Under this HMO-type plan, enrollees have their choice of skilled primary care dentists from the DeltaCare USA network. Best if dentist access is a high priority. Delta Dental Plans. Dentists may have agreements with Delta Dental. Delta Dental PPO™ plan purchasers have flexible enrollment options. You could see any provider within two large networks, Delta Dental PPO and Premier, which includes UK Dentistry providers. Both the Basic Plan and Alternate Plan use the provider networks. Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. 2Enhanced Plan: The waiting period is twelve (12) months for endodontics and periodontics. Enrollees select a primary care dentist, and this dentist will then coordinate any needed referrals to a specialist.⁵ Covered services provided by their DeltaCare USA dentist have preset copayments (dollar amounts), which are listed in their plan booklet. Some services such as fillings, crowns, or bridges may have a waiting period depending on your dental plan. The following chart depicts the three plans offered to you under the Delta Dental Veterans Affairs Dental Insurance Program. Visit any licensed dentist, but save with in-network dentist, Online or via phone (will become effective the following month)⁷, Care provided by a specialist is coordinated through the selected primary care dentist. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹. A simple explanation of what your dental insurance will pay for. 8 a.m. - 7 p.m. Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. Preventive, Diagnostic, Basic & Major Services Find the plan that's best for your 10-50 enrolled employee group New $5,000 Maximum PPO 3 100/80/50 plan with 3 maximum options More Details ... Delta Dental of New Jersey is a part of Delta Dental Plans Association. What is the difference between Delta Dental's three plan options? This is the amount you will pay out-of-pocket for services in a calendar year. As an enhanced service, Blue Cross and Blue Shield of Oklahoma (BCBSOK) offers BlueCare Dental Connection. The MetLife dental plans are the traditional indemnity insurance plan whereby you and your family may select the dentist of your choice. What separates Delta Dental PPO from other carriers of dental PPO products? and attention it deserves, Delta Dental offers you the Dental Assistance, Basic and Enhanced Indemnity dental care plans. What is the difference between Delta Dental's three plan options? With Basic Economy, you'll enjoy a Main Cabin seat. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. The agreement a Dentist has with Delta Dental affects the level of benefits You receive. Delta Dental offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier Basic and the Delta Dental Preferred Provider Option (PPO). These companies are financially responsible for their own products. Delta Dental Premier Provider *Non-Participating Provider . Delta Dental Basic and Enhanced both offer choice and flexibility. We offer two plan options, each with distinct advantages. Certificate of Coverage 2019-20 and 2020-21 Complex Oral Surgery 50% 50% 50% 12 In WY, you do not need to select a primary care dentist, but you must visit a network dentist to receive benefits. Here is an example of the effective dates based on plans: When does coverage become effective? Monthly Rates for Delta Dental PPO - Point of Service plan valid through 12-31-21 Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. Dental insurance costs vary depending on the type of plan, whether it’s a single or family plan and the level of coverage. All dental insurance plans are designed to provide significant savings on preventive dental procedures but with a basic dental insurance plan, you are covered only for preventive care, which is covered at 100%.That means you don’t have to pay a penny out-of-pocket for essential services such as regular dental checkups, cleanings and a set of bitewing x-rays. Delta Dental covers eight out of 10 providers in the country. An extensive network: Delta Dental operates in all 50 states. A basic dental plan covers preventive care such as checkups, cleanings, x-rays, and a few basic procedures, like cavity fillings. ET M - F. Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy- IENT-P-CORE-DC-REV2018), 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, Inc.; WV – Delta Dental of West Virginia, Inc. Comprehensive Plan: The waiting period is 12 months for major restorative, endodontics, periodontics, oral surgery,3 and prosthodontics. Enhanced Plan 100% preventive coverage, cost-sharing for restorative and major services More Details Hide Details ... Delta Dental of Washington is a part of Delta Dental Plans Association. Dental benefits are important to you and those around you, so thank you for recognizing this and buying benefits from Delta Dental. A PPO dental plan will typically have a larger network of dental providers, and you’ll be able to switch dentists or see a specialist without a referral from a primary care dentist. Your Coinsurance and Deductible amounts depend on whether the Dentist You choose is In- Delta Dental of New Jersey is a part of Delta Dental Plans Association. and attention it deserves, Delta Dental offers you the Dental Assistance, Basic and Enhanced Indemnity dental care plans. For 2019, your dental coverage options will include: Delta Dental Enhanced With Orthodontia PPO Plan: This higher-cost plan is more generous than the current Cigna and CareFirst plans and includes enhanced basic and major services, as well as better orthodontia coverage. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . Both plans are summarized below. With Delta Dental, you have complete freedom of choice in selecting a dentist. Individual PPO plans have flexible enrollment. If you have a Delta Dental PPO TM1 or Delta Dental Premier ®1 plan (our fee-for-service, open network plans), you can visit any licensed dentist, but you’ll usually save the most when you visit a dentist in your plan’s network. Choose the best fit and get started. DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. If dentist access is a high priority, Delta Dental PPO might be a great fit. Enhanced Plan Insurance Policy from Delta Dental. Delta Dental Plans. A basic dental plan covers preventive care such as checkups, cleanings, x-rays, and a few basic procedures, like cavity fillings. Basic Restorative (Fillings) 80% 80% 80% 6 MONTHS Simple Extractions 80% 80%. