Choose a Dentist

Under the AARP® Dental Insurance Plan, insured by Dentegra Insurance Company and administered by Delta Dental Insurance Company, you're free to choose any dentist you want, or stick with the one you already have. However, by selecting a Delta Dental PPOSM dentist or a Delta Dental Premier® (Premier) dentist, you may reduce your out-of-pocket costs.

The following chart helps explain the difference in costs based on the dentist you choose.

Network Summary
  Delta Dental PPO Dentists Delta Dental Premier (Premier) Dentists Non-Delta Dental Dentists
Overview Provide greatest ability to limit your out-of-pocket costs May charge a somewhat higher fee than PPO dentists Have no fee limits and may charge full cost of treatment
Dentist's Fees Provide treatment at moderate fees; accept the Delta Dental PPO Maximum Plan Allowance as payment in full* Provide treatment at reduced, pre-negotiated fees; accept the Premier Maximum Plan Allowance as payment in full* Do not accept set or pre-negotiated fees; may charge full cost of treatment
Member Payment** Deductible
+
Copayment/Coinsurance
Deductible
+
Copayment/Coinsurance
+
Difference between the Delta Dental PPO Maximum Plan Allowance* and the Premier Maximum Plan Allowance*
Deductible
+
Copayment/Coinsurance
+
Difference between the Delta Dental PPO Maximum Plan Allowance* and the dentist’s full fee
Claim Process Delta Dental PPO dentists handle all claims and bill Delta Dental directly

Member receives notice explaining the portion of the bill Delta Dental and the member are responsible for paying
Premier dentists handle all claims and bill Delta Dental directly

Member receives notice explaining the portion of the bill Delta Dental and the member are responsible for paying
Non-Delta Dental dentists may or may not handle claims paperwork

Member may have to pay up front, then submit claim to Delta Dental to be reimbursed

* Delta Dental PPO Maximum Plan Allowance and Premier Maximum Plan Allowance may vary by dental office and/or dental specialty.

** Member is responsible for any amount over the plan Calendar Year maximum benefit and any non-covered service.

90-A-WEB-WGT 05/13

90-ID-WEB-004 02/13