For those who require more extensive dental care that exceeds the Level 1 annual limit amount of $3,000, you have the protection of . Choose any dentist. Benefits Certificate - information on your benefits and coverage. Coverage. Connect with your Delta Dental to learn more. Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. endstream endobj startxref Coverage for diagnostic and preventive care, including routine checkups, restorative care … Have a question about coverage or looking for dental insurance? Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Plan Summary - overview of plan benefits. 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. All are credentialed to National Committee for Quality Assurance standards. The enrollment must be received within 90 days of . 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. Your 2021 Plan Documents. © Copyright 2020 Delta Dental Plans Association. Delta Dental PPO – Plus Premier View Plan Details. Compare plans. Choose the best fit and get started. However, the majority of our plans come with access to our Delta Dental PPO℠ or Delta Dental Premier® network. PLEASE LIST ALL ELIGIBLE DEPENDENT(S) COVERED UNDER YOUR POLICY. Access to care anywhere! × Find My Delta Dental. Best if dentist access is a high priority. Thank you for choosing Delta Dental to protect your smile and improve your health. However, your out-of-pocket expenses may be more. The plan covers a wide array of services. 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. Delta Dental PPO Plus Premier . It’s designed to provide you and your family with easy-to-use care that will help you live a healthier life. Please refer to your Group Dental Service Contract, Evidence or Certificate of Coverage or Summary Plan Description for your plan’s specific coverage, limitations and exclusions. Learn how the plan works. Delta Dental PPO plus Premier Plan A Prime. 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. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental 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 . Dental plans that work for you. %PDF-1.7 %���� With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. 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). Delta Dental PPO Plus Premier Certificate Delta Dental of Kentucky, Inc., issues this Certificate to you, the Subscriber. 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. 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. PLEASE PRINT OR TYPE. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. 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. A way to save . Connect with us. Note the difference in network options, deductibles, and coverage levels. Plus the premium plan also includes specialty coverage for implants, crowns and root canals. × Find My Delta Dental. These answers are only a summary of how most Delta Dental PPO and Delta Dental Premier orthodontic coverage works. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. 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. It's easy to get coverage. This managed fee-for-service program works like a traditional plan, providing access to a Delta Dental dentist almost anywhere in the country — with up to 10% claims savings over traditional indemnity plans. Delta Dental Premier vs. PPO: What’s the Difference? Introducing Delta Dental PPO Plus Premier - Dental Access for Nebraska. They receive Delta Dental PPO ™ coverage when they see participating PPO dentists, and Delta Dental Premier coverage when they see participating Premier dentists. And Delta Dental PPO Plus Premieris one of our most comprehensive plans. The Harvard University dental plan provides a unique design with two Levels of coverage within one plan . h��Z�n�H�����%�"i��l9N��m-�8Y�����D�D;�|��*Rʢ;ه�PH����f�SuJq��p���� If you do NOT fill these in, Delta Dental of Massachusetts will not be able to start up your coverage. Delta Dental PPO plus Premier Individual Choice - Preventive Plus. Your network dentist will submit a claim after your visit and won’t bill you more than the approved amount. 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 … Click on the links below for more information on your 2020 Delta Dental plan. Plus, there are no annual deductibles, waiting periods or maximums to worry about.³ . We have plans for individuals, seniors, and families. Plus Premier Enrollment Form. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. Other Documents: Update / Enrollment Form View. Maximize your savings and keep your options open with our PPO plan. The Benefits provided under This Plan are subject to change as required by any state or federal law. Benefit Certificate and Outline of Coverage - information on your benefits and coverage. Plan Highlights. It reflects and is subject to a contract between Delta Dental and your employer or organization. Create or sign in to your MySmile® account to review your coverage and see which network your plan uses. SM. Dental coverage provided shall include, but is not limited to, coverage for congenital anomalies of infant children. Your Plan. Level 1 provides coverage that meets most dental needs in a traditional dental benefit structure. ENROLLMENT FORM. Option 1: Delta Dental PPO ℠ – Select Plan. Delta Dental of Massachusetts . When you need dental coverage, you can count on Delta Dental of Massachusetts. Introducing Delta Dental PPO Plus Premier™ - Dental Access for Minnesota. 