They also complete your claim forms and can advise you on questions about your share of the payment. Both plans help cover costs of more expensive procedures like crowns and root canals that are not covered by preventive benefits plans. - Coinsurance: The percentage of the costs you pay for a dental treatment after you meet your deductible. Explore all your plan … Preventive services are included in this tool. Claims will be processed when received according to your plan provisions. Have a question about coverage or looking for dental insurance? Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. In general, out-of-pocket costs are lowest if you see a Delta Dental PPO℠ dentist. Health information changes quickly. The plan meets your needs by providing comprehensive coverage for cleanings and exams, fillings and crowns, root canals and oral surgery. The data is based on actual, non-discounted charges that providers have billed. Some plans are PPO-only plans. Therefore, it is always best to confirm information with your health care professionals. Reimbursement is calculated based on maximum contract allowances. Delta Dental of Washington Benefit Highlights: Covers up to four periodontal cleanings a year under certain qualifying periodontal circumstances Periodontic cleaning and maintenance covered under Class I Endodontics (root canals) and Surgical Periodontics (root planing and scaling) covered under Class II The company that administers the claims is Delta Dental of Minnesota. One-time enrollment fee: $10.00. What is some dental insurance terminology I should know? Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. With a focus on prevention, dental insurance typically covers professional services like routine check-ups, cleanings and exams at 100%. Network dentists are paid contracted fees. You will also want to look at network size and applicable restrictions. Here are the benefits of creating an account. Sign up if you would like to receive occasional treats. At Delta Dental, we offer a wide variety of affordable individual dental insurance plan options. Does dental insurance cover cosmetic procedures? Your provider and the plan will take care of the rest. This preferred provider plan offers the convenience and flexibility of visiting any licensed dentist. For cosmetic dental procedures like teeth whitening, coverage is usually not provided by employer plans and is rarely provided by any type of dental insurance. There are three levels of Providers to choose from who are located nationwide: OON - Out of Network PPO / Premier - Delta Dental PPO. Review your Evidence of Coverage, Summary Plan Description or Group Dental Service Contract for specific details about your plan. 2 You can still visit any licensed dentist, but your out-of-pocket costs may be higher if you choose a non-PPO dentist. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. That's why keeping smiles healthy is what we do. Get started here. All of those matters are things that you should decide, in consultation with your dental care professionals. Plans starting* from The national network of Delta Dental companies protects more smiles than any other insurance company. Information regarding the Cost Estimator content. 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