We offer two plan options, each with distinct advantages. Dental benefits are important, and so is this document. Plan A Enhanced Plan A Standard Plan B Plan C Delta Dental PPO Plus Premier Delta Dental PPO Plus Premier Delta Dental PPO Standard Delta Dental PPO Standard Network Type PREMIUMS (Based on home ZIP code) Each plan includes the pediatric dental benefit as required by the Affordable Care Act. Any part of deductible satisfied during the last 3 months of calendar year is Both levels have a $25 per person and $75 per family deductible that must be met before services are covered. © 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. Delta Dental Individual and Family - EPO offers you comprehensive benefits, but at a lower cost. On the Premium, Enhanced, Classic and Basic plans, you can see any dentist you wish, however, out-of-pocket costs may vary, depending on whether you see a Delta Dental PPO℠ or a Delta Dental Premier® network dentist, or see a dentist outside the Delta Dental network. With Basic Economy, you'll enjoy a Main Cabin seat. If not, or you’re unsure check the Dentist Directory to find a network dentist near you. 1The deductible is waived for diagnostic and preventive services; under the Enhanced plan. Costs for covered services are provided up front, so enrollees can prepare for treatment costs ahead of time. Here is an example of the effective dates based on plans: When does coverage become effective? 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. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. Individual PPO plans have flexible enrollment. These companies are financially responsible for their own products. The agreement a Dentist has with Delta Dental affects the level of benefits You receive. © Delta Dental. Individuals only pay copays and deductibles for services received. 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. E.g., a plan purchased on July 15 can be effective August 1. 866-760-4080 This is the maximum amount that the plan will pay in a calendar year. 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. The company also provides the best discounts, averaging 20.3% on all claims. On the Premium, Enhanced, and Basic plans, you can see any dentist you wish, however, out-of-pocket costs may vary, depending on whether you see a Delta Dental PPO℠ or a Delta Dental Premier® network dentist, or see a dentist outside the Delta Dental network. 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. 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. This is the amount you will pay out-of-pocket for services in a calendar year. 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. ENHANCED PLAN . 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. Delta Dental Plans. In WY, you do not need to select a primary care dentist, but you must visit a network dentist to receive benefits. 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. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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. 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. 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% MetLife offers you a choice of two different plans. Determine your premium rate with our online calculator. Both plans are summarized below. The MetLife dental plans are the traditional indemnity insurance plan whereby you and your family may select the dentist of your choice. Your total out-of-pocket costs will increase when your care is provided by an out-of-network dentist. Plan payments will be the highest (and your payment responsibility the lowest) when you choose a dentist in the Delta Dental PPO network. 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. Questions may be submitted in writing to: Customer Service Department Delta Dental of Michigan P.O. 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. Dental benefits are important, and so is this document. 2018 Comparison of Coverage: Delta Dental versus Cigna Dental Care HMO Cigna Delta Dental Plan Type DHMO/Prepaid Indemnity/PPO Plan Year Deductibles None $50/$150 Annual Combined Basic and Major Services No Dollar Limit $2,000 per person Orthodontia Lifetime No Dollar Limit $1,500 per person EMPLOYEE COST FOR CARE If dentist access is a high priority, Delta Dental PPO might be a great fit. Delta Dental’s plans prioritize preventive care and dentist access, which may be able to keep health care costs low. PPO Provider . If you have a Delta Dental PPO plan, then your plan is designed to give you the greatest opportunity for savings when you visit a Delta Dental PPO network dentist. Individuals only pay copays and deductibles for services received. DeltaCare USA: Delta Dental’s HMO which focuses primarily on preventive services. Delta Dental PPO™ plan purchasers have flexible enrollment options. MetLife offers you a choice of two different plans. To meet your unique needs, the University offers two UVA Dental Plan options: Basic and Enhanced Dental. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . 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. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Basic Restorative (Fillings) 80% 80% 80% 6 MONTHS Simple Extractions 80% 80% Type IIIA - Major Services Complex Oral Surgery 50% 50% 50% 12 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. and attention it deserves, Delta Dental offers you the Dental Assistance, Basic and Enhanced Indemnity dental care plans. 8 a.m. - 7 p.m. Dental benefits are important to you and those around you, so thank you for recognizing this and buying benefits from Delta Dental. Enrollees simply visit a DeltaCare USA contracted dentist and pay the predefined copayment. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. As an enhanced service, Blue Cross and Blue Shield of Oklahoma (BCBSOK) offers BlueCare Dental Connection. If predictability and more cost-management are valued, our copay product might be the best choice. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Basic Restorative (Fillings) 80% 80% 80% 6 MONTHS Simple Extractions 80% 80% Type IIIA - Major Services Complex Oral Surgery 50% 50% 50% 12 Delta Dental offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier Basic and the Delta Dental Preferred Provider Option (PPO). Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Refer to your plan booklet for details about your out-of-network benefits. 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. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. 