Background on Delta Dental Network Policy
Network dentists (dentists who are contracted to participate in Delta Dental PPO and/or Delta Dental Premier networks) will receive benefit payment directly from Delta Dental of Illinois for all patients covered by the State of Illinois Group Dental Plans, as they do now for all Delta Dental of Illinois members. The member is only responsible for the applicable deductible, services not covered by the plan, amounts greater than the member’s Schedule of Benefits but up to the dentist’s contracted network amount, and any amounts exceeding the annual benefit maximum. In accordance with the network dentist agreement, members cannot be charged upfront for any other amounts.
The State has worked with Delta Dental of Illinois to support a network-based plan and has expedited claim reimbursement to Delta dental network dentists.