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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 network
dentist.
Payment for
covered services performed for you by a DPO dentist
is calculated based on the DPO Maximum Allowance.
DPO dentists have agreed to accept a DPO Maximum Allowance
as the full charge for covered services.
Delta Dental
calculates its share of the DPO Maximum Allowance
using the applicable percentage from the Benefit
Summary Chart and sends it directly to the DPO
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 DPO 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.
There are
two ways in which you can locate a network dentist
near you:
- Access
the online dentist directory. Remember, if you
wish to receive maximum benefits, be sure to select
DeltaPreferred Option.
- You may
also call our Customer Support Center toll-free
at (866) 583-2085and one of our customer service
representatives will assist you. He/she can provide
you with information regarding a dentist's membership
status, specialty and office location.
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