Delta Dental PPO plus Premier is Delta Dental’s preferred provider organization (PPO). Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible. Find out what an EOB is and how to read it. * Not sure where your company is headquartered? For single premium. No matter which Delta Dental network the dentist is in, you’ll get the same great advantages of having a Delta Dental of South Dakota plan: Copyright © 2021 Delta Dental of South Dakota. What if my dentist is in the Premier network? Deductible. $25, not to exceed $75 per family . DELTA DENTAL PPO PLUS PREMIER - COMPREHENSIVE ENHANCED with Orthodontic Coverage Dental Benefit Plan Summary South Washington County Schools Group Number 6049 . You will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. PPO Plus Premier™ 5 2-9 Enrolled Employees. Learn more about maximums. 720 North Euclid Avenue, Pierre, SD 57501  |  605-224-7345. Connect with your Delta Dental to learn more. Delta Dental PPO Plus Premier™ 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. After a visit to the dentist, you may receive an Explanation of Benefits, or EOB. A deductible is the amount you pay out-of-pocket each year before your plan begins to pay for covered dental treatment costs. Minimum of 2 employees enrolled. Delta Dental PPO Plus Premier Coverage Summary for Smithsonian Astrophysical Observatory Deductible: $50 per individual I $150 per family. Health through Oral Wellness. 100/100/60 PPO Plus Premier 5 AA With a $50/$150 Deductible and $1,500/$1,000 Calendar Year Maximum Download. Deductible Note. No balance billing. Coinsurance. Deductible waived for Diagnostic and Preventive categories. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. Delta Dental PPO plus Premier Benefits for Prince William County Group Number: 6292 Effective Date: July 1, 2018 Ask your dentist to file a pre-determination of benefits before treatment begins – it is not required but recommended for services over $250. Per person per calendar year. At that point, the family deductible is considered to be met. 75%. With the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed provider. Estimates should not be construed as financial or medical advice. If you are considering a PPO dental plan, keep in mind that you’ll pay a higher premium and will likely be required to meet a deductible. This sheet provides a brief description of important features of the Delta Dental PPO plus Premier dental program. Delta Dental PPO and Delta Dental Premier® allowance, plus any required coinsurance and deductible (if applicable) as payment in full. Delta Dental gives you an added benefit other carriers can't — our dual network safety net. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. $50. Employer Contribution. 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. Delta Dental PPO Plus Premier Delta Dental PPO Plus Premier Delta Dental PPO Standard Delta Dental PPO Standard Network Type PREMIUMS (Based on home ZIP code) Each plan includes the pediatric dental benefit as required by the Affordable Care Act. That gives you a lot of choices, and you’ll still get discounts for services. A way to save . 1 $1,200 . Call our interactive voice response telephone line. Delta Dental PPO plus Premier Network. A Premier dentist will still give you discounted fees and the largest network of dentists from which to choose. With Delta Dental PPO plus premier, you have the benefit of choosing a dentist from either the PPO or Premier network. In that case, you would be responsible for any applicable coinsurance (though many plans cover diagnostic and preventive services at 100%) or additional charges when visiting a non-network dentist. Periodic Oral Exam Once every 6 … When dentists join our PPO (Preferred Provider Organization) network, they agree to accept fees lower than those in our Delta Dental Premier 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. Beginning February 1, 2021, monthly premiums will start at $17.00. PPO Plus Premier™ 3. Monthly Rate: Single. Delta Dental PPO TM Under this program, you may use any dentist you wish. This option offers an added advantage to patients receiving treatment from a Delta Dental PPOSM Provider. Delta Dental PPO plus Premier; Delta Dental PPO (or Delta Dental Premier) Delta Dental PPO Choice; If your ID card shows one of these plans, you may visit a Delta Dental Premier dentist and your benefits will be covered. Calendar Year Maximum: $1,500 per person. One time per person. 100%. Employer Contribution. 10. Employee Enrollment % Required. Around 98% of dentists in South Dakota are members of our Premier network. