Download Delta PPO Benefit schedule What if I receive dental services from a dentist who does not contract with Delta Dental?
• You will still be eligible for coverage, but without the benefit of the Delta discount. You will be balanced billed for the difference between the dentist’s charge and the maximum payment allowed by the Fund. Can I coordinate dental benefits? If you or your dependent is entitled to benefits under any other plan which will pay part or all of the expenses incurred for any benefits received or services rendered under this Plan the amount of benefits payable under this Plan and any other plan will be coordinated so that the aggregate amount paid will not exceed 100% of the expense incurred. However, in no event will the amount of benefits paid under the Plan exceed the amount, which would have been paid if there were no other plans involved. The Plan that provides benefits first is known as the primary plan. The primary plan is responsible for providing benefits to the full extent of their coverage. The plan that provides benefits next is the secondary plan. It provides benefits towards
Related Questions
- Download Delta PPO Benefit schedule What if I receive dental services from a dentist who does not contract with Delta Dental?
- How do I confirm that my dentist is in one of the Delta Dental networks (Delta Dental Premier or Delta Dental PPO)?
- What is the difference between a Delta Dental PPO dentist and one who is not a Delta Dental PPO?
