Get 100% coverage for essential preventive care, like routine cleanings and exams.² . Plus Premier. Click on the links below for more information on your Delta Dental plan. Connect with us. The Benefits provided under This Plan are subject to change as required by any state or federal law. There's an Individual and Family Plan for You. Over 183,000 dental locations nationwide and more than 2,500 dental locations in Massachusetts participate in our PPO network. Introducing Delta Dental PPO Plus Premier - Dental Access for Nebraska. PLEASE PRINT OR TYPE. When you need dental coverage, you can count on Delta Dental of Massachusetts. It's easy to get coverage. × Find My Delta Dental. Best if dentist access is a high priority. Safety net protection.This program gives members access to two national dental networks. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. PPO™ Premier® and ; Out-of-Network: Calendar Year Deductible: Per person/per family (excluding Preventive and Diagnostic) $50/$150: Calendar Year Maximum (Per enrollee) $1,500 | $1,000 Waiting Period : None Orthodontics: Not covered *Members will be subject to balance billing for covered services. PPO Plus Premier™ 5 2-9 Enrolled Employees . And Delta Dental PPO Plus Premieris one of our most comprehensive plans. 549 0 obj <> endobj Plus the premium plan also includes specialty coverage for implants, crowns and root canals. However, your out-of-pocket expenses may be more. 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) A minimum of two subscribers must be enrolled in either Delta Dental PPO, PPO - Plus Premier and/or - Plus Premier “Elite” plans. Connect with your Delta Dental to learn more. © Copyright 2020 Delta Dental Plans Association. 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 However, your out-of-pocket expenses may be more. Delta Dental Getting affordable dental coverage is easier than ever with a Delta Dental PPO¹ plan. Delta Dental PPO. Delta Dental PPO™⁴. Your Plan. Delta Dental Premier® is our largest fee-for-service network and most widely purchased program. %PDF-1.7 %���� Plus Premier Delta Dental of Massachusetts Smile—You’re in Delta Dental PPO Plus Premier Delta Dental is the leader in quality dental benefits coverage. 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. It’s designed to provide you and your family with easy-to-use care that will help you live a healthier life. Connect with your Delta Dental to learn more. Choose any dentist. Out-of-Network Coverage Your Delta Dental PPO Plus Premier Incented Voluntary Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. Create or sign in to your MySmile® account to review your coverage and see which network your plan uses. endstream endobj startxref Your 2021 Plan Documents. Delta Dental PPO Plus Premier . 0 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. The Certificate is a summary of your dental benefits coverage. Delta Dental Premier offers all the benefits and national coverage you've come to expect from the country's largest network: more than 152,600 dentists and 339,500 dental locations. We have plans for individuals, seniors, and families. Delta Dental PPO – Plus Premier View Plan Details. Delta Dental PPO plus Premier Individual Choice - Preventive Plus. If your benefits cover two-phase orthodontic treatment, retainers are usually covered after each phase. Delta Dental of Massachusetts . Although newborn coverage will be from the moment of birth, any premium will not be required until the first of the following month. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Maximize your savings and keep your options open with our PPO plan. Out-of-Network Coverage Your Delta Dental PPO Plus Premier Enhanced Plan provides coverage for services received from dentists who don’t participate in the Delta Dental PPO or Delta Dental Premier networks. Click on the links below for more information on your 2020 Delta Dental plan. Thank you for choosing Delta Dental to protect your smile and improve your health. Access to care anywhere! A way to save . × Find My Delta Dental. Coverage for diagnostic and preventive care, including routine checkups, restorative care … We offer a few dentist networks for accessing care. Plus, there are no annual deductibles, waiting periods or maximums to worry about.