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. Both the Basic Plan and Alternate Plan use the provider networks. What is the difference between Delta Dental's three plan options? Delta Dental Premier Provider *Non-Participating Provider . Get the most plan value by choosing a Delta Dental PPO dentist. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. 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. 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. 2Enhanced Plan: The waiting period is twelve (12) months for endodontics and periodontics. If you have a Delta Dental PPO plan, then your plan is designed to give you the greatest opportunity for savings when you visit a Delta Dental PPO network dentist. 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. Covered services are paid based on a percentage — if, for example, fillings are covered at 80%, enrollees pay the remaining 20%. Dental insurance costs vary depending on the type of plan, whether it’s a single or family plan and the level of coverage. Compare Your Options with Delta Dental. 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. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. And, with nearly 80% of practicing dentists in our networks, there’s a good chance they’re already visiting a network provider.¹. Both plans are summarized below. Delta Dental’s Veterans Affairs Dental Insurance Program (VADIP) is administered by the Federal Government Programs division of Delta Dental of California through its subsidiary Delta Dental Insurance Company (DDIC). and attention it deserves, Delta Dental offers you the Dental Assistance, Basic and Enhanced Indemnity dental care plans. Delta Dental Summary Plan Description; Delta Dental Enhanced Summary Plan Description; If you have any questions about whether certain procedures will be covered, contact Delta Dental at (800) 765-6003. 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. An extensive network: Delta Dental operates in all 50 states. A new way to do dental. Delta Dental Unique Dentists Penetration Report, 2019, Dental Actuarial Analytics, 2017 Dental PPO Study, includes all Delta Dental member companies. Your Coinsurance and Deductible amounts depend on whether the Dentist You choose is In- Calendar Year Deductible . And it starts here. A simple explanation of what your dental insurance will pay for. Delta Dental has consistently built strong partnerships with dental insurance providers and dental professionals for over half a century. 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: This is an indemnity plan. For all other services, you first pay the deductible before the plan pays for covered benefits. E.g., a plan purchased on July 25 would not be effective until September 1. 2018 Comparison of Coverage: Delta Dental versus Cigna Dental Care HMO Cigna Delta Dental Plan Type DHMO/Prepaid Indemnity/PPO Plan Year Deductibles None $50/$150 Annual Combined Basic and Major Services No Dollar Limit $2,000 per person Orthodontia Lifetime No Dollar Limit $1,500 per person EMPLOYEE COST FOR CARE What separates Delta Dental PPO from other carriers of dental PPO products? 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. Any part of deductible satisfied during the last 3 months of calendar year is 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 the best fit and get started. Calendar Year Deductible . Both the Basic Plan and Alternate Plan use the provider networks. 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. Limitations and exclusions apply. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan. Enhanced Plan Insurance Policy from Delta Dental. Delta Dental Patient Direct: Patients choose a dentist from the Delta Dental network and pay the dentist their pre-negotiated, discounted fee. 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. Dental plans that work for you. A basic dental plan covers preventive care such as checkups, cleanings, x-rays, and a few basic procedures, like cavity fillings. 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. Certificate of Coverage 2019-20 and 2020-21 Many PPO plans also come with access to the Delta Dental Premier® network. 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. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. of Dental Surgery (DDS). In fact, you aren’t required to designate a primary care dentist when enrolling in a PPO dental plan. BCBS BlueCare Dental PPO network: ... BlueCare Dental Connection. Best if cost management and predictability are priorities. 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. Find a Delta Dental PPO network dentist near you. 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. 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. Box 9089 Delta Dental covers eight out of 10 providers in the country. DeltaCare USA plans cover 300+ procedures, including no or low copayments for preventive care. You could see any provider within two large networks, Delta Dental PPO and Premier, which includes UK Dentistry providers. Comprehensive Plan: The waiting period is 12 months for major restorative, endodontics, periodontics, oral surgery,3 and prosthodontics. The following chart depicts the three plans offered … There are no maximums, waiting periods or deductibles.⁶, producerservices@delta.org Complex Oral Surgery 50% 50% 50% 12 While many value the transparency and affordable premiums DeltaCare USA offers, these plans offer much more than preventive care. 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 purchased by the 21st of the month will become effective on the first date of the following month. Delta Dental of New Jersey is a part of Delta Dental Plans Association. 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. Delta Dental also offers two levels of coverage: Delta Dental Basic Plan and Delta Dental Enhanced Plan. As an enhanced service, Blue Cross and Blue Shield of Oklahoma (BCBSOK) offers BlueCare Dental Connection. Some services such as fillings, crowns, or bridges may have a waiting period depending on your dental plan. 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. 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. Type IIIA - Major Services . Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. 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. 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. Best if dentist access is a high priority. Full coverage plans cover much … Enhanced Plan Insurance Policy from Delta Dental. 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