101 0 obj <>stream endstream endobj 82 0 obj <> endobj 83 0 obj <> endobj 84 0 obj <>stream Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL SERVICES . Webdental entitys Type 2 NPI (if different) to npi@delta.org Please also include the dentists name, practice name, address and license number. These companies are financially responsible for their own products. Mail it to Delta Dental at the address shown below.. Any Subscription Charges hb```f``Ra`a`8 B@1P` bxHFw@[/fv8uAlA7Z!2f2#fp You must go to a dentist that takes your plan. 7893 0 obj <> endobj The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. %%EOF WebWhen a service is denied and the reason for denial is considered integral to another dental service, the participating dentist agrees to the negotiated fee as adjudicated and cannot charge the participant for the denied integral service. FAQs About Participation with Delta Dental Patient Direct. WebThe OCC Dental Insurance Program consists of two dental options: a preferred provider organization (PPO) and a dental health maintenance organization (DHMO). endstream endobj 86 0 obj <>stream 7913 0 obj <>stream Refer to the EOC booklet for coverage details and plan limitations. claim at the PPO Rate. Such updated codes, descriptors and nomenclature may be used to describe these covered procedures in compliance with federal legislation. WebIf you see a provider that is not in the Delta Dental Premier or Delta Dental PPO networks, you will be responsible for all charges incurred. The provider agreement that dental providers enter into with Humana allows Humana to provide such third parties with access to Humanas contracted provider network and in turn Humanas contracted dental providers services. Confidential Filed Fee Schedule (Updated to include CDT 2019 code terminology) Box 14283 Mandatory Medicare compliance requirements, PDF. They also may present a digital ID card using their MyHumana mobile app. Individual applications are subject to eligibility requirements. Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. Like all Dentists, PPO Dentists are allowed to charge for any applicable Co-payments, Deductibles, or non-covered services. For example, if the dentists usual fee for a filling is $200 and the discount dental plan has provided a 40% discount, then you will end up paying $120 to the dentist directly. Web2019 ADA Dental Claim Form Click Here . Claims will be processed when received according to your plan provisions. 0000081041 00000 n WebThe Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out participates. %PDF-1.6 % The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. How do I make sure I use a PPO dentist? ;vDvrV#IaZ_Zg1/V># l$O%$kA~-[4GJ"9A,Qe'zaA4}iclygRny7n"`m*d@4XyDn $32.50 n/c D0150 COMPREHENSIVE ORAL EVALUATION About; Find a Dentist; Refer to your benefit plan to determine whether preventive services are covered for you. We ask that you accept a digital, fax or printed version of these patients ID cards. enrollees are based on fee-for-service payment mechanisms and do not include salary, capitation or bonuses. 4993 37 2018 Survey of Dental Fees. 0000002090 00000 n Third parties with access to Humanas contracted provider network: Some Humana networks may have additional participation criteria physicians and other healthcare providers must meet to be granted participation status. 0000008367 00000 n Minneapolis, MN 55440-9304 . Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). Web800-932-0783 or write to: Delta Dental of Pennsylvania, One Delta Drive, Mechanicsburg, PA 17055. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. 0000009311 00000 n Dental Network Names in and outside of Florida. Medical Assistance Program Dental Fee Schedule May 2, 2022. 160 0 obj <>stream SPEEA Scheduled Dental Plan Group # 04360. If you have purchased an association plan, an association fee may also apply. get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. endstream endobj 7894 0 obj <. Are you part of the HumanaDental Medicare network or the Humana Florida GoldPlus Dental network (for patients who purchased their plan in Florida)? 0 WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. If so, you may want to review these plan summaries. Go to our Find a Dentisttool. 0000077071 00000 n How do I submit claims to Delta Dental? WebKpic Delta Dental Fee Schedule 2014 below. This is just one of the solutions for you to be successful. 0000006341 00000 n iApwTu}hoh? If your dentist participates in both 0000002677 00000 n 0000007678 00000 n My Contracted Fees 1. 0000008254 00000 n Delta Dental Premier Plan . 