Delta Dental of Washington Benefit Highlights: Click here to view PDF version of information above. To accomplish this, we must continuously be looking forward and planning for what's to come. It powers everything we do as we work to remove the barriers to oral health care. Delta Dental of Massachusetts PPO insurance products are offered by Dental Service of Massachusetts, Inc. An Independent Licensee of the Delta Dental Plans Association. View our cost-effective choices for individual dental insurance and get an instant online quote. Member guidance. Explore our dental plans. In general, the bigger the network the more choice you have, but in return for that freedom, your costs for care — your out-of-pocket costs — will be more.With more than 3,400 dentists, UDP has Washington’s largest network, plus you get coverage when you travel outside the state. Calendar Year Deductible . For example, allowances for Delta Dental PPO ™ are different in most cases from those for the Delta Dental Premier ® plan. ®Registered Marks of the Delta Dental Plans Association. A. Delta Dental PPO Value Plan is a PPO provider plan, in which members benefit from financial savings when receiving care from in-network dentists. Select Delta Dental PPO … © 2001 -  2020 Delta Dental of Washington. Delta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 1.844.466.8847 | DeltaDentalWA.com DD LG PPO Amal Single Deduct 2015 Amazon Group #09013 Delta Dental PPO℠ Plan … The AARP ® Dental Insurance Plan, administered by Delta Dental Insurance Company, offers individual or family coverage for the most common dental procedures. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! Delta Dental member companies posted approximately $15 billion in premium revenue during fiscal year 2008, the system's 29th consecutive year of financial gains. It allows employees to choose coverage based on their personal oral health needs. choose their favorite dentist. Member guidance. The national Delta Dental PPO ™ network is one of the nation’s largest PPO … Employee participation for groups with 5 to 9 enrolled subscribers is 100 percent of all eligible employees or tied to the company’s medical plan. Dependent participation for groups with 10 to 99 enrolled subscribers is 50 percent enrollment of all eligible dependents. The Delta Dental PPO network offers easy access to care through the largest directly-contracted PPO dental networks in Washington state. Explore our dental plans. Delta Dental -the largest dental network in the US. Delta Dental of Washington offers private dental insurance plans to meet the needs of individuals, families, and employers. Delta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 800.554.1907 | DeltaDentalWA.com DD LG PPO Inct Idv Dec Amal 2015 City of Bellingham Group #09367 Delta Dental PPO℠ — Incentive Plan Benefit Summary Effective Date January 1, 2019 Benefit Period January 1 –December 31 Benefit Period Maximum (Per Person) $1,500 Access to MySmile® personal benefits center. You can choose any dental provider, and change providers at any time. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Estimates … 4. This is the amount you will pay out-of-pocket for services in a calendar year. Required fields are indicated with an asterisk (*) Search Tips and Disclaimers! Wellness library. DeltaCare® USA plan. Employer contribution toward the dependent premium is not required. Covers up to four periodontal cleanings a year under certain qualifying periodontal circumstances, Periodontic cleaning and maintenance covered under Class I, Endodontics (root canals) and Surgical Periodontics (root planing and scaling) covered under Class II, Fluoride and sealant coverage for both children and adults including bicuspids, Class I services do not accumulate toward the calendar year annual maximum, No “missing tooth clause” or pre-existing conditions, No late entrant provisions or waiting periods, TMJ coverage included - $1,000 annual maximum and $5,000 lifetime maximum, Dependents eligible for benefits through age 25, Coverage available to employees who work a minimum of 80 hours each calendar month or as otherwise determined by the group. Dentists. Delta Dental PPO™ plan. How to join. Here are the key features of this plan’s design: It’s a preferred provider organization (PPO) plan whose network dentists agree to provide services to you at discounted rates. $1,000. Delta Dental PPO network 85 Minnesota counties, border communities, and the national Delta Dental PPO and Delta Dental Premier networks Twin Cities metropolitan area and northern and southern surrounding counties Base Plan: Delta Dental PPO The base plan available to you is determined by your geographic location. PPO Dentists agree to accept payment according to the Delta Dental PPO Dentist Schedule, and, in most cases, this results in a reduction of their fees. With our PPO plan, you get the tools and information you need to get the most from your coverage. There are no benefits when a member sees a dentist outside of the Delta Dental network. DeltaCare® USA plan. Health Care Exchange. 