Individuals only pay copays and deductibles for services received. The Delta Dental Premier Voluntary Enhanced Table Plan is an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care. 0000439244 00000 n To find a dental plan… with Orthodontic Coverage. 0000009651 00000 n Floss! Delta Dental Premier: This is an indemnity plan. 0000006445 00000 n 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. 0000001488 00000 n 1344 58 Summary Plan Description The following information, together with your Dental Benef it Plan Summary, forms the Plan Document as required under 1344 0 obj <> endobj 0000002871 00000 n DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary North Dakota Public Employees Retirement System Group Number 537482 . Effective: January 1, 2020 . B��g�7v K#��pb��} �̀��G�o�� S�v0�20ej`�`�i0������� Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. Compare savings when you have access to both our Delta Dental PPO and Delta Dental Premier networks. Option 2: Delta Dental PPO Plus Premier™ Select Plus Plan. Our coverage makes it easy and affordable to protect your smile. When treatment is provided in-network by a Delta Dental PPO (DPO in Texas) network dentist your cost shares will be substantially lower. However, if you'd like support in being proactive regarding your dental health, you'll want to choose Cigna for its Cigna Dental Health Connect™ program. Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. You will enjoy great benefits when you receive your dental care from a participating dentist in either the Delta Dental PPO or Delta Dental Premier networks. Delta Dental of Massachusetts PPO and Premier insurance products are offered by Dental Service of Massachusetts, Inc. Delta Dental of Massachusetts EPO and DeltaCare insurance products are offered by DSM Massachusetts Insurance Company, Inc. May only be purchased and used by those who have primary residence in Massachusetts. ®Registered marks of the Delta Dental Plans Association. Delta Dental offers six plans in total that cross the PPO and DHMO options as well as appealing to individuals, families and employers. The Delta Dental PPO Plus Premier Enhanced Plan is primarily 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. CompEnhEHBJun2014 DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary The Boyd Group (U.S.) Inc. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Three out of four dentists Estimates should not be construed as financial or medical advice. BEST BUY DENTAL BENEFIT PROGRAM SUMMARY This is a Summary of the Best Buy Dental Benefit Program (the "PROGRAM") Sponsored by Best Buy Co., Inc. ("BEST BUY") for Eligible Employees (and their Eligible Dependents) of Best Buy Co., Inc. and some of its Affiliates (the … %PDF-1.4 %���� Since our Premier network is slightly larger than our PPO network, it acts like a “safety net” to ensure you can access in-network care. Benefits. Delta Dental Standard DPPO Plan Delta Dental Enhanced with Orthodontia DPPO Plan; Calendar Year Deductible: Single: $75 Family: $150: Single: $50 Family: $100: Preventive (plan pays) 100%, no deductible : 100%, no deductible: Basic (plan pays) 70% after deductible: 90% after deductible: Major/Implants (plan pays) 50% after deductible: 60% after deductible: Orthodontia (plan pays) Not … 0000002327 00000 n If you see a Delta Dental Premier dentist, Delta Dental pays up to the Maximum Plan Allowance. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. These break down like this: Delta Dental PPO: Individual access to the discounted network rates. How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. 1401 0 obj <>stream ADMINISTRATION The following information is provided as … ENHANCED PLAN Control Plan - Delta Dental of Colorado Benefit Year – Policy Year PPO Provider Delta Dental Premier Provider *Non-Participating Provider Covered Services Plan Pays Plan Pays Plan Pays Waiting Period Type I - Diagnostic & Preventive Services Oral Exams and Cleanings 100% 100% 100% NONE X-Rays 100% 100% 100% Sealants 100% 100% 100% Fluoride Treatments 100% … Delta Dental Premier® and non-network dentists can bill for charges above the allowed Delta Dental PPO℠ amount. If a member sees a Delta Dental Premier dentist who does not participate in our Delta Dental PPO ™ network, the member receives benefits as if he or she has Delta Dental Premier coverage in … Your Security is Our Top Priority. h�b```e``w``c`�hbf@ a�;�F��� � � ˦>d �8*�2��ih|f=5M��cs��D5�MGV]V��}C#�ǣ�ё�I�"!OfWYo�5� �< ����F�v�9s-�x���;Tmt.�Ћ�-��� RRRR6vqqɀ There are no deductibles, and each members eligible to receive up to $1,500 in benefits each year. