Delta Dental pays participating dentists directly for each covered service rendered based on the lesser of the submitted fee or Delta Dental's maximum fee allowance, not a published fee schedule or monthly dollar amount. Delta Dental PPO TM and Delta Dental Premier ® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. ... Option 2: Delta Dental PPO Plus Premier™ Select Plus Plan. Yes, you can participate in one or all of our programs: Delta Dental Premier; Delta Dental PPOTM, which includes Delta Dental Patient Direct®; and Delta Dental EPOTM, our closed-panel program. Adding a major coverage supplemental dental plan with a basic coverage plan can help cover the cost of more extensive (and expensive) treatments. Find a Vision Provider. I receive dental insurance through my employer I purchase dental insurance on my own. You may use a clearinghouse that will usually charge a per claim or monthly fee, or you may mail paper claims to: Delta Dental Log in to your online account or check with your employer to see if your plan includes: . If you or a family member need dental work you didn’t plan on, a supplemental dental plan can help reduce the amount you pay. If you are currently enrolled in a plan through Delta Dental of Wisconsin, you will automatically be re-enrolled for 2021 and don’t need to do anything. No, it is neither. For DeltaDentalWI.com to work properly, enable JavaScript by changing your browser options, then try again. Visit a dentist in your network to get the most savings. affordable plan options, easy access to your dentist of choice, and hassle-free customer service. The analysis will compare your 25 highest Delta Dental utilized dental procedures and the fees submitted by your office to Delta Dental's maximum approved fees. If you want benefits from this policy you must see a Delta Dental Premier or Delta Dental PPO network dentist. 1 Select any licensed orthodontist under your plan; however, your costs will typically be lower if you choose an in-network orthodontist. If you have a Delta Dental Premier plan, then you get the most from your coverage when you visit a Delta Dental Premier network dentist. Review the information in this section before contacting customer service. A message to the members of the Delta Dental Community: The overall health of our Delta Dental employees, members, dentists, clients and brokers is our top priority. Delta Dental of Wisconsin is the state's No. We want to help you make the most of your smile and recommend upgrading to a supported browser. We noticed you are using a web browser not supported by DeltaDentalCoversMe.com. geographical area serviced by Delta Dental PPO Providers or Delta Dental Premier Providers, Delta Dental will directly reimburse the Covered Person for actual costs incurred for palliative (emergency) treatment of dental pain – minor procedure. Higher out-of-pocket costs than PPO, but may be lower than non-network . If you enroll in the Select Plus plan, you should use a provider in Delta Dental’s PPO and/or Premier network. All policies are administered, at least in part, by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services, Inc. Close Hi! Wellness library. Delta Dental Medicare Advantage and Delta Dental Patient Direct coverage are not available in all 50 states. The national network of Delta Dental companies protects more smiles than any other insurance company. COVID-19 Announcement. SIGN IN or REGISTER to access more tools: Chat with a Customer Experience Specialist. To us it's the start of a story. Print Your ID Cards. * Treatment Category If you are currently enrolled in a dental plan/plans through Delta Dental of Wisconsin, you will automatically be re-enrolled in the same plan for 2021 and don’t need to do anything. from Delta Dental. Lowest out-of-pocket costs for you. This network provides the best value and lower out-of-pocket costs. You may also qualify for a deductible waiver. ... All policies are administered, at least in part, by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services, Inc. Close Hi! Delta Dental PPO TM and Delta Dental Premier ® enrollees: Before you begin implant treatment, ask your dentist to obtain a pre-treatment estimate. Delta Dental insurance plans have built-in features to help you maximize your dental coverage. Eligible employees have two supplemental dental plans available to them through Delta Dental and may enroll in one of them. These plans make it easy to receive Delta Dental coverage and protect your health. Delta Dental Premier dentists agree to abide by Delta Dental’s determination of fees. Find a dentist. Delta Dental is a nonprofit, group dental benefit administrator. Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. Delta Dental Premier is a standard fee-for-service dental benefits program. They have also agreed not to charge You any amount that exceeds the Maximum Plan Allowance (MPA). If you plan on enrolling in a different dental plan for 2021, or are adding a supplemental plan. Delta Dental is here to help you find a dentist. Delta Dental of Wisconsin sells and services dental insurance and vision insurance to any size business. The fees are reviewed at least twice a year and updated as necessary. Contact Delta Dental. Delta Dental Plans Association, September 2019. Your Delta Dental PPO plan also allows you to visit Delta Dental Premier dentists although, typically, you'll enjoy lower out-of-pocket costs when you select a Delta Dental PPO dentist. Large network of dentists