Delta Dental Coverage Availability & Fees
With Delta Dental, you can expect their plans to vary based on their type (i.e., Delta Dental PPO, Delta Dental Premier, or DeltaCare USA). With a PPO or Premier plan, you are free to choose any licensed dental professional, but if you want to save the most money on you and your family’s oral healthcare, it’s best if you choose someone like Dr. Henkin who is an in-network provider. This ensures that you pay the lowest possible price for the services you receive because of her pre-negotiations with the insurer regarding fees and services.
You can expect most of your preventive services (i.e., checkups and cleanings, X-rays) to be covered at 80-100% while minor restorative treatments are covered at 70-80% and major restorative care is covered at 50-70%.
If you have a DHMO (DentalCare USA), you’ll not only need to select a dentist from a designated list, but you’ll likely have a copayment each time you visit but be able to determine how much you can expect to pay for each service.
No matter the type of plan you choose, you will likely need to use your benefits within a single calendar year. Your annual maximum and deductible will be considered when it comes to your insurance company paying for all or a portion of your treatment. Should you need assistance in reducing your out-of-pocket expenses, our team will work with you to identify ways in which this can be made possible.
