Current dental plan summaries can be found on the Documents & Compliance webpage.
PPO Plan
The PPO dental plan allows you to use any dental provider, however, you will receive greater benefits with in-network providers. Your out-of-pocket cost will be less if you use a preferred provider in Delta Dental’s PPO or Premier networks. Delta Dental PPO providers offer deeper discounts than Delta Dental Premier providers. Claim forms are not required when utilizing in-network providers. Network participating providers accept negotiated rates which reduce your claim costs and out of pocket expenses. If you choose a non-network dentist, the plan will reimburse you a percentage of the allowable charge.
DHMO Plan
The DMO plan requires that you visit participating DMO providers in order to be covered. You are required, as a DHMO/DMO member, to select a Primary Care Dentist (PCD) from participating dentists in the DMO network. You must use your selected PCD for all dental services or obtain a referral from your PCD to obtain services from a specialist. The amount you pay for services rendered is based on the plan’s benefit fee schedule.
You can find the contribution rate chart for the dental plan on page 27 of the Benefits Guidebook.