5. Thank you for recognizing this and purchasing your dental benefits from Delta Dental of Washington. Regular dental care is essential to your smile’s health. It powers everything we do as we work to remove the barriers to oral health care. In general, the bigger the network the more choice you have, but in return for that freedom, your costs for care — your out-of-pocket costs — will be more.With more than 3,400 dentists, UDP has Washington’s largest network, plus you get coverage when you travel outside the state. The company also provides the best discounts, averaging 20.3% on all claims. Health Care Exchange. Dentist news. ©2016 DSM. Delta Dental Insurance dates back to 1954 when it first began building out dental insurance programs for employees on the West Coast. Delta Dental PPO™ Core Buy-Up More low-cost employee choices Available exclusively for small groups, this dental plan design is a great solution for your customers with diverse workforces. Dentist news. PPO PLAN. Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21. Visit DeltaDentalWA.com Click on Online Tools and use our Find a Dentist tool. $1000, per enrollee on the plan . The company dates back to the 1950s and … Instant cost estimates with MySmile Cost Genie℠. Allowances will differ depending on the type of plan. Individual and Family FAQs. The company dates back to the 1950s and is committed to expanding access to oral … 2. We know it takes more than good oral hygiene to keep your smile healthy. UDP is administered by Delta Dental of Washington. This is the maximum amount that the plan will pay in a calendar year. Dentists. Maximum contract allowances are the total reimbursement amounts, under the enrollee’s benefit plan, on which Delta Dental calculates its payment and the patient’s financial obligation. Provider tools. Here are the key features of this plan’s design: Here are some of the plan’s benefits highlights: Find out more details about this plan’s benefits summary. Each plan has its own network of dentists, and you’ll want to pick a network containing a dentist that you want to use. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! You know you will receive quality care because all dentists … Dentists. Annual Per Person Maximum. Wellness library. MySmile Cost Genie gives instant, personalized out-of-pocket cost estimates based on your coverage and dentist. Basic and major restorative services provided by Plus the premium plan … Delta Dental PPO™ plan. Employer must contribute at least 50 percent of the employee premium. How to join. To find out more about Clear Plan coverage and premiums, click Get a Quote for personalized options. Members may see any dentist; however, out-of-pocket costs may be higher when members see a dentist outside the Delta Dental PPO network. Benefits are paid only when members see a Delta Dental PPO or a Delta Dental Premier dentist. Our coverage makes it easy and affordable to protect your smile. and purchasing your dental benefits from Delta Dental of Washington. Calendar … More than three out of four dentists in Washington State participate with this PPO. Check that your dentist is in-network or find a . Delta Dental PPO TM and Delta Dental Premier ® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. Negotiated Fees. Delta Dental of Washington is a member of the nationwide Delta Dental Plans Association and will be referred to in your plan documents as DDWA. Delta Dental's national network of dentists extends across the U.S. and Puerto Rico. How to join. Delta Dental also offers Patient Direct, a plan … Click on the name of a state from the above list to view all individual and family plans available in your geography. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . What's Included with Delta Dental. Administrative and claim forms. Generally, Delta Dental PPO ™ and Delta Dental Premier ® plans have maximums, but DeltaCare ® USA, our prepaid, fixed copayment plan, does not. Example: If the dentist submits a fee on a claim for $120, and the maximum contract allowance is $100, Delta Dental will calculate its payment and the patient’s payment based on $100. Explore our dental plans. Check that your dentist is in-network or find a All rights reserved. Delta Dental PPO dentists While you may choose any Dentist, your out-of-pocket costs are likely to be less if you go to a Delta Dental PPO Dentist (PPO Dentist). THIS IS THE DELTA DENTAL . Tell your dentist you're covered by Delta Dental of Washington Provide information on other dental coverage you may have If you’re covered by more than one dental plan, your dentist’s office will help coordinate your coverage. To accomplish this, we must continuously be looking forward and planning for what's to come. Delta Dental PPO ™ offers exceptional network access with the greatest opportunity for employers to provide savings to employees when they visit a network dentist. Best for those who want the freedom to . 