Refer to your plan booklet for details about your out-of-network benefits. DeltaCare ® USA Delta Dental PPO TM and Delta Dental Premier ® Getting started You don’t need a referral to begin orthodontic treatment. Delta Dental Premier® network If you have a Delta Dental Premier plan, then you get the most from your coverage when you visit a Delta Dental Premier network dentist. Preparing for orthodontic treatment? Delta Dental PPO™ plan purchasers have flexible enrollment options. This is not the company. In WY, you do not need to select a primary care dentist, but you must visit a network dentist to receive benefits. Best if cost management and predictability are priorities. If predictability and more cost-management are valued, our copay product might be the best choice. 8 a.m. - 7 p.m. 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. It reflects and is subject to a Individual PPO plans have flexible enrollment. Delta Dental Premier Choose if you’re interested in a broader selection of providers – and are willing to Choose from more than 50% of dentists. Delta Dental Premier® network If you have a Delta Dental Premier plan, then you get the most from your coverage when you visit a Delta Dental Premier network dentist. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. Your orthodontist creates an initial estimate of costs, called a “pre-treatment estimate.” If you agree to proceed, the orthodontist will create a treatment plan with the associated copayments and fees. Limitations and exclusions apply. Plans purchased from the first through the 14th of the month have effective date options of: the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next. Delta Dental PPO Plus Premier ™ is the best of both worlds. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. The Delta Dental PPO Plus Premier Enhanced Plan is primarily 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. Delta Dental of Virginia 4818 Starkey Road, Roanoke, VA 24018-8510 800-237-6060 DeltaDentalVA.com Rev 3.2020 Delta Dental PPO plus Premier Benefits for … However, you will need to visit a DeltaCare USA orthodontist to receive benefits. Your patients’ network options will depend on their plan. In the following states, you can maximize your savings when you visit a network dentist, although you may visit any licensed dentist and receive out-of-network coverage: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT. Delta Dental PPO Higher savings, lower premiums, and a quality network. Premier: Coverage percent is based on the Participating Dentist Maximum Approved Charge (PMAC). Does dental insurance cover cosmetic procedures? Get the most plan value by choosing a Delta Dental PPO dentist. Costs depend on the services you need, but Delta Dental can help estimate costs before treatment begins. Invisalign and other specialty appliances are considered optional treatments and will result in additional fees. Your Delta Dental PPO Plus PremierIncented Voluntary Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. Health Care Marketplace (Exchange) Customers: This feature uses javascript. (3) When visiting a non-Delta Dental PPO dentist, you pay the difference between the dentist's fee and the Delta Dental-approved fee plus the copayment. Under this HMO-type plan, enrollees have their choice of skilled primary care dentists from the DeltaCare USA network. 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. Delta Dental PPO Plus Premier 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. According to an independent consulting firm, Delta Dental PPO offers the nation’s best effective discount.² This means our networks can deliver the most value through a combination of network size, utilization and discounts. 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 offers you three great plans to choose from and you can sign up whenever you’re ready. By combining the extensive size of our Premier network and the deeper discounts of our PPO network, the Delta Dental PPO plus Premier plan can help reduce claims costs. This PPO provides a high-quality dental network along with significant discounts — typically up to 25% savings over participating dentists’ usual and customary fees. Delta Dental PPO™ is underwritten by Delta Dental Insurance Company in AL, DC, 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. The national network of Delta Dental companies protects more smiles than any other insurance company. If you don’t have basic coverage through the UDB or another dental plan, you may want to enroll in the Delta Dental PPO Plus Premier – Preventive Plan. One set of post-treatment retainers is covered. The initial coverage period is for 12 months. Orthodontic payment schedules depend on your contract. © Delta Dental. 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