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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 DPO dentist.
Payment for
covered services performed for you by a DPO dentist
is calculated based on the fees for the DPO Plan
which are the Maximum Plan Allowances under the contract.
Contracting dentists who are DPO dentists have agreed
to accept this Approved Amount as the full charge for
covered services.
Delta Dental
calculates its share of the Maximum Plan Allowance using
the applicable percentage from the Benefit
Summary Chart and sends it directly to the Contracting
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 Maximum Plan Allowance (coinsurance), 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 DPO dentist
Please note that DPO plan dentists are listed in
our national dentist directory as "Delta Dental PPO" dentists. Remember, if you wish to receive
maximum benefits, be sure to select Delta Dental PPO.
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