Go PPO

It’s Smart to Go PPOSM

With so many dentists to choose from, it’s normal (and smart!) to have questions about picking one that best fits your needs. Do they have a good reputation? Are the prices fair? Is it a hassle to deal with claims? Dentists who agree to participate in the Delta Dental PPO network have the advantage when it comes to all of those questions and more! Here’s why.

A PPO dentist helps you saveA PPO dentist helps you save.

Dentists in the Delta Dental PPO network have agreed to accept Delta Dental’s established PPO fees as payment in full for services. On average, these fees are 30 percent less than what the dentist would typically submit for a claim. Delta Dental PPO network dentists have also agreed not to “balance bill” patients. That means they can’t bill you for the difference between what they usually charge and the Delta Dental established PPO fee. Visiting a Delta Dental PPO dentist means lower out-of-pocket costs and the best value for you.

Delta Dental Premier® is a safety net for our Delta Dental PPO network. You will pay more out-of-pocket with a Delta Dental Premier dentist compared to a Delta Dental PPO dentist. However, you may save more money with a Delta Dental Premier dentist compared to a non-network dentist. Delta Dental Premier dentists agree to our maximum plan allowance as payment in full, which may be lower than the dentist’s regular fee.

Most plans feature Delta Dental PPO Plus Delta Dental Premier where members can receive in-network benefits from both networks. This offers members more choice and network protections since all Delta Dental network dentists must follow Delta Dental’s processing policies and meet network credentialing standards.

More than 3 out of 4 dentists participate in a Delta Dental network. Find a Delta Dental PPO or Delta Dental Premier dentist today!

See below for savings examples. This information is for illustrative purposes only.

PPO-Example

   

credentialedPPO dentists are credentialed.

In addition to securing lower fees at network dentist offices, Delta Dental strives to ensure quality care and service for our members. That’s why each dentist in our network goes through a stringent credentialing process to make sure he or she meets or exceeds our high standards.

   

   

claim paymentsThe dentist deals with claim payments.

When you use a PPO network dentist, claim payments are sent directly to that dentist. If you visit a dentist who isn’t in Delta Dental’s network, claim payments may be sent directly to you – meaning that out-of-network dentists may require you to pay the full cost of your care right at the office.

   

   

large networkOur PPO network is one of the largest in the nation.

With more than 75% dentists nationwide participating, nearly 85% of our members use a Delta Dental network dentist. This not only gives you a good selection of qualified dentists to choose from; there’s a good chance your current dentist already participates in Delta Dental’s PPO network.

   

   

PPO networkMost dentists accept Delta Dental, so be sure to mention the Delta Dental PPO network by name or show your ID card to find out if your dentist participates. You can also visit our Find a Dentist tool to search for participating dentists.

Note: Delta Dental PPO savings apply to members covered by a PPO plan. Check your benefits certificate or talk with your benefits administrator to see if your plan is part of the Delta Dental PPO network.

   

Find a Delta Dental PPO dentist near you today.