549 0 obj <> endobj the birth or adoption if your premium increases. �G߽�6��Mc\�c"�$�v8*�"2L�PV.��� �Ԗl���Z�x�CB�Ac NbabE6���F�G���i�(�"�q��L����qb�a�'� ����[p8��8 DELTACARE OR VALUE PLAN ONLY . Delta Dental PPO. 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 DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. We offer a few dentist networks for accessing care. If you would like to disable it, press enter now. Plus Premier. 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. The national network of Delta Dental companies protects more smiles than any other insurance company. 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. h�bbd``b`VS�����|�@��$"~��{@�}9�`4����I "H�Y �D ��b��Q��k� �� �2H�ŀ�� �v !�����$������30�?�� ��� Get the coverage you need for a healthy smile. As a Delta Dental PPO . Your Delta Dental Networks . There's an Individual and Family Plan for You. Over 183,000 dental locations nationwide and more than 2,500 dental locations in Massachusetts participate in our PPO network. Delta Dental PPO Plus Premier ... the member receives benefits as if he or she has Delta Dental Premier coverage in most cases. the country with more than 314,000 dentist locations. PPO Plus Premier™ 5 2-9 Enrolled Employees . Delta Dental PPO™⁴. Out-of-Network Coverage Your Delta Dental PPO Plus Premier Incented Voluntary Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. Benefits. The Certificate is a summary of your dental benefits coverage. Implants, crowns, bridges, partials, and dentures. If your benefits cover two-phase orthodontic treatment, retainers are usually covered after each phase. PPO™ Premier® and ; Out-of-Network: Calendar Year Deductible: Per person/per family (excluding Preventive and Diagnostic) $50/$150: Calendar Year Maximum (Per enrollee) $1,500 | $1,000 Waiting Period : None Orthodontics: Not covered *Members will be subject to balance billing for covered services. The network you should use depends on your plan’s coverage. Select your employer's headerquarters* or … Thank you for choosing Delta Dental to protect your smile and improve your health. Although newborn coverage will be from the moment of birth, any premium will not be required until the first of the following month. PLEASE PRINT OR … Connect with your Delta Dental to learn more. 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. Benefit Summary. 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. Get 100% coverage for essential preventive care, like routine cleanings and exams.² . 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 In network, there is no balance billing for any covered services. %%EOF Access to care anywhere! 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. Delta Dental PPO plus Premier Employee Choice - Preventive Plus Thank you for choosing Delta Dental to protect your smile and improve your health. Retainers: One set of post-treatment retainers is covered. Plus Premier Delta Dental of Massachusetts Smile—You’re in Delta Dental PPO Plus Premier Delta Dental is the leader in quality dental benefits coverage. BE SURE FORM IS COMPLETED IN FULL TO ENSURE ENROLLMENT. All Rights Reserved. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Have a question about coverage or looking for dental insurance? This page features a timed image rotator. Delta Dental PPO dentists While you may choose any Dentist, your out-of-pocket costs are likely to be less if you go to a Delta Dental PPO Dentist (PPO Dentist). 611 0 obj <>stream 581 0 obj <>/Filter/FlateDecode/ID[<3F747231D3714D2FAEA20A4F0413704E>]/Index[549 63]/Info 548 0 R/Length 135/Prev 898519/Root 550 0 R/Size 612/Type/XRef/W[1 2 1]>>stream Note: Under some plans, you may lose eligibility if coverage has lapsed more than 30 or 60 days. However, your out-of-pocket expenses may be more. Connect with us. 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. 0 Delta Dental Premier® is our largest fee-for-service network and most widely purchased program. ���ɍ+��&�4-�X��\���������%���A'k���o�]Eo#��-U]�\�۠ʫ��(��"����ݸC�_. 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 Search for a specific dentist or find dentists in your area. 50%. Safety net protection.This program gives members access to two national dental networks. Click on the links below for more information on your Delta Dental plan. Network: Delta Dental PPO℠ Choosing a network dentist Annual maximum: $1,000 Deductible: $100 Service. The Harvard University Dental plan provides a unique design with two Levels of coverage - information on your plan.... 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