Find answers to your questions about costs and fees
Where do I find rate information for your dental plans on your web site?
Our web site offers pricing and online enrollment for our DeltaCare USA individual/family plans only. These programs let you select one dentist from the DeltaCare USA network to provide primary care for you and your family. Click here for information about these programs.
We do not have cost information on our web site for group coverage since it varies according to the requirements and characteristics of that group. If your employer offers Delta Dental as one of its dental plan choices, please contact your personnel office for more information about rates.
Back to top
How do I obtain information about fees for treatment?
Talk to your dentist
Your dentist has easy access to your individual coverage information. Many patients are reluctant to ask their dentist for pricing information, but your dental office will probably welcome the opportunity to discuss fees and your share of the cost.
Your dentist can also request a predetermination, or free estimate, from Delta Dental. The predetermination is based on your records and your dentist's proposed treatment plan. Delta Dental will review your x-rays, diagnosis and coverage, and send a statement back to your dentist detailing what Delta Dental will pay, and what your costs will be.
Read more about predeterminations |
|
Delta Dental's payment varies depending on:
The dentist you select
Most Delta Dental programs let you choose any dentist, and every Delta Dental dentist has a different set of approved fees on file for each service.
Under most Delta Dental programs, you will have a certain percentage of coverage (for example, 80 percent coverage for diagnostic and preventive services such as cleanings and x-rays). One dentist might charge $50 for a procedure and another might be approved to charge $75. While the coverage is always 80 percent, the dollar amount of the coverage and your copayment (the remaining 20 percent) depends on the dentist you visit.
The program you're enrolled in
Some Delta Dental programs, usually our Delta Dental PPO programs, offer a higher level of coverage if you select an in-network dentist. Others offer a higher level of coverage if you regularly visit the dentist.
Some Delta Dental programs, usually our Delta Dental Premier table of allowance programs, cover a certain dollar amount for each procedure. You pay the difference between the table amount and your dentist's approved fee. (In this case, your employer will give you a list of the amounts Delta Dental will pay for each procedure.)
Other programs, usually DeltaCare USA programs, specify the dollar amount you will pay for each service. You receive a list of these services and copayments and you select the DeltaCare USA dentist who will provide primary care for you and your family.
Back to top
How often do I pay my deductible?
Most dental plans are based on a calendar year (January through December), which means you pay your deductible once each year.
When a service (such as a filling) is provided, any applicable deductible is added to your copayment. It may take more than one service to satisfy the entire deductible.
Depending on your dental plan's design, some services (often diagnostic and preventive services) may not be subject to any deductible.
Back to top
|