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Consult your dentist or physician for information or treatment specific to you and your health. Use the Find A Dentist tool on our website or on the mobile app to search for dentists by city and network. Delta Dental network dentists handle all claim forms and other paperwork, so there is less work for you. Deductible. Enrolled members get a broad choice of dentists in two networks and lower out-of-pocket costs. Benefit Summary . 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. © Delta Dental. In addition, most PPO dental plans have an annual limit on the amount of coverage . There are three ways to check the amount of your remaining deductible: 1Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Employees will love that they can be treated in-network by one of the 500 NJ dentists who accept only Delta Dental. Yes. PPO Plus Premier 5 AB With a $50/$150 Deductible … 10. Delta Dental PPO and Delta Dental Premier® required coinsurance and deductible (if applicable) as payment in full. Health Care Marketplace (Exchange) Customers: This feature uses javascript. Yes. The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. Plan Highlights. Advantages of the Delta Dental PPO Plus Premier Plan: It pays to use Delta Dental network providers — especially those in our PPO network. Per person per calendar year. 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. DeltaCare USA: Network for most group plan enrollees, DeltaCare USA Individual: Network for Individual plan enrollees (CA only), DeltaCare USA Medicare: Network for Medicare Advantage plan enrollees (CA only), DeltaCare USA Connect: Network available only to enrollees in select southern California groups. Read Your Dental Plan Description Carefully—This Outline of Coverage provides a very brief description of the important features of your dental benefits plan. PPO Plus Premier All voluntary group plans are Delta Dental PPO Plus Premier plans. A minimum of two subscribers must be enrolled in either Delta Dental PPO, PPO - Plus Premier and/or - Plus Premier “Elite” plans. $42.25 on 2/1/21. Delta Dental of South Dakota is a part of the Delta Dental Plans Association. Finding a dentist in our Premier and PPO networks is easy. What if your dentist isn’t a Delta Dental dentist? We'd be happy to visit with your dentist about joining our PPO network. Non-Par . PPO Plus Premier 5 BA With a $75/$225 Deductible and $1,500/$1,000 Calendar Year Maximum Download. For single premium. That’s great too! Get assistance in a language other than English, Viewing your eligibility information online, Finding your Delta Dental plan information, Beware of offers to waive coinsurance amounts, Go Paperless: Access Your Statements Online, Adding a spouse or dependent to your plan, Mobile Online Services – your ID card and benefits on the go, Amount Plan Pays — 80% of $150 (balance after deductible is paid), Remaining Balance (after you pay the deductible and the plan payment is calculated). $1,500. All Rights Reserved. A PPO dentist will typically offer you the lowest out-of-pocket costs on services. Rates are effective January 1, 2020 – December 31, 2020. However, your out-of-pocket costs may be lower when you select a dentist who participates with Delta Dental. If you have a fee-for-service benefit plan, your plan pays a predetermined percentage of the treatment cost and you’re responsible for paying the balance. What should you expect from your dentist? Lower out-of-pocket costs than if you visited a dentist who doesn't participate in our networks. If you do not have State of Wisconsin group health coverage and therefore are not enrolled in the UDB plan, you have the option to enroll in this supplemental preventive plan. The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. This is not the insurance contract, and only the actual policy provisions will control. አማርኛ       Français       Srpsko-hrvatski       中文       Deutsche       नेपाली       한국어       Adamawa       Oromiffaa       Русский       Español       Tagalog       Українська       Tiếng Việt, I have dental insurance through my employer. Either option offers savings and access to both of our great networks. However, you will receive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. When you have a family deductible, the individual deductible applies per person until the family deductible amount is reached. Contact your company's human resources department. Delta 1000 Monthly premium starts at $36.16 Enroll Now. $50 annual deductible (per person) for all Delta Dental Select plans. Plan Highlights. Contact our Professional Relations team at 800-627-3961 or delta.prof@deltadentalsd.com to refer us to your dentist. 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