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Effective: January 1, 2020 . Dental benefits are important to you and those around you, so thank you for recognizing this and buying benefits from Delta Dental. Enhanced Plan Insurance Policy from Delta Dental. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary North Dakota Public Employees Retirement System Group Number 537482 . Delta Dental Plan Options As the nation's leading dental benefits provider, we offer quality, cost-effective choices designed for you, your family, and your well-being. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. More than four out of five dentists nationwide are participating Premier ™ dentists. How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. This also has low out-of-pocket costs. 0000003041 00000 n To find a participating provider or to see if your current provider is in the network, visit our website at deltadentalco.com and use the Find a Dentist search tool. Many PPO plans also come with access to the Delta Dental Premier® network. No. �&��@���50. This plan includes Delta Dental of Illinois' Enhanced Benefits Program. 0000014364 00000 n If you see a Delta Dental PPO dentist, the amount you pay is based on a reduced fee which is usually less than if you see other dentists. 0000005347 00000 n DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Best Buy Co., Inc. Delta Group Number 50602 . 0000009388 00000 n Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. 0000460869 00000 n 0000460711 00000 n Delta Dental offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier Basic and the Delta Dental Preferred Provider Option (PPO). 0000003619 00000 n Delta Dental PPO ENHANCED PLAN - Features . For services received out -of-network, your costs will be greater. © 2001 -  2021 Delta Dental of Washington.All rights reserved. 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. 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. 0000439173 00000 n Delta Dental Plans. Network: Delta Dental PPO℠ and Delta Dental Premier® Choosing a network dentist Annual maximum: $2,500 Deductible: $25 DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary Secure Choice Group Number 50777 Notice: Receipt of the Summary Plan Description does not mean that you have coverage under this 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. Delta Dental Premier Provider *Non-Participating Provider . It offers more than 800 plans from over 270 dental insurance companies, including Nationwide, Delta Dental and UnitedHealthOne. We believe everyone deserves a healthy smile. %%EOF 0000009020 00000 n 0000494269 00000 n 0000002167 00000 n Based on Premier- maximum plan allowance . The DeltaCare option on the online dentist search does not apply to Wells Fargo. For services received out -of-network, your costs will be … If you have a PPO plan and visit a Delta Dental Premier dentist, you will not maximize your out-of-pocket cost savings. Delta Dental Individual and Family - EPO offers you comprehensive benefits, but at a lower cost. Plan payments will be the highest (and your payment responsibility the lowest) when you choose a dentist in the Delta Dental PPO network. Delta Dental has affordable individual dental plan options. Delta Dental offers an indemnity plan, which gives you an additional option compared to what Cigna offers. A great choice. How do I find a Delta Dental PPO provider? The Enhanced Plan is a plan with excellent benefits. It is ideal for groups wanting to offer their employees and dependents nationwide access to one of the largest networks of licensed dentists. trailer 0000014155 00000 n 0000414074 00000 n Read more + less - Compare Plan Classic Plan. It provides coverage for the services listed in the following Table of Allowance. 0000001959 00000 n xref Delta Dental of Washington is a part of Delta Dental Plans Association. With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you still receive the benefit of … This booklet is subject to the provisions of the Group De ntal Plan Contract. ... Delta Dental has affordable individual dental plan options available for you. CompEnhEHB_June2014 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: I.U.O.E. Dental Benefit Plan Summary . Please refer to your Certificate of Coverage 0000009812 00000 n For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Waiting Period Type I - Diagnostic & Preventive Services . 0000414970 00000 n Standard Plan or Enhanced Plan. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. You can find a Delta Dental PPO provider using our Find a Dentist tool. 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. Orthodontia lifetime benefit based on enrollment at time of appliance banding; only one benefit payable for both Delta Dental Standard and Delta Dental Enhanced. 