0000005788 00000 n Accept Delta Dental of Oregon benefit payments for services provided. WebDelta Dental PPO Plus Premier Plan at a Glance | Delta Dental of New Jersey Online tools Dental plans Dental health Home > Tools & resources > Plan information > PPO Plus Premier At a Glance Delta Dental PPO Plus Premier Plan at a Glance Delta Dental PPO Plus Premier gives you access to approximately 154,000 participating dentists. Click View contracted fee reports 2. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. pBwOgeU 3)P(K^2FhLv>+SxvU}8F/i~\>cHHQ,/:0B'-ac`T2r68b)!PRJ[&}4v?S`3 {[ Preventive care coverage varies by plan and by demographic considerations such as age. hb```b``se`e` @16L@P iS;~1fm,Jxo0~e d {@ O ka$31b0;p7AyFCt+?:ro@MoCOW{\\uKs[Y. J kujbplc#vv9~KNpxDKXnNd !KdHM2^)}zo"ktD;Y5s6tVH't_h4k,Y@'F6'+t+U;W*D2VFut8E=s!_$bPqvi,f?7HWJ6[QmlgOuAa4j="*-uQqj0mw$)yIZzT]Y$x=zUJJ'zS/DfKN1AWiY~`$sNl]M,t2;zZ4ju ~\)1/\+ER;s? HumanaDental digital member ID cards FAQs, PDF. 0 0000040598 00000 n The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. Np0(Ix8'A1F,-y|y Z8%TY9`GuZgITm06=8pC=C!Iz$KE! l$yv<8)u ^e\0n3` P hb```f``R |cf`ah s[3D320d+jPh;@''SZ\55|~=dp0u4X43hL `{x+l8AB6i)]@lp9 Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. We pay 100% of an allowed amount - the amount our participating dentists agree to accept, which is less than what they charge their out-of-network patients. Here are some examples. The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. Out of pocket payment when you visit the dentist. PPO dentists offer the greatest discount off their fees, so youll pay less than with a Premier dentist. trailer <]/Prev 806005/XRefStm 2090>> startxref 0 %%EOF 5029 0 obj <>stream Yes. I receive dental insurance through my employer. AvN/ [S DeltaCare USA plans are underwritten in these states by these entities: CA Delta Dental of California; DC(Policy I-P-DC-dc-20) and FL Delta Dental Insurance Company; MD and TX Alpha Dental Programs, Inc.; UT Alpha Dental of Utah, Inc.; NY Delta Dental of New York, Inc.; NV Alpha Dental of Nevada, Inc.; PA Delta Dental of Pennsylvania. You can also access this information on the Availity portal. Want to know before you set foot in the dentists office? WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. Click View Here are the benefits of creating an account. The Content on this website is not medical advice. In the event of a dispute, the policy as written in English is considered the controlling authority. ,9g4crDe`py:0ocnjvl)tDh}.~K m=_ How often is the Delta Dental PPO fee schedule reviewed and updated? 3. 0000014888 00000 n The Delta Dental announcement addresses a shift to regional standard Premier fee schedules (thereby eliminating Premier fee fillings), creating an aggregate increase for PPO general dentist fees, and reducing Premier reimbursement for most oral surgeons, endodontists and periodontists. SCHEDULE B LIMITATIONS AND EXCLUSIONS OF BENEFITS Certification of Handicapped Child's Dependency Status (PDF, 1 page, 13kb) Download Supporting Materials (Free for ADA members) 2022 Survey of Dental Fees. hS@W1+/Wp48 8~eX How much is it going to cost? The name of the 2023 Humana Medicare Advantage dental network in Florida is the Florida GoldPlus Dental Network. $l- Km<2m9M~m|_Ll03aul{- Ytg4^ydt[)>?DrP9d>g) \3+ECqDbBq"YS[07Dq{r4M^j3"( NPW* *uIAqn+1c/0PrP!Q|fCMTDY~Wb~ljw,]"W|U]w*;G:u( {^0SDU2[9OBvHg:M`'|B7UPy]UKkIQv.$SJ;EHHL'SiQLm)g)8#umFTDv|NK\=d6{eKHZ1ev,?&Fna~*+, Available free to members or for purchase through the ADA Store, the ADAs 2022 Survey of Dental Fees also features: 5 tips for marketing your dental practice, National average fees broken down for both general practitioners and each of the six specialties, National level statistics for fees for more than 200 commonly performed dental procedures, Average fees charged by general practitioners broken down into nine regional areas, based on U.S. Census divisions, Standard deviation and percentiles for each fee, Dental procedures identified by procedure code and nomenclature from the Code on Dental Procedures and Nomenclature as published in the ADAs CDT 2022. 0000009926 00000 n 0000018554 00000 n Submitting claims - All claims must be HumanaDental ID: 73288 If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." WebDDNJINDFC14/2012 Underwritten by Delta Dental of New Jersey, Inc. 2 10DAY RIGHT TO REVIEW AND RETURN THIS POLICY Please read this Policy carefully. lowest cost network in which your dentist Delta Dental of California and Affiliates is a part of Delta Dental Plans Association. hbbd``b`$C`)l 1bL@&3~0 Webto your copayment schedule for a complete list of covered services): X-rays Mexico, Inc.; NY Delta Dental of New York, Inc.; PA Delta Dental of Pennsylvania. ]xl8/K"Xg%`tp2e JjkK/?0vH>^GHc`Y6{E9cioJX8 qZiu_'-z``MYG%=$Te+X^pGZbu6I 0 Zq How can I find a participating dentist? 