DeltaPreferred Option PPO program

The cost advantages of a preferred provider
organization with freedom to choose any dentist.

This is a lower-cost dental fee-for-service program without the typical restrictions and limitations inherent in most closed-panel programs. When employees use one of Delta's DPO network dentists, they receive the maximum benefit and lower out-of-pocket cost.

Freedom of choice. Employees are free to select any dentist at any time.

DPO dentists offer out-of-pocket savings. When employees go to a DPO network dentist, they pay according to the fees we've negotiated. All fees are pre-approved, guaranteed never to be higher than the pre-negotiated maximum. Employees pay only the patient portion specified in the contract at the time of service.

DPO dentists offer maximum convenience. DPO network dentists are also DeltaPremier dentists, so patients receive all the advantages of our dentist contracts, including:

• No claim forms, no paperwork
  
  
• Ongoing quality assurance, thorough post-treatment reviews and dentist consultant reviews.

An additional cost management feature. Because our DPO dentists also participate in our traditional fee-for-service programs, Delta has the ability to curtail overutilization by our dentists. DPO dentists agree to stay in the network and not raise their fees for a full year, helping to maintain the stability of employee expenses, employer rates and dentist network membership.

DeltaPreferred Option offers a broad range of covered benefits:

• Diagnostic and preventive services, including procedures such as x-rays, cleanings and oral examinations to assist the dentist in determining required treatment.
  
  
• Restorations and denture repairs, including amalgam, synthetic porcelain, plastic restorations (fillings) and prefabricated stainless steel restorations for treatment of carious lesions (visible destruction of hard tooth surface resulting from the process of decay), procedures for the repair of partial or complete dentures, and sealants (to seal development grooves, pits and teeth for the purpose of preventing decay).
  
  
• Other basic services, including oral surgery, extractions and certain other surgical procedures, including pre-and post-operative care, general anesthesia when administered by a dentist for a covered oral surgery procedure, endodontics (treatment of the tooth pulp) and periodontics (treatment of gums and bones supporting the teeth).
  
  
• Crowns and prosthodontics, including crowns and cast restorations for treatment of carious lesions when teeth cannot be restored with amalgam or synthetic porcelain or plastic restorations, and procedures for construction of fixed bridges, partial or complete dentures and repair of fixed bridges.
  
  
• Orthodontic services may be available as an optional benefit. Please check with your local Delta office for details.

This is a summary of benefits. For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be written or continued in force, see your insurance agent or contact us.

Program design variations are available. Contact your local Delta sales office for complete information.

Back to plan index >>