Delta Dental
The Dental PPO Plan, through Delta Dental, covers a broad range of preventive, diagnostic, basic, major, and orthodontic services. Delta offers two networks: the DPO/PPO network and the DeltaPremier network. The DPO/PPO network offers deep discounts, which means your bill will be as low as possible right from the start. The DeltaPremier network dentists do not discount their fees, but have agreed to not charge more than Delta's allowed amounts for covered services. You may use network dentists from either network. Network dentists will file claims to Delta on your behalf.
When you are seen by a non-network dentist, their fees may exceed the usual, customary, and reasonable (UCR) guidelines, which is Delta's allowed amount for a covered service. You are responsible for any charges that exceed the UCR limit. You may be required to pay the entire bill first and file a claim for reimbursement.
You may choose to enroll in the dental plan even if you have waived medical coverage, or you may decline dental coverage.
This information here is intended to help you understand the plan and how it works. It is not the official Summary Plan Description. To view the complete Summary Plan Description, please reference the Carrier Booklet and CMSU Wrap SPD.
