Dental

Through Delta Dental you’ll have:

  • Access to one of the largest dentist networks in the country, making it convenient for you to use your existing dentist or find a new one.
  • To pay the lowest out-of-pocket costs, visit a Delta Dental PPO network dentist. If your current dentist is not in the PPO network but is a Delta Dental Premier network dentist, you will still benefit from cost protections, as Premier dentists will not bill you above their contracted fees.
  • Availability to view the Delta Dental website on your smartphone or mobile device.

How the Delta Dental PPO Plan Works

Delta Dental offers two networks: PPO and Premier. No matter which of these networks your dentist participates in, the plan pays the same benefit levels—100 percent for preventive care, 80 percent after the deductible for basic care and 50 percent after the deductible for major care. With the Delta Dental PPO plan, you can visit any licensed dentist, but you’ll usually pay less when you visit a Delta Dental PPO dentist. Delta Dental PPO dentists agree to accept Delta Dental contracted fees as full payment, so your share of the bill will likely be lower than when you visit a non-Delta Dental dentist.

If you don’t choose a Delta Dental PPO dentist, the next best option will generally be to visit a Delta Dental Premier Network dentist. Delta Dental Premier dentists’ contracted fees are usually somewhat higher than PPO dentists’ contracted fees. Premier dentists also will not bill you above their contracted fees, so you still receive cost protections not available with a non-Delta Dental dentist.

The Delta Dental PPO plan is easy to use.

  • No ID card is required to receive services; simply provide the dental office with your name, date of birth and Social Security number.
  • No claim forms to file when you use an in-network dentist. Delta Dental dentists file claim forms for you and accept payment directly from Delta Dental.
  • After a claim has been processed, you will receive a dental benefits statement from Delta Dental. This document lists the services provided, the costs of the dental treatment and any fees you owe your dentist.

How to Search for a Delta Dental Dentist

 To find the most current listing of Delta Dental network dental offices:

  • Go to www.deltadentalins.com/netapp and click Find a Dentist.
  • Under Dental Plan, select Delta Dental PPO as your plan network to get the most savings.
  • You can also select Delta Dental Premier if your dentist is not in the PPO network.

How the Plan Works

The plan offers coverage for routine visits, basic and major care, implants, and more—up to an annual maximum of $2,500. You can see any dentist you choose, in or out of the Delta Dental network. If you choose providers in the Delta Dental network, your out-of-pocket expenses will be lower.

What You Pay for Care

When you need dental care, this is what you’ll pay.

  In-Network Out-of-Network
Annual Deductible $50 single/$150 family $50 single/$150 family
Calendar Year Maximum The plan pays an annual maximum of $2,500 combined for services received in- and out-of-network
Plan Benefits
Preventive Care

Routine exams, cleanings, X-rays, etc.

Plan pays 100%, plan deductible does not apply Plan pays 100% of reasonable and customary (R&C), plan deductible does not apply
Basic Care

Fillings, gum disease treatment, root canal therapy, resin fillings, nitrous gas

You pay 20%, plan pays 80% You pay 20% of R&C, plan pays 80% of R&C
Major Care

Inlays, crowns, bridges

You pay 50%, plan pays 50% You pay 50% of R&C, plan pays 50% of R&C
Implants You pay 50%, plan pays 50% You pay 50% of R&C, plan pays 50% of R&C
Orthodontia
Orthodontia You pay 50%, plan pays 50% You pay 50% of R&C, plan pays 50% of R&C
Orthodontia Lifetime Maximum The plan pays a lifetime maximum of $2,000 combined for service received in- and out-of-network