Delta cannot assure you what percentage of the charged fees may be covered. If you go to a dentist not affiliated with Delta Dental, you may have to pay the dentist’s total fee and then submit your claim form to Delta Dental for reimbursement. Delta Dental covers 75 percent of basic dentistry costs after annual deductible if you use a Premier dentist, up to $1,500 per year. To see a list of Delta Dental PPO dentists, visit the Delta Dental website.ĭelta’s Premier dentists are not in the PPO network but have agreed to accept a reduced fee for services and also will complete and submit claim forms for you. Preventive dentistry - exams and cleanings - is free of charge basic dentistry, such as fillings and extractions, is covered at 80 percent after you meet the $50 annual deductible, and most other dental care is covered at 50 percent, up to $1,700 per year.ĭelta has more than 43,700 PPO dentists in California and 234,000 nationwide. PPO dentists agree to accept a reduced fee for services, and the dentist will complete and submit all claim forms for you at no charge. ![]() These companies are financially responsible for their own products.ĭelta Dental is a registered mark of Delta Dental Plans Association.If you choose a PPO dentist, you will usually pay less for services. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. ![]() In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.ĭeltaCare USA plans are underwritten in these states by these entities: CA - Delta Dental of California DC (Policy I-P-DC-dc-20) and FL - Delta Dental Insurance Company MD and TX - Alpha Dental Programs, Inc. For exceptions related to your state and plan, refer to the plan Policy and Benefit Details document.ĭelta 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.VSP is a registered trademark, and VSP Individual Vision Plans is a trademark of Vision Service Plan. This webpage links to Delta Dental Plans Association, a national network of 39 independent Delta Dental companies that provide dental insurance.Delta Dental Social Impact Report, 2021.You may also contact us by calling 80 to request a copy. You may view the DeltaCare USA and Delta Dental PPO Network Access Plan, as required by the Health Benefit Plan Network Access and Adequacy Act, online at.Delta Dental Plans Association Fact Sheet, 2023 and American Dental Association.For example, a plan purchased on July 25 would not be effective until September 1. Plans purchased after the 21st will not be effective until the month after the next. ![]() For example, a plan purchased on June 17 would become effective on July 1. Plans purchased by the 21st of the month will become effective on the first date of the following month.For example, a plan purchased on July 15 can be effective August 1, August 15, September 1 or September 15.ĭeltaCare USA plans have a set effective date based on the plan purchase date: Plans purchased on or after the 15th of the month have effective date options of the first of the next month, the 15th of the next month, the first of the month after next or the 15th of the month after next.For example, a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. 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.The dates are based on the plan purchase date: Delta Dental PPO plans have flexible enrollment options - you can choose from four effective start dates when you purchase your plan.
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