nationwide. If you plan on enrolling in a different dental plan for 2021, or are adding a supplemental plan, visit the ETF website to verify eligibility and coverage. We want to help you make the most of your smile and recommend upgrading to a supported browser. To assist new and existing Delta Dental members in locating your office, we provide listings of participating dentists on our websites, our online Consumer Toolkit® and through DASI. If the problem persists, please contact Customer Service using the Contact Us tool. No. You can verify eligibility and access benefits and claims information online through the Dental Office Toolkit®, or you can call 800-524-0149 and use DASI, our automated voice response system. EPO plan holders, please see any PPO network dentist. The primary differences between the two plans are the provider networks, premium cost, annual maximums and whether orthodontia is covered (Select Plus Plan only). Connect with your Delta Dental company to learn more. Search for a Delta Dental PPO or Delta Dental Premier network dentist by name, specialty, or location. Subject to annual maximum. Find a dentist. DeltaCare ® USA Delta Dental PPO TM and Delta Dental Premier ®; Getting started: You don’t need a referral to begin orthodontic treatment. Get covered for basic procedures such as cleanings, fluoride treatment, fillings, and orthodontia. The national network of Delta Dental companies protects more smiles than any other insurance company. It also covers child orthodontia up to $1,500. You can feel good about Delta Dental of Wisconsin. We educate and empower people to take responsibility for their oral health. For submitting claims electronically at no charge, use the Dental Office Toolkit®. If you are a Delta Dental PPO TM 1 enrollee, check the Delta Dental Premier ® network. Both plans provide coverage for major services, such as crowns and implants, but do not cover preventive or basic services, such as cleanings a… Both dental plans have an annual maximum and deductible , so click to learn more about how those affect you. Lowest out-of-pocket costs for you. DeltaCare members must use a DeltaCare dentist. Uniform Dental is only available if you enroll in health insurance under the State of Wisconsin or Wisconsin Public Employers Group Health Insurance Program. Both Delta Dental PPO ™ and Delta Dental Premier ® providers work with us directly for claims and payment — so you don’t have to worry about any paperwork. Get additional coverage for items such as crowns, bridges, dentures, implants, adult orthodontia, and root canals. Combining networks, ... (Delta Dental PPO or Delta Dental Premier, hours, accessibility, distance from you, complete contact information and website and email address (when available). You can enhance your Uniform Dental Benefit or Preventive Plan coverage with: Delta Dental PPO™ - Select Plan; Delta Dental PPO Plus Premier™ - Select Plus Plan ... All policies are administered, at least in part, by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services, Inc. Close Hi! Connect with your Delta Dental company to learn more. There are no plan changes for UDB, Preventive, or Major Supplemental dental benefits in 2021. Delta Dental Premier is our original fee-for-service plan that offers the largest network of dentists. Dental & Vision Benefit Plan Information Delta Dental Plans. SEE BASIC COVERAGE PLAN DETAILS Major Coverage Large network of dentists nationwide. Delta Dental is the largest dental plan system in the United States, also known as Dental Service of Massachusetts. Just a few benefits of participation include direct payment, new and retained patients who have the motivation and financial support to seek dental care, and Delta Dental's superior service and assistance. That’s why 90% of them have joined the Delta Dental team – making Delta Dental Premier the largest network of dentists from Superior to Kenosha. The Uniform Dental Benefit Plan (UDB) helps cover the cost of preventive care like exams and cleanings, as well as minor restorations like fillings. Download Forms. However, you will need to visit a DeltaCare USA orthodontist to receive benefits. Delta Dental Premier is a standard fee-for-service dental benefits program. Delta Dental Premier Providers have signed a contract with Delta Dental or another member of the Delta Dental Plans Association, agreeing to accept direct payment from Delta Dental. Affordable dental … All policies are administered, at least in part, by Delta Dental of Wisconsin and/or its subsidiary, Wyssta Services, Inc. Close Hi! Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. To get a list of participating specialists in your patients' area, call DASI at 800-524-0149, or use our online dentist directory. Have a question about coverage or looking for dental insurance? Participating dentists agree to follow the Uniform Requirements (which can be reviewed prior to signing an agreement); abide by the processing policies (which can be reviewed prior to signing an agreement); charge members their applicable copayments; and accept payment directly from Delta Dental. Enrollment continues each year unless you cancel during the annual open enrollment period. Dental and Vision Insurance for Groups, Individuals and Families Plan Details Find a dentist, review benefits, download or print an ID card, and much more through the Consumer Toolkit®, available 24/7. Annual Deductible. The national network of Delta Dental companies protects more smiles than any