What is the difference between the Delta Preferred Option (DPO) and the Non Delta Preferred Option (NDPO)?
When treating with a DPO provider, you pay no deductible and the plan pays a plan year maximum of $2,000. When treating with a NDPO provider, the plan pays a percentage up to a plan year maximum of $1,000. Delta will only pay the LOWER plan maximum, $1,000, if you treat with a DPO and a NDPO in the same plan year. Examples: If your DPO dentist’s contract expires during the benefit year and the dentist does not renew, the plan maximum is the lower rate for any work after the non-renewal date. Exception: If you have received a pre-treatment authorization from Delta while your dentist was contracted, the DPO plan maximum will apply for the authorized treatment. If your NDPO dentist contracts to be a DPO dentist during the benefit year after you have received treatment besides cleanings, the plan maximum is still the lower NDPO rate for the remainder of the benefit year.
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