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% Affiliate dental plans. DeltaCare USA has over 22,000 dentist office locations. Delta Dental offers a choice of plans for adults and children. Only out-of-pocket expenses paid to Delta Dental PPO dentists accrue to the maximum out-of-pocket for children up to age 19. Delta Dental's national network of dentists extends across the U.S. and Puerto Rico. Floss! This is a PPO plan that gives employers the ability to offer their employees choice when it comes to selecting their dental coverage. Delta Dental has consistently built strong partnerships with dental insurance providers and dental professionals for over half a century. Delta Dental of Washington Benefit Highlights: Covers up to four periodontal cleanings a year under certain qualifying periodontal circumstances; Periodontic cleaning and maintenance covered under Class I; Endodontics (root canals) and Surgical Periodontics (root planing and scaling) covered under Class II This free service ensures that you know up front how much, if anything, the dental plan will pay and how much you will be responsible for. Dentist news. We believe everyone deserves a healthy smile. Delta Dental PPO – Options Core provides low-cost coverage … There are more advantages. A Delta Dental PPO plan is a great fit if you want greater flexibility in your choice of dentist. It cleans the 40 percent of tooth surfaces brushing can't reach. Network Selection ( … 5. Delta Dental of Washington Benefit Highlights: Covers up to four periodontal cleanings a year under certain qualifying periodontal circumstances Periodontic cleaning and maintenance covered under … Delta Dental, a pure-play dental insurer, is one of the largest dental insurance providers in the country. Member guidance. Dentist FAQs. Delta Dental PPO Value for Seniors has nationwide coverage, but may only be purchased for seniors whose primary residence is in Massachusetts. Delta Dental PPO™ plan. Uniform Dental . The national Delta Dental PPO ™ network is one of the nation’s largest PPO networks. UDP is a preferred-provider organization (PPO) plan. Dependent participation for groups with 5 to 9 enrolled subscribers is 100 percent of all eligible dependents. You’re now leaving the Delta Dental of Washington website. PPO PLAN. Plan (UDP) Group #09600. When you see a network provider, your out-of-pocket expenses are generally lower than if you chose a provider who is not part of this network. Employee participation for groups with 10 to 99 enrolled subscribers is 75 percent enrollment of all eligible employees. Freedom to choose If dentist access is a high priority, Delta Dental PPOᵀᴹ¹ is a great option. Dental office support. Plan (UDP) Group #09600. Welcome to your Delta Dental PPO℠ plan, administered by Delta Dental of Washington, a founding member of the nationwide Delta Dental Plans Association. *Delta Dental was ranked #1 "Best dental coverage" in the Benefits Selling 2013 Readers' Choice Awards. Calendar Year Deductible . Endodontics, periodontics and oral surgery are all … Our mission is to support your overall health by providing excellent dental benefits and the advantages of access to care within the largest network of dentists in Washington and nationwide. Please complete the following information to locate network dentists providing quality dental care in your area. 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. Your dentist and dental plans will work together to make sure you get the most out of your dental benefits. By far, Delta Dental PPO (enhanced) is our most popular plan design and network. For dentists. For dentists. Monthly Rates for Delta Dental PPO™ plan valid through 12-31-21 Endodontics, periodontics and oral surgery are all covered benefits under Basic Services in each plan. Its network is Delta Dental PPO (Group 9600). ®Registered Marks of the Delta Dental Plans … A Delta Dental PPO plan is a great fit if you want greater flexibility in your choice of dentist. Dental … THIS IS THE DELTA DENTAL . The national network of Delta Dental companies protects more smiles than any other insurance company. Health Care Exchange. Please refer to your plan booklet or Policy for more … Delta Dental of Washington offers private dental insurance plans to meet the needs of individuals, families, and employers. $1000, per enrollee on the plan . This policy is underwritten by Delta Dental of Washington and administered by Delta Dental … Delta Dental, a pure-play dental insurer, is one of the largest dental insurance providers in the country. Delta Dental offers a range of plans for individuals and families, so you can get the same valuable dental benefits that employers offer — including access to the nation’s largest network of dentists and great customer service. Health Care Exchange. Delta Dental PPO ™ offers exceptional network access with the greatest opportunity for employers to provide savings to employees when they visit a network dentist. Out of Country Claim Form – Use to file a claim for services performed outside of the United States. It’s available through MySmile and a great way to plan and budget when your smile needs treatment. $1500, per enrollee on the plan . Delta Dental PPO Plus Premier combines the Delta Dental PPO and Delta Dental Premier networks, which gives you the benefits of Delta Dental PPO and more. 30% of costs, then any amount after plan has paid $1,000 per year, then any amount over $5,000 in member's lifetime. 