³ . %%EOF If you would like to disable it, press enter now. Delta Dental PPO plus Premier Employee Choice - Preventive Plus Thank you for choosing Delta Dental to protect your smile and improve your health. Other Documents: Update / Enrollment Form View. The information contained herein is not intended as a Summary Plan Description, nor is it designed to serve as Evidence of Coverage for this program. For greatest value, members can choose a dentist in our PPO network, which includes 20% of Massachusetts dentists. Dental plans that work for you. Benefits Certificate - information on your benefits and coverage. Coverage. endstream endobj 550 0 obj <>/Metadata 16 0 R/Pages 547 0 R/StructTreeRoot 26 0 R/Type/Catalog/ViewerPreferences<>>> endobj 551 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 1008.0]/Type/Page>> endobj 552 0 obj <>stream Delta Dental PPO Plus Premier ... the member receives benefits as if he or she has Delta Dental Premier coverage in most cases. Delta Dental Premier vs. PPO: What’s the Difference? The national network of Delta Dental companies protects more smiles than any other insurance company. With three out of four dentists in the country and 96% of Massachusetts dentists participating in the Delta Dental Premier network, it’s our largest. the birth or adoption if your premium increases. 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). Retainers: One set of post-treatment retainers is covered. 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. They receive Delta Dental PPO ™ coverage when they see participating PPO dentists, and Delta Dental Premier coverage when they see participating Premier dentists. Your Delta Dental Networks . the country with more than 314,000 dentist locations. Plan Highlights. All Rights Reserved. Plan Summary - overview of plan benefits. It reflects and is subject to a contract between Delta Dental and your employer or organization. SM. 1 CT PPO/PLUS/PREMIER BLKT 1/18 – Self Funded Dental Benefits Summary Booklet Delta Dental PPOSM plus Premier® YALE UNIVERSITY Group # 04630-NON-UNION-00101,00102,00103 2 CT PPO/PLUS/PREMIER BLKT 1 Delta Dental PPO Individual Premium … h��Z�n�H�����%�"i��l9N��m-�8Y�����D�D;�|��*Rʢ;ه�PH����f�SuJq��p���� This page features a timed image rotator. h�b``�```:������� �XX86 9��@�d~�PK�SQr־��bA���K(-������d`�l�r@,����w�7�g?�?�C� �_ۘE.�L����J�Ӏ��uS�����\>��DL1`�Y������X��!���4#0 �H(d 581 0 obj <>/Filter/FlateDecode/ID[<3F747231D3714D2FAEA20A4F0413704E>]/Index[549 63]/Info 548 0 R/Length 135/Prev 898519/Root 550 0 R/Size 612/Type/XRef/W[1 2 1]>>stream However, the majority of our plans come with access to our Delta Dental PPO℠ or Delta Dental Premier® network. For those who require more extensive dental care that exceeds the Level 1 annual limit amount of $3,000, you have the protection of . Get the coverage you need for a healthy smile. The plan covers a wide array of services. Introducing Delta Dental PPO Plus Premier™ - Dental Access for Minnesota. With this plan, even if your Delta Dental Premier dentist is not in the PPO network, you still receive the benefit of that dentist's contracted fee. Access to care anywhere! Benefit Summary. subscriber, you have access to two of Delta Dental’s extensive national networks—Delta Dental PPO, with more than 228,000 dentist locations and Delta Dental Premier, the largest dental network in . Dental coverage provided shall include, but is not limited to, coverage for congenital anomalies of infant children. Delta Dental’s PPO network is one of the nation’s largest, with more than 112,000 dentists participating in over 278,000 locations nationwide. BE SURE FORM IS COMPLETED IN FULL TO ENSURE ENROLLMENT. Once you enroll, you’ll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays. As a Delta Dental PPO . �G߽�6��Mc\�c"�$�v8*�"2L�PV.��� �Ԗl���Z�x�CB�Ac NbabE6���F�G���i�(�"�q��L����qb�a�'� ����[p8��8 PLEASE PRINT OR … With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. Dentists in this network provide dental care to plan subscribers who participate in Comprehensive Standard, Comprehensive Enhanced, Preventive, Basic, Delta Dental PPO Plus Premier™ - Dental Flex and national dental benefit plans. Option 1: Delta Dental PPO ℠ – Select Plan. Level 1 provides coverage that meets most dental needs in a traditional dental benefit structure. Network: Delta Dental PPO℠ Choosing a network dentist Annual maximum: $1,000 Deductible: $100 Service. 611 0 obj <>stream Select your employer's headerquarters* or … Search for a specific dentist or find dentists in your area. The national network of Delta Dental companies protects more smiles than any other insurance company. Benefits. Benefit Certificate and Outline of Coverage - information on your benefits and coverage. Please refer to your Group Dental Service Contract, Evidence or Certificate of Coverage or Summary Plan Description for your plan’s specific coverage, limitations and exclusions. Implants, crowns, bridges, partials, and dentures. The Harvard University dental plan provides a unique design with two Levels of coverage within one plan . However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. The Delta Dental PPO Plus PremierIncented Voluntary Plan is 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. All are credentialed to National Committee for Quality Assurance standards. The network you should use depends on your plan’s coverage. Choose the best fit and get started. 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