Here’s an example of how you’ll save with a ppo dentist: Fee charged: $110



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Using a Delta Dental PPO or Delta Dental Premier Dentist

Will Often Save You Money




It’s easy:





  1. Go to www.deltadentalil.com

  2. Click on Dentist Search

  3. Find a dentist in your area



Here’s an example of how you’ll save with a PPO dentist:

Fee charged: $110

PPO member dentist schedule amount: $80

PPO discount: $30


Assume Delta Dental pays 80%: $64

You pay ($80 – $64): $16



Because PPO dentists accept the amount listed in Delta Dental’s PPO member dentist fee schedule, they cannot charge the $30 difference between the fee charged and schedule amount to the enrollee.
Here’s an example of how you’ll save with a Premier dentist:

Fee charged: $110

Maximum plan allowance (MPA): $100

Assume Delta Dental pays 80%: $80

You pay ($100 – $80): $20

Because Premier dentists accept Delta Dental’s MPA as payment-in-full, they cannot charge the $10 difference between the fee charged and the MPA to the enrollee.
Here’s what you’d pay with an out-of-network dentist in this example:

Fee charged: $110

Maximum plan allowance (MPA): $100

Assume Delta Dental pays 80%: $80



You pay ($110 – $80): $30

Because out-of-network dentists do not have agreements with Delta Dental, the amount you pay is based off of the dentist’s billed fee.
For more information, refer to your dental benefits booklet or call us at 800-323-1743.

www.deltadentalil.com


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