Delta Dental Copay

Advantages of the Delta Dental EPO Copay Plan: Exclusive Panel Option: Copay A feature of Delta Dental PPO™.If your plan covers orthodontia, please note that if you are in the middle of orthodontic treatment and your provider is not in the Delta Dental PPO network, your treatment will. If you see a provider that is not in the Delta Dental Premier or Delta Dental PPO networks, you will be responsible for all charges incurred. Find a listing of more than 1,000 Delta Dental PPO provider locations in Colorado and hundreds of thousands of Delta Dental network providers nationwide at www.DeltaDentalCoversMe.com, or call 888-899-3734. Does Delta Dental have a copay? A typical DHMO-type plan doesn’t have any deductibles or maximums. Instead, when you receive a dental service, you pay a fixed dollar amount for the treatment (a “copayment”). Delta Dental offers DeltaCare® USA plans that feature set copayments, no annual deductibles and no maximums for covered benefits.

1. Delta Dental Copay For Fillings
2. Delta Dental Copay Schedule
3. Delta Dental Copay Amounts
4. Delta Dental Copay Calculator
5. Delta Dental Copay Plan
6. Delta Dental Copay For Root Canal

Individual Plan disclosures:

Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy- IENT-P-CORE-DC-REV2018), FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.

DeltaCare USA plans are underwritten in these states by these entities: CA — Delta Dental of California; DC (Policy- I-P-DC-dc) and FL — Delta Dental Insurance Company; MD and TX — Alpha Dental Programs, Inc.; UT — Alpha Dental of Utah, Inc.; NY — Delta Dental of New York, Inc.; NV — Alpha Dental of Nevada, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.

In Florida, Delta Dental Insurance Company provides DeltaCare USA Plan benefits as a Prepaid Limited Health Service Organization as described in Chapter 636 of the Florida Statutes.

Individual PPO plans have flexible enrollment. Here is an example of the effective dates based on plans: When does coverage become effective? DeltaCare® USA Plans purchased by the 21st of the month will become effective on the first date of the following month.

• E.g., a plan purchased on June 17 would become effective on July 1. Plans purchased after the 21st will not be effective until the month after that.
• E.g., a plan purchased on July 25 would not be effective until September 1. Delta Dental PPO™ plan purchasers have flexible enrollment options. Plans purchased from the first through the 14th of the month have effective date options of: the 15th of the current month, the first of the next month, the 15th of the next month or the first of the month after next.
• E.g., a plan purchased on July 3 can be effective July 15, August 1, August 15 or September 1. Plans purchased on or after the 15th of the month have effective date options of: the first of the next month, the 15th of the next month, the first of the month after next or the 15th of the month after next.
• E.g., a plan purchased on July 15 can be effective August 1.

Group Plan Disclosures:

Delta Dental PPO™ is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.

DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.

1. Delta Dental Unique Dentists Penetration Report, 2019
2. Dental Actuarial Analytics, 2017 Dental PPO Study, includes all Delta Dental member companies
   
3. In some states, DeltaCare USA is offered as an open access plan where enrollees can obtain treatment from any licensed dentist; however, deductibles and maximums may be applied for services provided by an out-of-network dentist.
   
4. In Texas, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.
   
5. In WY, you do not need to select a primary care dentist, but you must visit a network dentist to receive benefits. In the following states, you can maximize your savings when you visit a network dentist, although you may visit any licensed dentist and receive out-of-network coverage: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT. Refer to your plan booklet for details about your out-of-network benefits.
   
6. Limitations and exclusions apply. Refer to your plan booklet for more information about covered services, deductibles and maximums.

DeltaCare USA is our copay (or DHMO-type) plan. It requires enrollees to choose one primary DeltaCare USA network dentist for their routine dental care. With helpful online tools to locate participating providers, it’s easy to find and select a dentist. (If an enrollee does not select a primary care dentist, Delta Dental will select one near the enrollee’s home address.)

Enrollees pay only a predetermined copayment — a fixed dollar amount — at the time of the visit. Enrollees receive a welcome kit upon enrollment, which defines their copayments up front for all covered services.

Delta Dental Copay For Fillings

Delta Dental Copay Schedule

There are no annual maximums or deductibles to satisfy before the plan begins paying benefits.

A copay with choice

Enrollees (in most states) are required to visit a DeltaCare USA network dentist, but that doesn’t mean their choices are limited. Our copay plan is about more than affordability — we’ve built a large DeltaCare USA network so your enrollees can choose a great primary care dentist that suits their needs. The DeltaCare USA network gives enrollees plenty of options if they need to visit a specialist (their primary care dentist will help coordinate care).

Delta Dental Copay Amounts

Web features for DeltaCare USA enrollees

With our Online Services, it’s simple for your DeltaCare USA enrollees to maximize their plan. Registration is easy – the three-step process takes just a few minutes. Be sure to share this information with enrollees so they can take advantage of all the great features.

Find and select a DeltaCare USA dentist

Enrollees can find a provider and select or change their dentist behind login to Online Services (or by calling 1-800-422-4234.) If they know their network, enrollees can also Find a Dentist without logging in to Online Services.

Check benefits, eligibility, and claims

Delta Dental Copay Calculator

Checking specialty claims statements and benefits and eligibility, including covered services is easy with Online Services.

Delta Dental Copay Plan

View or print ID cards

Delta Dental Copay For Root Canal

Enrollees can view, print or email their ID cards.