30% of costs until plan has paid $500 for PPO, out of state, or non-PPO; then any amount over $500 in member's lifetime. Dental … Delta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 1.844.466.8847 | DeltaDentalWA.com DD LG PPO Amal Single Deduct 2015 Amazon Group #09013 Delta Dental PPO℠ Plan Benefit Summary Effective Date April 1, 2017 Benefit Period April 1, 2017 –March 31, 2018 Benefit Period Deductible Does Not Apply to Class I Dentist FAQs. Additional Plan Information For Delta Dental PPO Individual Basic Plan Annual Maximum . choose their favorite dentist. When received in-network, preventive and diagnostic services are covered at 100%. You’re only responsible for your stated deductibles, coinsurance and/or amounts in excess of the plan maximums. Delta Dental PPO℠ Plan Options. This is the total amount per person your plan will pay toward the cost of dental care each year. 3. For dentists. Standard Claim Form – Use to file a claim for services performed in the United States. 1. Your Dental Plan Guide Benefits information It's easy to look up your benefits online, including your dentist network, maximums and deductibles, copayment percentage for standard and orthodontic … Any amount over $1,000 per year and $5,000 in … Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. 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. Please complete the following information to locate network dentists providing quality dental care in your area. Delta Dental of Washington offers private dental insurance plans to meet the needs of individuals, families, and employers. Family Low Plan Click on the plan … Delta Dental's plans prioritize preventive care and dentist access, which helps keep health care costs low. Individual and Family FAQs. The national network of Delta Dental … Provider tools. Affiliate dental plans. How to Access Plans and pricing can be found on the Delta Dental website. Uniform Dental Plan (UDP)* Preferred provider plan (Group 3000 Delta Dental PPO) DeltaCare* Managed-care plan (Group 3100) Willamette Dental Group Managed-care plan (Group WA82) Deductible: You pay $50/person, $150/family: None: None: Plan maximum (see specific benefit maximums below) You pay amounts over $1,750: No general plan maximum: No general plan … If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Delta Dental of Washington is a member of the nationwide Delta Dental Plans Association and ... Delta Dental PPO D entist your costs may be lower than if … This is the maximum amount that the plan will pay in a calendar year. Lifetime Orthodontic Maximum. Delta Dental N/A. 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. It’s a preferred provider organization (PPO) plan whose network dentists agree to provide services to you at discounted rates, The extensive national Delta Dental PPO and Delta Dental Premier® networks make it easy to get all the advantages of in-network care, You get the flexibility to see any licensed dentist or specialist without referral, You have set coinsurance levels for dental services, You must reach your annual deductible before your benefits pay, An annual benefit maximum applies to your plan and your benefits stop once this dollar amount is reached, Diagnostic and preventive services, like cleanings, x-rays and exams, are covered at 100% and deductible is waived, A $50 deductible per person per year applies for restorative and major services; $150 annual family maximum for deductibles, Deductible is waived for diagnostic and preventive services, $1,500 annual benefit maximum per person per year, Orthodontia is covered at 50% with $1,000 lifetime maximum. The plan benefits deliver comprehensive dental coverage including preventive, restorative and other major treatments. Delta Dental PPO has a national network of more than 68,000 dentists practicing in over 119,000 locations. Delta Dental - Premium Plan from . Dentist FAQs. Individual and Family FAQs. Affiliate dental plans. If you enroll in the Clear Plan, there is no coverage if you visit a dentist who does not participate in a Delta Dental network. We believe everyone deserves a healthy smile. This free service ensures that you know up front how much, if anything, the dental plan … DeltaCare® USA plan. 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. With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you still receive the benefit of … MySmile is a secure toolbox where you can view your coverage, print your ID card, get instant out-of-pocket cost estimates and more. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. Provider tools. Maximum contract allowances … Provider Tool Tips. Traditional-Style Plans With Traditional-style Plans from Delta Dental, you get the same kind of dependable dental benefits offered by employee group plans. We recommend you see a Delta Dental PPO network dentist because, in most cases, you’ll experience the greatest out-of-pocket savings. Please contact your Sales Executive for groups with 100 or more enrolled subscribers for plan options. … Under UDP, you pay a percentage of the plan’s allowed amoun… Basic Plan Click on the plan name to review the policy document. 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