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Although you have the freedom to see any licensed dentist for treatment, in order to obtain the maximum benefit from your AARP Dental Insurance Plan, you should have services performed by a Delta Dental PPO dentist.
Payment for covered services performed for you by a Delta Dental PPO dentist is calculated based on the Delta Dental PPO Maximum Allowance. Delta Dental PPO dentists have agreed to accept a Delta Dental PPO Maximum Allowance as the full charge for covered services.
Delta Dental calculates its share of the Delta Dental PPO Maximum Allowance using the applicable percentage from the Benefit Summary Chart and sends it directly to the Delta Dental PPO dentist who has submitted the claim. Delta Dental advises you of any charges not payable by Delta Dental for which you are responsible. These are generally your share of the Delta Dental PPO Maximum Allowance (copayment), the deductible, charges where the benefit maximum has been exceeded and/or charges for non-covered services.
To take full advantage of your benefits, we highly recommend you verify a dentist's contracting status within a Delta Dental program with your dental office before each appointment.
Click here to find a Delta Dental PPO dentist.
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