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. A Main Cabin Experience. Dental benefits are important, and so is this document. Enhanced Plan Charges: Delta Dental PPO of California Enhanced Level II Plan Pays: PREVENTIVE AND DIAGNOSTIC DENTISTRY No Deductible* No Deductible* Prophylaxis (cleaning) No charge – limit 2 per calendar year 100% – limit 2 per calendar year+ ... calendar year for basic and prosthetic dentistry. Control Plan - Delta Dental of Colorado . Whether you have the Standard or Enhanced Plan, you can choose a dentist from either the Delta Dental PPO network or the Delta Dental Premier network. Low Plan Delta Dental PPO TM (Standard) High Plan Delta Dental PPO TM (Point-of-Service) $25 deductible; Access to the Delta Dental PPO network; You may have balance billing when you see a dentist outside the Delta Dental PPO network; Coverage levels when you see a Delta Dental PPO dentist: Diagnostic and preventive: 100%; Basic services: 50% E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. You can choose a dentist from the Delta Dental Premier® or Delta Dental PPOSM networks, or a dentist who does not participate in either network. The Delta Dental Plan Portfolio More than 2.25 million people nationwide are covered by a Delta Dental Plan – find the one that fits your business. Choose from three plan designs: Platinum - our richest plan with a $2,000 annual benefit maximum.This plan covers check-ups, cleanings, x-rays, bridges, crowns, cavity repair, oral surgery, and implants. E.g., a plan purchased on July 25 would not be effective until September 1. Covered services are paid based on a percentage — if, for example, fillings are covered at 80%, enrollees pay the remaining 20%. DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Premier® For employers who elect to provide the very best in benefits, this plan offers comprehensive coverage and a network with nearly nine out of 10 Washington dentists. The Dental Plan outlined in this Certificate is administered by Delta Dental Plan of Michigan, Inc., under an agreement with the Office of Retirement Services for Michigan Public School Employees’ Retirement System, Client Number 3250. The following chart depicts the three plans offered … While many value the transparency and affordable premiums DeltaCare USA offers, these plans offer much more than preventive care. BCBS BlueCare Dental PPO network: ... BlueCare Dental Connection. Under the Comprehensive plan the deductible is waived for diagnostic and preventive services provided out-of-network, and there is no deductible for any services provided in-network. ENHANCED PLAN . Many PPO plans also come with access to the Delta Dental Premier® network. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Enrollees simply visit a DeltaCare USA contracted dentist and pay the predefined copayment. Delta Dental Plan of California PPO Enhanced Level II Plan Pays: PREVENTATIVE & DIAGNOSTIC DENTISTRY (No Deductible)* (No Deductible)* ... for both basic and prosthetic dentistry. DeltaCare USA plans are underwritten in these states by these entities: CA — Delta Dental of California; DC (Policy- I-P-DC-dc)  and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; NV — Alpha Dental of Nevada, Inc.; PA — Delta Dental of Pennsylvania. Enhanced Plan Insurance Policy from Delta Dental. Delta Dental Premier: This is an indemnity plan. Delta Dental Patient Direct: Patients choose a dentist from the Delta Dental network and pay the dentist their pre-negotiated, discounted fee. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. If you’re currently seeing a network dentist, you’re already saving! E.g., a plan purchased on July 15 can be effective August 1. Although this plan has a more focused network than other Delta Dental plans, it can be a great choice for people looking for the best value in traditional dental coverage. Delta Dental Standard Delta Dental Enhanced: Plan features You pay: You pay Annual deductible: $50 per person Diagnostic and preventive care and orthodontia are not subject to the deductible. Best if cost management and predictability are priorities. Low Plan Delta Dental PPO TM (Standard) High Plan Delta Dental PPO TM (Point-of-Service) $25 deductible; Access to the Delta Dental PPO network; You may have balance billing when you see a dentist outside the Delta Dental PPO network; Coverage levels when you see a Delta Dental PPO dentist: Diagnostic and preventive: 100%; Basic services: 50% Enhanced Plan 100% preventive coverage, cost-sharing for restorative and major services More Details Hide Details ... Delta Dental of Washington is a part of Delta Dental Plans Association. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. There are no maximums, waiting periods or deductibles.⁶, producerservices@delta.org Get the most plan value by choosing a Delta Dental PPO dentist. If not, or you’re unsure check the Dentist Directory to find a network dentist near you. Delta Dental Plan of California PPO Enhanced Level II Plan Pays: PREVENTATIVE & DIAGNOSTIC DENTISTRY (No Deductible)* (No Deductible)* ... for both basic and prosthetic dentistry. If you have a Delta Dental PPO TM1 or Delta Dental Premier ®1 plan (our fee-for-service, open network plans), you can visit any licensed dentist, but you’ll usually save the most when you visit a dentist in your plan’s network. Delta Dental encourages prevention, so generally, services like cleanings, x-rays, and exams are covered from day one. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. © Delta Dental. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. With Delta Dental, you have complete freedom of choice in selecting a dentist. of Dental Surgery (DDS). In fact, you aren’t required to designate a primary care dentist when enrolling in a PPO dental plan. Delta Dental Basic and Enhanced both offer choice and flexibility. The UVA Dental Plan is … Dental plans that work for you. PPO network dentists complete claim forms for enrollees and can help advise you on questions regarding enrollees' share of the payment. The Standard Plan is a low cost plan that is designed for those individuals who primarily would need only diagnostic and preventive dental services. Delta Dental Premier® For employers who elect to provide the very best in benefits, this plan offers comprehensive coverage and a network with nearly nine out of 10 Washington dentists. More network savings. 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