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If you go to Non-Contracting dentist, Delta dental pays the same percentage for covered services based on the dentist's fee up to the Maximum Allowance. But since we cannot guarantee the dentist's fees, your share of the cost may be significantly higher when visiting a Non-Contracting dentist.
When dental services are received from a Non-Contracting dentist, reimbursement for the services will be paid directly to you. Non-Contracting dentists will bill you for their normal charges, which may be higher than the Allowed Amount for the service. You will need to pay the dentist yourself and then submit a claim to Delta Dental for reimbursement, less your share of the cost. (You may download a claim form here.) Since the Maximum Allowance for services your receive from a Non-Contracting dentist may be less than the Non-Contracting dentist's charges, your out-of-pocket costs may be significantly higher.
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