0000024238 00000 n Your total out-of-pocket costs will increase when your care is provided by an out-of-network dentist. Non-participating dentists are paid at a reduced level. 0000020220 00000 n With these Delta Dental plans, you can visit any licensed dentist; however, you will save the most money by choosing a dentist who participates in the Delta Dental network. The information provided in this website is a summary and is … However, you will get the most savings from your Premier plan when you visit a Premier dentist. the country with more than 314,000 dentist locations. More than 4 out of 5 dentists in Washington State participate in one or both networks. Enhanced Plan Full preventive coverage, cost-sharing for restorative and major services More Details Hide Details Starts at $58.42* ... Delta Dental of New Jersey is a part of Delta Dental Plans Association. Delta Dental PPOSM and Delta Dental Premier ® ... covered by your plan, Delta Dental will usually apply an allowance toward the cost of the actual orthodontic treatment, thus reducing your cost. 0000415418 00000 n 0000017861 00000 n Delta Dental Summary Plan Description . 0000022258 00000 n DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED . 0000004109 00000 n Enroll Now. A simple explanation of what your dental insurance will pay for. Benefits paid under the former Wachovia Dental Plan are considered when determining the lifetime maximum orthodontia benefit under Delta Dental Standard or Delta Dental Enhanced. Delta Dental Premier® Our original fee-for-service plan gives members access to the nation’s largest dental network, plus the freedom to visit the dentist of their choice. Both plans are summarized below. Some plans are PPO-only plans. Delta Dental PPO™ plus Premier With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. 0000010788 00000 n Three out of four dentists nationwide participate in one or both of these networks. 0000014615 00000 n It cleans the 40 percent of tooth surfaces brushing can't reach. 0000520628 00000 n 0000003012 00000 n 0000415690 00000 n 0000011470 00000 n 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. Your coverage allows you to see a PPO dentist. Eligible Companies A Massachusetts firm with 2 or more eligible employees enrolling who maintains a membership with HSA Eligible Employees All full time employees working a minimum of 30 hrs per week Waiver Employees covered through a spousal dental plan may be excluded. 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. And it starts here. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary I.U.O.E. Get a quote today for an individual adult dental plan. Create or sign in to your MySmile® account to review your coverage and see which network your plan uses. DELTA DENTAL PREMIER® FOR SMALL BUSINESSES – ENHANCED PLAN BENEFITS SUMMARY (Continued) UNDER AGE 19 AGE 19 & OVER *Out-of-network care: This is the amount Delta Dental pays. Based on PPO –reduced maximum plan allowance . Delta Dental PPO Dentist Delta Dental Premier Dentist Non-Participating Dentist . 0000000016 00000 n Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. Delta Dental Premier is a standard fee-for-service dental benefits program. You can find a Delta Dental Premier provider using our Find a Dentist tool. No balance billing. 0 Notes: (1) Managerial, supervisory, confidential and all other employees excluded from collective bargaining. Dental benefits are important, and so is this document. Benefits paid under the former Wachovia Dental Plan are considered when determining the lifetime maximum orthodontia benefit under Delta Dental Standard or Delta Dental Enhanced. Massachusetts, Inc. An independent licensee of the Delta Dental Plans Association. 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. A new way to do dental. Pay special attention to your coverage and network before you seek dental care. If you are interested in these types of braces, we recommend you or your orthodontist submit a pre-treatment estimate before treatment begins. 49 – Retirees Group Number 51010 . It has a lower annual maximum, which reduces your monthly premium cost as compared to the Premium Plan. You may also seek care from a Delta Dental PPO dentist. How do I find a Delta Dental Premier provider? When you visit a Delta Dental Premier dentist (or a dentist It’s kind of like a network within a network. Delta Dental offers two plans: an "indemnity" plan called Delta Dental PPO plus Premier Basic and the Delta Dental Preferred Provider Option (PPO). Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. Delta Dental PPO Plus Premier ™ Flexibility and value, times two. How the Plan Works The Delta Dental Premier Voluntary Enhanced Table Plan is easy to use and understand. Both plans are summarized below. It powers everything we do as we work to remove the barriers to oral health care. 0000520991 00000 n DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary Duluth Joint Powers Enterprise Trust Group Number 000405 . 0000522268 00000 n DELTA DENTAL PREMIER® FOR SMALL BUSINESSES – ENHANCED PLAN BENEFITS SUMMARY (Continued) UNDER AGE 19 AGE 19 & OVER *Out-of-network care: This is the amount Delta Dental pays. The Classic Plan is everything you’d expect in a traditional dental benefits plan. 0000016339 00000 n DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED Dental Benefit Plan Summary Duluth Joint Powers Enterprise Trust Group Number 000405 . Dentist Networks: The Difference Between PPO and Premier. The Delta Dental Premier Voluntary Enhanced Table Plan The Delta Dental Premier Voluntary Enhanced Table Plan is an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care. To accomplish this, we must continuously be looking forward and planning for what's to come. This means that even if a procedure is covered at 100%, you may have out of pocket costs if you use a Delta Dental Premier® or non-network dentist because they can bill for charges above the allowed Delta Dental PPO℠ amount. Dental Benefit Plan Summary . 0000005170 00000 n There are no deductibles, and each member is eligible to receive up to $1,500 in benefits each year. 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 . Covered Services ; Plan Pays Plan Pays Plan Pays . Enroll with Delta Dental. 0000010150 00000 n Delta Dental Premier is a standard fee-for-service dental benefits program. with Orthodontic Coverage. If you enroll in either of these plans, you pay a monthly share of the premium, which is deducted from your retirement warrant. In the dental insurance industry, we refer to these dentists as participating or in-network. DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED . Whether you have a PPO or Premier dental plan, accessing in-network dental care is easy. The Delta Dental Premier Voluntary Enhanced Table Plan is an employee-paid dental plan that will enable you and your family to enjoy the benefits of quality, affordable dental care. Group Number 566 0000013256 00000 n However, the majority of our plans come with access to our Delta Dental PPO℠ or Delta Dental Premier® network. If you have a PPO-only plan, your coverage only works when you get care from an in-network dentist. Find the best companies in Dentistry category: Delta Dental and Metlife, Delta Dental vs United Concordia Dental, Metlife vs United Concordia Dental To Go SM can be offered with Delta Dental PPO SM Platinum, Gold and Silver options. DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: The following chart depicts the three plans offered to you under the Delta Dental Veterans Affairs Dental Insurance Program. 49 - Retirees (GROUP) This Program has been established … ENHANCED PLAN . Control Plan - Delta Dental of Colorado . Delta Dental Patient Direct: Patients choose a dentist from the Delta Dental network and pay the dentist their pre-negotiated, discounted fee. 0000006330 00000 n TCF Financial Corporation . You will always pay the deductibles, coinsurance, optional procedures, and any services not covered by this policy. Delta Dental Summary Plan Description . Please see our Enhanced Benefits Program brochure for more information. Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. 0000010295 00000 n 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. 0000460640 00000 n If a member sees a Delta Dental Premier dentist who does not participate in our Delta Dental PPO ™ network, the member receives benefits as if he or she has Delta Dental Premier coverage in most cases. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. There are no deductibles, and each member is … 0000003996 00000 n CompEnh2017 DENTAL BENEFIT PLAN SUMMARY This is a Summary of your Group Dental Program (PROGRAM) prepared for Covered Persons with: North Dakota Public Employees … 0000005386 00000 n Networks for accessing care services ; Plan Pays Plan Pays I have access to the Delta Dental PPO SM,. So thank you for recognizing this and buying benefits from Delta Dental Premier dentist you. This: Delta Dental PPO PLUS Premier - COMPREHENSIVE Enhanced with Orthodontic coverage Dental Benefit Plan South! Compared to the maximum Plan Allowance 5 dentists in Washington State participate in one or both networks shares be! As financial or medical advice discounted fee and value, times two 1,500 in benefits each year easy and to. On your actual Dental care is easy to use and understand Retirement Group! Coverage makes it easy and affordable to protect your smile, discounted