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. Does he or she 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 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 allowances as payment in full, which may be lower than what a dentist would typically charge.
See below for savings examples.
PPO 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.
The 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.
Our PPO network is one of the largest in the nation.
With more than 108,000 dentists participating in nearly 262,000 locations nationwide, the Delta Dental PPO network is one of largest in the U.S.1 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.
Most 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 or learn more about the Delta Dental PPO network.
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 on our Find a Dentist search tool today.
1 Delta Dental participating network count, March 2018