Plan documents. You might be covered for orthodontic services under your Delta Dental plan. Dental office support. Delta Dental PPO™ plan. © Delta Dental. And, if a dentist participates in the Delta Dental PPO ™ network, members may save even more. $1000. The benefits listed below are not a complete list. 2-9 Enrolled Employees ... program appear in the group contract between your plan sponsor and Delta Dental of New Jersey, Inc. which governs the benefits and operation of ... Orthodontics Not covered *Members will be subject to balance billing for covered services. You must still meet the eligibility requirements set forth in the Plan. Pipe Trades Services MN Welfare Plan Dental Benefits For Plumbers and Pipefitters in the following ADMINISTRATION The following information is provided as required by the Employee Retirement Income Security Act (ERISA) of Members have access to two of the nation’s largest networks. CompEnhEHBJun2014 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: Your orthodontist creates an initial estimate of costs, called a “pre-treatment estimate.” If you agree to proceed, the orthodontist will create a treatment plan with the associated copayments and fees. Preparing for orthodontic treatment? If a Delta Dental PPO dentist provides dental services, the deductible will be waived and the payment percentages may increase, resulting in lower out-of-pocket costs. Delta Dental will pay the stated percentage of the plan allowance based on the participation with Delta Dental. 100%. ��d���N�@�P� �L�����}��@�;���j)�]���$��oM ���� H'T6Q� ���T�ӈVK����P��"�#{�Ԫ��YPE_Jߘ�!��3B�g8��e�4�� ��D(I. For dentists. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Piper Jaffray Companies Group Number 050800 Effective January 1, 2017 . Your dentist can submit a pre-treatment estimate (or you can submit one if you choose a non-Delta Dental orthodontist). Year One. Delta Dental PPO Plus PremierTM City National Bank Group #450318 2020 Plan Benefit Highlights Calendar Year Plan Maximum Per person $1,500 Lifetime Ortho Maximum Per person $1,500 Deductible Per person / per family per calendar year No deductible for diagnostic and preventive services, or orthodontics $50/person $150/family Orthodontic Lifetime Maximum. Year Three. Many PPO plans also come with access to the Delta Dental Premier® network. This combination of networks and benefits is unequaled in the industry.. If an appliance is not covered, Delta Dental usually covers some of the orthodontic treatment costs. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Here are some highlights of our dental plans. (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. DeltaCare USA: Network for most group plan enrollees, DeltaCare USA Individual: Network for Individual plan enrollees (CA only), DeltaCare USA Medicare: Network for Medicare Advantage plan enrollees (CA only), DeltaCare USA Connect: Network available only to enrollees in select southern California groups. Flexibility and value, times two. Delta Dental PPO™ plus Premier With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. 50% up to $3,000 lifetime when combined with UDB* Deductible applies. $50/$150. Costs depend on the services you need, but Delta Dental can help estimate costs before treatment begins. You must visit a Delta Dental PPO prosthodontist or Delta Dental PPO orthodontist to receive the maximum in-network benefits under the program. Delta Dental: Not-For-Profit – Making a Difference 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) Invisalign and other specialty appliances are considered optional treatments and will result in additional fees. Orthodontic Services (Optional) If the group has 10 or more enrolled employees, it may ... Delta Dental PPO Plus Premier Choice Plan See Any Other Dentist See a Delta Dental Premier Dentist See a Delta Dental PPO Dentist. 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. Delta Dental PPO Plus Premier. 100%. Administrative and claim forms. Plan Deductible. Delta Dental PPO Plus Premier™. $50/$150. Provider Tool Tips. per person/maximum per family. Coverage varies depending on your plan, but most Delta Dental plans include: This coverage depends on your plan and applies only if you are in active treatment (banding has occurred). ORTHODONTICS $2,000 lifetime maximum 50% 50% 50% For covered children and adults TMJ SERVICES $500 lifetime maximum 50% 50% 50% Temporomandibular Joint Therapy You are enrolled in a Delta Dental PPO plus Premier plan. 1: Select any licensed orthodontist under your plan; however, your costs will typically be lower if you choose an in-network orthodontist. This program features two levels of claims savings. Covered Services. You do not have to file any claims. Learn more. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. 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. 1Your benefits may differ from the general information provided here. ... PPO Plus Premier. To find out, review your Contract, Policy or Evidence of Coverage booklet or check with your benefits administrator. Health Care Marketplace (Exchange) Customers: This feature uses javascript. By combining the extensive size of the Delta Dental Premier ® network and the deeper discounts of the Delta Dental PPO network, the Delta Dental PPO plus Premier plan can help reduce claims costs. CompEnh4-2018 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental … How to join. Option 2: Delta Dental PPO Plus Premier™ Select Plus Plan. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Carleton College Group Number 50885 Comprehensive Plan Effective January 1, 2019 . 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. PPO Plus Premier™ 3. Member guidance. Individual and Family FAQs. If your benefits cover two-phase orthodontic treatment, retainers are usually covered after each phase. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. Limitations to benefits can be found in the Summary Plan Description. You don’t need a referral to begin orthodontic treatment. If you see a nonparticipating dentist, your out-of-pocket expenses may increase. Your orthodontist will provide you with payment options (monthly, quarterly, etc.). Introducing Delta Dental PPO Plus Premier™ - Dental Access for Minnesota. New York, DE — Delta Dental of Delaware and WV — Delta Dental of West Virginia Understanding orthodontic benefits for Delta Dental PPOSM and Delta Dental Premier® plans Orthodontics is a dental specialty dedicated to diagnosing, preventing and treating malocclusion (improper alignment of biting or chewing surfaces Effective: January 1, 2020 . This coverage depends on your plan, and is typically only offered for enrollees undergoing active orthodontic treatment. Delta Dental PPO Plus Premier ™ is the best of both worlds. PROGRAM OF BENEFITS: DELTA DENTAL PPO – PLUS PREMIER “ELITE” Delta Dental of Oklahoma’s benefits consist of Diagnostic and Preventive Services, Basic Services, Major Services and Orthodontic Services. