and see which network your plan uses. BE SURE FORM IS COMPLETED IN FULL TO ENSURE ENROLLMENT. Delta Dental of Massachusetts . DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. 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. Benefit Certificate and Outline of Coverage - information on your benefits and coverage. Plus Premier. PPO Dentists agree to accept payment according to the Delta Dental PPO Dentist Schedule, and, in most cases, this results in a reduction of their fees. Delta Dental PPO plus Premier Employee Choice - Preventive Plus Thank you for choosing Delta Dental to protect your smile and improve your health. × Find My Delta Dental. With three out of four dentists in the country and 96% of Massachusetts dentists participating in the Delta Dental Premier network, it’s our largest. 1 CT PPO/PLUS/PREMIER BLKT 1/18 – Self Funded Dental Benefits Summary Booklet Delta Dental PPOSM plus Premier® YALE UNIVERSITY Group # 04630-NON-UNION-00101,00102,00103 2 CT PPO/PLUS/PREMIER BLKT 1 Delta Dental PPO Individual Premium … Dentists in this network provide dental care to plan subscribers who participate in Comprehensive Standard, Comprehensive Enhanced, Preventive, Basic, Delta Dental PPO Plus Premier™ - Dental Flex and national dental benefit plans. Plus Premier Enrollment Form. endstream endobj 550 0 obj <>/Metadata 16 0 R/Pages 547 0 R/StructTreeRoot 26 0 R/Type/Catalog/ViewerPreferences<>>> endobj 551 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 1008.0]/Type/Page>> endobj 552 0 obj <>stream The Benefits provided under This Plan are subject to change as required by any state or federal law. Retainers: One set of post-treatment retainers is covered. Maximize your savings and keep your options open with our PPO plan. If you would like to disable it, press enter now. subscriber, you have access to two of Delta Dental’s extensive national networks—Delta Dental PPO, with more than 228,000 dentist locations and Delta Dental Premier, the largest dental network in . Your Delta Dental Networks . Introducing Delta Dental PPO Plus Premier™ - Dental Access for Minnesota. Your 2021 Plan Documents. 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