Notice
Change Healthcare announced a breach of HIPAA privacy and is reaching out to individuals whose personal information may have been compromised. Although this incident does not involve Delta Dental of New Jersey or Connecticut, Change Healthcare is a vendor we used and we are providing this information to help our members who might be affected.
Delta Dental PPO™ Plan at a Glance
Delta Dental PPO gives you access to 114,000 unique participating dentists. Here’s what your plan offers you and your family.
 Excellent benefits with low out-of-pocket costs.Our participating PPO dentists offer large discounts off their regular fees for covered services. That means your benefit dollar goes further when you use PPO dentists. About three out of five dentists nationally are Delta Dental PPO dentists. With Delta Dental PPO, you may choose to visit any licensed dentist. However, dentists not in our PPO don’t offer these in-network discounts. You’ll always save more when you see PPO dentists.  It’s a snap to see if your dentist is
in our PPO network.Use our convenient “Find a Dentist” tool to check if your dentist is a participating PPO dentist. You can also search for other participating dentists in your area. |
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Delta Dental PPO Frequently Asked Questions
How can I save the most money with my dental plan?
You’ll save the most when you see PPO dentists, as they offer the greatest discount off their fees. You’ll pay less with PPO dentists than with Delta Dental Premier® or out-of-network dentists.
How can I find a PPO dentist?
Use our Find a Dentist tool and be sure to select the “Delta Dental PPO” network. Dentists with the “Greater Savings” icon participate in the PPO network.
Can I go to any dentist I want with this plan?
Yes, but you’ll save the most when you use a PPO dentist. You can see the difference in costs in these illustrations:
Regular Preventive and Diagnostic Visit
| Dentist's charge | Sample Delta Dental fees | Co-payment | Delta Dental Pays | Balance billed amount | Amount you pay out of pocket | |
|---|---|---|---|---|---|---|
| PPO Network | $274 | $160 | 0% | $160 | $0 | $0 |
| Premier Network | $274 | $180 | 0% | $160 | $20 | $20 ($180 - $160) |
| Non-participating | $274 | $160 | 0% | $160 | $114 | $114 ($274 - $160) |
For illustrative purposes only. Fees vary by procedure and location. Illustration assumes 100% coverage for P&D.
The savings are even more significant for a crown, another common procedure. In this example, choosing a PPO specialist saves you more out of pocket.
Getting a Crown
| Dentist's charge | Sample Delta Dental fees | Co-payment | Delta Dental Pays | Balance billed amount | Amount you pay out of pocket | |
|---|---|---|---|---|---|---|
| PPO Network | $1,526 | $960 | 50% | $480 | $0 | $480 ($960 - $480) |
| Premier Network | $1,526 | $1,042 | 50% | $480 | $82 | $562 ($1,042 - $480) |
| Non-participating | $1,526 | $960 | 50% | $480 | $566 | $1,046 ($1,526 - $480) |
For illustrative purposes only. Fees vary by procedure and location.
What if I go to a Delta Dental Premier® dentist or a non-participating dentist but my plan is PPO?
If you have a PPO-only plan and visit a Delta Dental Premier dentist or a non-participating dentist, you will not maximize your out-of-pocket savings. Members with a PPO-only plan will
pay the difference between the PPO fee and the Premier network fee or the non-participating fee (in addition to their co-insurance). Be sure to check your coverage and your dentist’s network participation before seeking dental care. You can find these and other important details of your dental coverage at your MySmile® personal benefits center.
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Delta Dental of Connecticut is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
