How will network vs. non-network dentists be paid?
NETWORK DENTISTS: Network dentists (dentists who are contracted to participate in Delta Dental PPO and/or Delta Dental Premier networks) will receive benefit payment directly from Delta Dental of Illinois for all patients covered by the State of Illinois Group Dental Plans, as they do now for all Delta Dental of Illinois enrollees. The enrollee is only responsible for the applicable deductible, services not covered by the plan, amounts greater than the enrollee’s Schedule of Benefits but up to the dentist’s contracted network amount, and any amounts exceeding the annual benefit maximum. In accordance with the network dentist agreement, enrollees cannot be charged upfront for any other amounts. NON NETWORK DENTISTS: For self-insured groups, such as the State of Illinois Group Dental Plans, Delta Dental of Illinois does not assign benefits to dentists who do not participate in our networks. Therefore, if an enrollee uses a non-network dentist, payments issued by Delta Dental of Illinois
