HOW DO I GET STARTED?
Enrolling in Delta Dental’s PPO plus Premier plan is easy. See your employer for enrollment information.
HOW DOES THE CALENDAR YEAR MAXIMUM WORK?
A calendar year refers to a period of January 1 through December 31. Your deductible and coverage maximum start fresh each January 1. These totals are not pro-rated: The full deductible and coverage maximum apply, no matter your start date.
WHAT IF SOMEONE IN MY FAMILY HAS ANOTHER DENTAL INSURANCE PLAN?
When someone has additional dental coverage, one plan is usually primary. This means that your dentist sends the claim for service to the primary insurance plan and may also submit it to a secondary plan. Delta Dental will coordinate benefits if a subscriber has coverage under more than one dental plan.
WHAT IF I RESIDE OR HAVE AN EMERGENCY OUTSIDE THE UNITED STATES?
You will need to pay the bill at the time of service. Send your receipt and claim to Delta Dental at P.O. Box 173803, Denver, CO 80217-3803 or email to international_claims@ddpco.com.
WHAT IS AVAILABLE ON YOUR WEBSITE?
The Delta Dental website allows you to locate participating dentists, view benefits, view your claims, print explanation of benefits, find dental health information, take a dental risk assessment and much more.
DO I NEED AN ID CARD?
No, an ID card is not required to access services. Once you are enrolled with Delta Dental, you can print a customized ID card by registering for Subscriber Connection on the Delta Dental website www.deltadentalco.com
WHAT IF I AM IN THE MIDDLE OF ORTHODONTIC TREATMENT?
Delta Dental will “takeover” the orthodontic treatment. We will calculate the treatment based on the dentist’s original treatment plan as if the treatment was started under the Delta Dental PPO plus Premier Plan. We will deduct any down payment or payments that we would have paid if we started the case and pro-rate the remaining payments.
WHAT HAPPENS IF I VISIT A NON-PARTICIPATING DENTIST?
If dental services are received from a dentist who does not participate with Delta Dental, you will be responsible for paying the difference between the Delta Dental Maximum Plan Allowance and what the dentist actually charges. Many non-participating dentists will ask you to pay the full fee up front. In addition, reimbursement for covered services will be paid directly to you, and you will be responsible for paying your dentist.
HOW DO I FIND A DELTA DENTAL DENTIST?
If dental services are received from a dentist who does not participate with Delta Dental, you will be responsible for paying the difference between the Delta Dental Maximum Plan Allowance and what the dentist actually charges. Many non-participating dentists will ask you to pay the full fee up front. In addition, reimbursement for covered services will be paid directly to you, and you will be responsible for paying your dentist.
HOW DO I FIND A DELTA DENTAL DENTIST?
Delta Dental has the largest dental network in the country, with over 130,000 dentists nationwide. Finding a participating dentist in your local area is easy. Simply visit www.deltadentalco.com , or call 1.800.610.0201.
WHAT HAPPENS IF I VISIT A NON-PARTICIPATING DENTIST?
MAY I VISIT ANY DENTIST?
Yes. You have the freedom to see any dentist. A participating PPO dentist will maximize your savings. A participating Premier dentist accepts a discount off their submitted charges and provides balance billing protection to the member. You may also see a non-participating dentist. You will be responsible for the difference between the out- of-network Maximum Plan Allowance and the full fee charged by the dentist.
WHY CHOOSE THE DELTA DENTAL PPO PLUS PREMIER PLAN?
Delta Dental has negotiated substantial discounts from participating dental providers. This means that your dollars go much further. If you choose to have no dental insurance, charges are at the dentist’s fee for service which are not discounted. Dental insurance also helps you budget for those larger unexpected expenses. Delta Dental participating dentists will file your claim and, only charge you for any deductible or coinsurance (your portion) and will bill Delta Dental for the covered portion.
