Delta Dental has the following dental coverage plans available: individual PPO basic plan, individual PPO premium plan, and PPO Plus Premier.
Delta dental coverage plans
You can save more money and have options as well as flexibility with a Delta Dental PPO plan. Additionally, you can be sure that you will receive high-quality dental care because all dentists in the network have credentials proving they meet or exceed Delta Dental’s requirements.
Delta Dental PPO Individual – Basic Plan
You get an estimate of 100% coverage for essential preventive care. Coverage for dental fillings and tooth removals begins after 6 months.
Delta Dental PPO Individual – Premium Plan
You get an immediate estimate of 100% coverage for essential preventive care and lower out-of-pocket costs. Coverage for tooth fillings, root canals, teeth whitening, and crowns is available after 6 months.
Delta Dental PPO Plus Premier
You get more advantages with Delta Dental PPO Plus Premier because it combines the Delta Dental PPO and Delta Dental Premier networks. You still benefit from the dentist’s contracted fee with this plan even if your Delta Dental Premier dentist is not a part of the PPO network.
Looking for a dentist takes Delta Dental PPO?
Delta Dental tooth extraction cost coverage?
According to Delta Dental, an estimated 80% of basic procedures such as tooth extractions are covered by Delta Dental PPO plan. Be aware that these services may be subject to a deductible, which is the sum you must pay before your dental insurance begins to pay, unless you receive preventive or diagnostic care. Source
Delta Dental covers Wisdom teeth removal?
Yes, Delta Dental covers wisdom teeth removal. Depending on your specific circumstances, a Delta Dental insurance plan normally covers between an estimated 50% and 80% of the entire cost of your wisdom teeth removal procedure. The average out-of-network cost of surgical extractions of wisdom teeth is $3,120. This price includes up to an hour of general anesthesia as well as the surgical removal of all four wisdom teeth from beneath the gum line. The average out-of-network cost of non-surgical removal of third molars is $720 while the average out-of-network cost of the surgical removal of a single wisdom tooth below the gum line is $550 per tooth. With Delta Dental, you’ll be able to reduce these costs. Source
Does Delta Dental cover X-Rays?
Yes, Delta Dental covers dental x-rays. Delta Dental offers an estimated full (100%) coverage of dental x-rays. Delta Dental PPO individual plans do not require waiting periods for diagnostic services such as dental x-rays. However, some policies only pay for bitewing x‐rays, one set every 12 months. while full mouth x-rays once every 5 years. Source
Delta Dental covers Braces?
Yes, braces are covered by the individual plans offered by Delta Dental. Braces are estimated to be 50% covered by the Delta Dental PPO premium plan. However, there is a maximum orthodontic coverage limit of $1,500 per person and a 6-month waiting period. In conclusion, if you choose a higher premium plan from Delta Dental, braces are covered. Source
Is Invisalign covered by Delta Dental?
Yes, about an estimated 50% of the total cost of your Invisalign treatment will be covered by Delta Dental if your plan includes orthodontic benefits. By checking the fine print in your insurance policy, you can make sure that orthodontic treatments like Invisalign are covered. Watch out for a few provisions in the insurance policy, such as a non-covered expense clause, that could prevent you from receiving Invisalign coverage. You will not be covered for Invisalign if your insurance policy specifies that orthodontics are not covered services or expenses. Additionally, keep an eye out for restrictions and exclusions. There may be a clause limiting orthodontic benefits only for those who are 19 years of age or younger. All insured members who are older than 19 will not be eligible for the orthodontic benefit, including reimbursement for Invisalign treatment, due to this specific limitation. Source
What does Delta Dental cover for dental implant?
Delta Dental PPO Plan offers an estimated 50% coverage for dental implants. Teeth implants are estimated to be 40% covered under Delta Dental Premier Plan while Delta Dental PPO Plus Premier Plan covers an estimate of 40% for dental implants or covers an estimated 30% for out-of-network. However, keep in mind that waiting periods, annual maximums, and deductibles are applicable and that they can significantly lower the amount of coverage you can use for teeth implants. Don’t expect to be able to buy insurance for dental implants if your teeth are already missing because not all policies cover pre-existing conditions like missing teeth. Source
Does Delta Dental cover dentures?
According to Delta Dental, its PPO plans cover an estimated 50% of major procedures including dentures. However, you must keep in mind that unless you receive preventative or diagnostic care, these services may be subject to a deductible, which is the amount you must pay before your dental insurance starts to pay. Certain pre-existing conditions, such as missing teeth, are not covered by some insurance plans. You may have to pay for your own procedure if you already had a condition when you signed up for your dental plan. Source
How much does Delta Dental cover for Veneers?
Delta Dental offers plans that cover cosmetic procedures like dental veneers. About an estimated 50% of the total cost of veneers are covered. However, only the six front teeth, bicuspids, and upper front molars are covered with porcelain veneers on crowns or bridges. Source
Delta Dental accepted for Gum Grafts?
Principal Dental covers an estimated 50% of the cost of tissue graft procedures such as gum grafts. Deductibles apply. Deductibles are the amount you must pay before your dental insurance starts to pay. Before the procedure, be sure to check with your insurance provider. Source
Does Delta Dental cover Cleaning and Tooth Fillings?
According to Delta Dental, their PPO plans cover an estimate of 80% of basic procedures like dental fillings while covering an estimated 100% of preventive care such as dental cleanings. However, you should be aware that these services can be subject to a deductible, which is the sum you must pay before your dental insurance begins to pay, unless you get preventative or diagnostic care. Additionally, your plan may impose time restrictions between certain services, like teeth fillings. Source
For latest information, please visit: https://www1.deltadentalins.com/individuals/plans/delta-dental-ppo.html for more details.
DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Delta Dental.