To locate a dentist who participates, click here. Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. PPO Plus Premier Group, individual and family plans are Delta Dental PPO Plus Premier plans. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. You'll save the most when you choose to receive services from a participating Delta Dental PPO dentist. A way to save All Rights Reserved. For greatest flexibility, members can choose a dentist in our Premier network, which includes three out of four dentists in the country and 96% of dentists in Massachusetts. Individuals only pay copays and deductibles for services received. There are no claim forms to complete. Dentists who are in our preferred provider organization charge reduced fees for covered services. Delta Dental PPO plus Premier Benefits for Hampden-Sydney College High Plan Group Number: 700100 Effective Date: January 1, 2017 Annual Deductible (Applies to Basic and Major Services) $50 per person; $150 per family, per calendar year Annual Maximum $1,250 per enrollee, per calendar year Orthodontic Lifetime Maximum $1,000 per person Prevention First Visits to the dentist for Diagnostic … You are responsible only for your deductible and coinsurance (based on your plan), as well as any charges for non-covered services. Get 100% coverage for essential preventive care, like routine cleanings and exams.² If you would like to disable it, press enter now. It's easy to get coverage. Delta Dental PPO Plus Premier ™ is the best of both worlds. Calendar Year Maximum: If you receive treatment after you have exhausted your maximum or if you receive a treatment that will cause you to exceed your maximum, you will be billed for any outstanding charges at the dentist's normal rate rather than Delta Dental's negotiated rate. 2021 Costs and Coverages ― Delta Dental Options. Delta Dental will provide the highest level of benefits (see benefit highlights) for covered services when care is received from a Delta Dental PPO dentist. (primary enrollee, spouse and eligible children) Employees and Dependents: Employees, Retirees and Dependents: Employees, Retirees and Dependents: Deductible (per person annually) … Your total out‐of‐pocket costs for services rendered to a Covered Person age 18 and under from a Delta Dental PPO Provider or Delta Dental Premier Provider, will not exceed $350 per Benefit Accumulation Period. 5 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. You may also seek care from a Delta Dental PPO dentist. 2021 DeltaCare USA Co-Payment Schedule. FAQs About Participation with Delta Dental Premier . Delta Dental PPO plus Premier Network . Delta Dental PPO Plus Premier™ – Preventive Plan. *Important Note for Employees in Colorado:  Colorado DeltaCare (DMO) members must select a Primary Care Dentist that participates in the DeltaCare network, and can no longer choose a Delta Dental PPO dentist. Click on the name of a state from the above list to view all individual and family plans available in your geography. Each DeltaCare USA member chooses a Primary Care Dentist (PCD) from our network to coordinate his/her dental care. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. Dental Plans for All Employers. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. The Delta Dental PPO Plus Premier program combines two of Delta Dental's national dental networks - "Delta Dental PPO" and "Delta Dental Premier" - giving you access to dentists that participate in both. DeltaCare works much like a dental HMO. Benefits Certificate - information on your benefits and coverage. In the event a member needs specialty care, he or she may select a specialist from the DeltaCare USA network or ask the PCD for a recommendation. Delta Dental PPO High (Group 9014) 800-524-0149; www.deltadentalmi.com; Employee Monthly Premiums (LTFT30 = Less Than Full T ime 30 -39 Hours/Week; LTFT20 = Less Than Full Tmi e 20 -29 Hours/Week) No ; Full Time LTFT30; 1; LTFT20; … After all, the better we help you take care of your teeth, the better your family will look and feel. Enrollees will likely save the most when they visit a Delta Dental PPO dentist, but they can visit any licensed dentist of their choice. With this plan, members enjoy outstanding access and considerable savings by leveraging two of our national dental networks: Delta Dental PPO and Delta Dental Premier, the largest dental network in the country. And once you are a Delta Dental enrollee, you can refer to the benefits information and dental health materials at any time. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. That means that Delta Dental of Colorado members receive the greatest savings when they visit Delta Dental PPO providers. 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. Preventive Services … All Rights Reserved. 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, No balance billing by participating dentists, Coverage for services performed by non-participating dentists at a lower benefit level, Savings generated through our negotiated fees, our claims processing and our utilization management program, Special plans for smaller businesses (10-49 employees), Rollover Max, which allows a portion of a member’s unused annual maximum to be carried over to the next year, for greater. Premier plans offer members access to the Delta Dental Premier Network, the nation’s largest dental network, with almost 90% of dentists participating. Participating providers file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full. Coverage under Delta Dental (Enhanced) Premier Delta Dental PPO; Excluded Employees (1) In-Network Delta Dental PPO dentists (2) Out-of-Network (non- Delta Dental PPO dentists) Who's covered? oral health — a preventive dental benefit administered by Delta Dental (Delta Dental PPO™), which is included as part of your High Option or Standard Option benefits, and a separate optional plan (DeltaCare® USA), which you may be eligible to purchase for an additional premium. This page features a timed image rotator. This program features two levels of claims savings. There are many advantages when you use a dentist who participates, and nationally, three out of four dentists belong to our networks. AZ, CA, CO*, FL, IN, MA, TX, and VA Employees: To locate a participating dentist, click here. With this plan, members enjoy outstanding access and considerable savings by leveraging two of our national dental networks: Delta Dental PPO and Delta Dental Premier, the largest dental network in the country. Delta Dental offers a choice of plans for adults and children. In addition to better health, greater savings and more choice and flexibility, with the Delta Dental PPO TM network: Patients can save more than 35% on average by visiting a Delta Dental PPO network dentist compared to the fee the dentist would typically submit for a claim. Increased benefits may also be provided for members receiving dental care from a Delta Dental Premier dentist. Nationwide, Delta Dental covers more than 73 million people actively seeking treatment from participating dentists. Our plans are designed to provide you and your family with access to easy-to-use care that will help you maintain your teeth for life. 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