other insurance company. Find a listing of more than 1,000 Delta Dental PPO dentist locations in Wisconsin and hundreds of thousands of Delta Dental network dentists nationwide at Find a Medicare Advantage™ Provider. JavaScript must be enabled for you to use DeltaDentalWI.com. And whichever plan you choose, top-quality customer service that makes you smile is our priority. A member of the Delta Dental Plans Association. More than four out of five dentists nationwide are participating Premier ™ dentists. To receive coverage for dental services, you must choose a dentist within one of Delta Dental’s networks. Both plans are identical in benefit features and coverage, and allow you to see dentists in both our our Delta Dental networks. Delta Dental reimburses participating dentists directly based on their submitted fees and our maximum approved fee. Connect with your Delta Dental company to learn more. Find forms. Find Doctors who accept Delta Dental Premier insurance in Wisconsin Delta Dental has made dental benefits easy - through exceptional service, quick and accurate claims payments, providing the most in-network dentists, and by making coverage affordable for companies and their employees. Option 2: Delta Dental PPO Plus Premier™ Select Plus Plan. We require participating dentists to provide a 60-day written notice before resigning from a Delta Dental program. Delta Dental provides dental benefits for one of every four Americans with dental coverage. This free service ensures that you know up front how much, if anything, the dental plan will pay and how much you will be responsible for. Higher out-of-pocket costs than PPO, but may be lower than non-network . None: $100 / person. Delta Dental of Wisconsin (DDWI) is headquartered in Stevens Point, WI with sales offices in Milwaukee and Madison. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. If you would like to enroll in a new plan or make changes to your current coverage, see How to Enroll for details. For patients that have dental coverage through a national group, visit the Delta Dental portal at www.deltadental.com. The agreement remains in effect until you decide to terminate it. Delta Dental PPO PPO network. UW–Madison offers two supplemental dental options through Delta Dental in addition to the Uniform Dental Benefits (UDB) available through the State Group Health Insurance. No, that difference is not chargeable to the patient. ... Delta Dental PPO or Premier providers. You may also request a summary of dental benefits by selecting the FaxBack option. You will receive a new ID card if you are a new subscriber to a plan. File or view claims. Learn more about Delta Dental of Wisconsin Search for a network dentist near your home or work. Delta Dental -the largest dental network in the US. These dentists have agreed to contracted fees with Delta Dental, so for covered services, you pay no more than your copay and deductible. Delta Dental of Wisconsin (DDWI) is headquartered in Stevens Point, WI with sales offices in Milwaukee and Madison. Delta Dental Premier is a traditional fee-for-service plan that allows you to visit any licensed dentist and to change dentists at any time without notifying Delta Dental. to verify eligibility and coverage. For the most accurate estimate, log in to your account to determine specific costs for a provider by network and your benefit coverage by treatment category. All Rights Reserved. Members are responsible for their copayment and deductible (if any) and charges for any non-covered services. Delta Dental of Wisconsin. Participating dentists are paid for each covered service rendered. Connect with your Delta Dental company to learn more. Delta Dental of Wisconsin. For other Delta Dental Plans Association member companies, visit the Delta Dental Plans Association website. If you have a Delta Dental Premier plan, then you may visit any PPO or Premier dentist. The Delta Dental PPO Plus Premier – Preventive Plan mimics UDB coverage. Shop plans. EPO plan holders, please see any PPO network dentist. Delta Dental’s small-group dental plans can be customized with a variety of benefit options for even better coverage – and there are no waiting periods for groups with as a few as five enrolled, regardless of prior coverage. Brokers, human resources professionals, and dentists and dental office staff use our online tools to administer dental … Dentists who belong to the Delta Dental PPO network offer the greatest discounts. What's in a smile? Delta Dental PPO Plus Premier™ – Preventive Plan. If you do not have State of Wisconsin group health coverage and therefore are not enrolled in the UDB plan, you have the option to enroll in this supplemental preventive plan. It's why we're deeply invested in protecting the smiles of more than 2 million people in Wisconsin. The Delta Dental cost estimator can provide you with a price range for services based on your ZIP code, procedure, or specific dentist’s charges. Prior approval is not required when you refer a patient to a specialist. But the network is much broader; more than 90% of Wisconsin dentists belong to the Delta Dental Premier network. Delta Dental PPO Plus Premier™ – Preventive Plan. The fee policy means that Delta Dental's payment to participating dentists is based on the lesser of your submitted fee or the maximum fee that Delta Dental approves for a given procedure in a given region of the state for all Delta Dental-covered patients. 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