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Lakeville ISD # 194 Group Number 50864 . N/A. Coverage Coinsurances In-Network Out-of- Benefit Limitations PPO Premier Network Orthodontic Services 50% 50% 50% Treatment for the proper alignment of teeth For … Affiliate dental plans. Provider tools. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. Delta Dental PPO TM and Delta Dental Premier ® Getting started: You don’t need a referral to begin orthodontic treatment. Network: Delta Dental PPO℠ and Delta Dental Premier ... Orthodontics for dependents up to age 26 *UDB covers orthodontics for dependents up to age 19. Some plans may cover alternative appliances like Invisalign. With Orthodontics [9020] $25, not to exceed $75 per family: Deductible Note. All dental plans give you access to one of the largest networks of dentists in Arkansas (more than 95% of dentists are in our PPO and Premier networks 2) and the nation. All pooled group plans are Delta Dental PPO Plus Premier plans. 100%. Delta Dental PPOSM and Delta Dental Premier® are open networks that allow enrollees to visit any licensed dentist, either in the PPO network, where you will save the most on out-of-pocket costs, the moderate cost Premier network or outside the Delta Dental network, where there are no cost protections. Open your browser settings and turn on javascript to start finding a dentist. Select any licensed orthodontist under your plan; however, your costs will typically be lower if you choose an in-network orthodontist. with Orthodontic Coverage. for Delta Dental PPO dentists, Delta Dental Premier dentists and nonparticipating dentists. Dental Benefit Plan Summary . 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. What if your dentist isn’t a Delta Dental dentist? Delta Dental Summary Plan Description . One set of post-treatment retainers is covered. Orthodontic payment schedules depend on your contract. Dental Plans for All Employers.  1: 2018 Delta Dental of Arkansas Strategic Market Assessment. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary South Washington County Schools Group Number 6049 . Your orthodontist will provide you with payment options (monthly, quarterly, etc.). 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 - COMPREHENSIVE ENHANCED . Pre- and post-treatment records (x-rays and study models), Limited, interceptive and comprehensive orthodontic treatment, Orthodontist-recommended tooth extractions, Retainers (one set typically covered in a lifetime – see below). Enrolled members get broad choice of dentists in two networks. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. Orthodontic copayments vary by plan design. DeltaCare® USA plan. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Costs depend on the services you need. Health Care Exchange. What should you expect from your dentist? A way to save. Your orthodontic coverage and options may vary based on your plan type: Note: A pre-treatment estimate is not a guarantee of Delta Dental’s final payment. Please see your subscriber certification or other contract with Delta Dental of Massachusetts for complete details of your rights and obligations. Dentist news. Note: Under some plans, you may lose eligibility if coverage has lapsed more than 30 or 60 days. Dentists. Adult and child orthodontics: Members age 8 or older are eligible for orthodontic coverage *out-of-pocket cost may vary. $50/$150. Review your plan booklet for specific details regarding orthodontic coverage under your plan. 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. Dentist FAQs. Estimates should not be construed as financial or medical advice. We’ll send an overview of the total treatment cost, including how much your plan pays and your share. Delta Dental PPO plus Premier Network You will get the best value from your Delta Dental Plan when you receive your dental care from one of our PPO (greatest savings) or Premier … Large, small and in-between: Delta Dental of Minnesota has a … deductible does not apply. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary St Olaf College Client Number 100322 . Group Number 566 Perfect Smiles - Delta Dental PPO Plus Premier Plan. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary C & A Industries, Inc. All Active Full-Time In House Employees Group Number 322193 . Delta Dental PPO Plus Premier™ maximizes the advantages of our dual networks. $1000. You'll have access to nearly 3,500 dentists and specialists in the Delta Dental network, plus all the benefits of the Delta Dental PPO plus Premier plan: Delta Dental PPO Plus Premier Plan - Benefit Summary. Simply pay your copayment for covered services directly to your DeltaCare USA orthodontist. Get assistance in a language other than English, Viewing your eligibility information online, Finding your Delta Dental plan information, Beware of offers to waive coinsurance amounts, Go Paperless: Access Your Statements Online, Adding a spouse or dependent to your plan, Mobile Online Services – your ID card and benefits on the go. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefits with Orthodontic Coverage Dental Benefit Plan Summary Pipe Trades Services MN Welfare Fund Group Number 50865 . TCF Financial Corporation . Delta Dental orthodontists will submit claims for you. Available as a dual-option plan with Delta Dental Premier The information provided in this website is a summary and is intended for illustration purposes only. 2: Delta Dental … Wellness library. ADMINISTRATION The following information is provided as required by the Employee Retirement Income Security Act (ERISA) of Year Two. If your benefits cover two-phase orthodontic treatment, retainers are typically covered after each phase. 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 Staunton City & Schools High Plan Account Number: 600290 Effective Date: January 1, 2021 Health Care Exchange. 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