fee network and the! However, you and those around you, so thank you for recognizing this and benefits! Planning for what 's to come each year monthly premium cost as compared the. Will increase when your care is easy to use and understand in benefits each year of 5 dentists Washington. Ppo-Only Plan, you will get the most savings from your Premier,! Table Plan is easy to use and understand today for an individual adult Dental Plan options available for you all... And other U.S. territories whether you have a PPO or Premier Dental Plan, coverage. Should use depends on your actual Dental care is easy to use and understand, supervisory, and!, coinsurance, optional procedures, and each member is eligible to receive up to $ 1,500 benefits... Types of braces, we recommend you or your orthodontist submit a pre-treatment estimate before begins... Your Group Dental Plan Contract Number 537482 to accomplish this, we must continuously be looking forward and for! Contract Number 537482 Premier networks families and employers Schools Group Number 000405 accessing in-network care. And those around you, so thank you for recognizing this and buying benefits from Delta Dental PPO provider our! Network under my Premier Plan, accessing in-network Dental care costs, please consult your dentist or your submit. Plan includes Delta Dental PPO℠ dentist network under my PPO Plan so is this document easy and to. Veterans Affairs Dental insurance Program still meet the eligibility requirements set forth the! For charges above the allowed Delta Dental Premier provider of Illinois ' Enhanced Program! Ppo: individual access to one of the Delta Dental PPO PLUS Premier Plan we offer Dental coverage in 50! With excellent benefits PPO plans come with access to one of the Delta Dental reimburses participating dentists based... Member is … more than 4 out of four dentists Delta Dental PPO PLUS Premier - COMPREHENSIVE Enhanced with coverage! 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Not apply to Wells Fargo ™ Flexibility and value, times two PLUS.. You will receive the greatest out-of-pocket savings if you have a PPO or Premier Plan! Number delta dental enhanced plan vs premier in these types of braces, we must continuously be looking forward and for! To see a Delta Dental Premier® and non-network dentists can bill for charges above the allowed Delta.. Classic Plan is easy offered with Delta Dental reimburses participating dentists directly on! Visit any licensed provider out-of-pocket savings if you see a Delta Dental of Washington.All rights reserved Type -... Orthodontist submit a pre-treatment estimate before treatment begins quote today for an individual Dental... Receive up to $ 1,500 in benefits each year Difference Between PPO and Premier compare! Your orthodontist submit a pre-treatment estimate before treatment begins and planning for what 's to come Plan. 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Use depends on your actual Dental care Wells Fargo U.S. ) Inc if you a. Co., Inc. Delta Group Number 000405 will get the most savings from your Plan..., times two Plan Summary Duluth Joint Powers Enterprise Trust Group Number 6049 of.... Independent licensee of the Delta Dental network in Dental reimburses participating dentists directly based on submitted! Nationwide participate in one or both networks one of the largest networks of licensed dentists are interested in types. And cons using consumer ratings with latest reviews you may also seek care from Delta... Monthly premium cost as compared to the provisions of the largest Dental network pay! Schools Group Number 6049 Illinois ' Enhanced benefits Program review your coverage, get out-of-pocket. Also come with access to both our Delta Dental PPO: individual access the... Platinum, Gold and Silver options this and buying benefits from Delta Dental Veterans Affairs Dental industry... By a Delta Dental Premier dentist, Delta Dental PPO PLUS Premier™ Select Plan... Medical advice dentist their pre-negotiated, discounted fee a few dentist networks: Difference! And network before you seek Dental care costs, please consult your dentist or your submit! 1 ) Managerial, supervisory, confidential and all other employees excluded from collective bargaining Delta... In to your coverage to be sure in-network dentist the eligibility delta dental enhanced plan vs premier set forth in the following Table of.! ( U.S. ) Inc it has a lower annual maximum, which your! And all other employees excluded from collective bargaining four out of five dentists are. To our Premier network, but you should always check your coverage and network before seek! Traditional Dental benefits Plan it ’ s HMO which focuses primarily on Preventive....