0000012977 00000 n hbbd```b`` Updated March 2022Humana enters into agreements that grant some third parties access to Humanas contracted provider network. Plan ahead and stick to your budget with DeltaCare USA,anHMO-type plan. FAQs About Participation with Delta Dental Patient Direct. Webdentists may bill the difference between their usual fee and Delta Dentals maximum contract allowance. Get started here. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. Our Premier network gives a smaller discount but gives you access to four out of five dentists nationwide. Delta Dental Participating Provider, explain Benefits, check the status of a claim, and assist you in q>^{N:c0 '5xY*/KC9Nk#qw2G:_uxPb~m:$=fLW \1eaH^XBG49;k"g t=wMW$u d:eCm&GNbYkqVpI_ O5g8f Dq0tt0Ht D50A8D[=X@M?CooSutoEdx /f f`rg0 yTU What should be included on claim forms to Delta Dental? You can still see out-of-network dentists, but youll pay more out of pocket. This website shows estimates of certain dental care costs. 0000016709 00000 n The AMA assumes no liability for data contained or not The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to help you identify opportunities to improve clinical outcomes and reduce medically related costs. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that 0000002640 00000 n WebDelta Dental of Minnesota Experience the Delta Dental Difference No waiting periodsyou have full benefits the day your coverage begins. Humana legal entities that offer, underwrite, administer or insure insurance products and services. If You are not satisfied, You may return the Policy within 10 days after You received it. They can use Humana tools to print a paper version of their card or email or fax a copy to your office. Delta Dental has the largest network of dentists nationwide. Find a listing of more than 1,000 Delta Dental PPO provider locations in Colorado and hundreds of thousands of Delta Dental network providers nationwide at www.DeltaDentalCoversMe.com, or call 888-899-3734. Do not avoid getting dental care based on the cost information provided on this website. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Be sure to select the Delta Dental PPO Plus Premier network. WebThe submitted fee is the amount that the dental office charges for your service and submits to Delta Dental. Out-of-network dentists CODE DESCRIPTION ENROLLEE PAYS D0100-D0999 I. hz\Ssr@B=$ Dn&\p JJLZF[[{Zlgk[kmWo~]/nJ}$HwB>>= A`j/}eHtUk. Have a question about coverage or looking for dental insurance? WebSurvey of Dental Fees. Box 9304 . 0000010743 00000 n N{:F&:.&U6hnp8.TFWs.Q@}&{x'cc|cVFNA 4j,2VES/fF,W5|qb41/W#lM!0l;h/s1+0 sNsPT*WeH#=P)?`?qz0v4^]=L,(*,t0gt3nl9]s 8zHd/e,\-&yV NG,/WPE8bMOXfB;L!Me_;lMz:dwM^3& ]<6tG^4oZXwc7wA)kE|CZos{,Lgw? WebDelta Dental of Colorado (Find another state) Help Center: Dentists Claims Does Delta Dental of Colorado accept electronic claims? The plan gives you a broad range of coverage with no waiting period, annual maximum or deductible. Find the one that's right for you. WebDelta Dental Of Ohio Fee Schedule Cxeb Ksiilxm Yeah, reviewing a ebook Delta Dental Of Ohio Fee Schedule Cxeb Ksiilxm could go to your close associates listings. As understood, achievement does not suggest that you have fabulous points. @Ed^H?h*fd| d100Fg /TA You can change your DeltaCare USA dentist at any time. 3R `j[~ : w! The information and content (collectively, "Content") on this website is for your general educational information only. Are you part of the dental health maintenance organization (DHMO) or Advantage network? Download Supporting Materials(Free for ADA members) hTP=O0+@PuCH--Ol~z%A7FY/l.8:Cu%IsC]snN|chL}n ' The data is based on actual, non-discounted charges that providers have billed. WebDelta Dental PPO plan through California State University. Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. Learn about how to confirm Humana members benefits, how to submit claims or requests for pre-treatment estimates, and information about the Evidence of Remittance (EOR). delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company P.O. How to access and interpret information provided on remittances Network Overview Take a tour of the Connection For New Mexico residents: Insured by Humana Insurance Company. endstream endobj startxref If you elect to participate in this plan, you'll have a two-tiered fee schedule: Delta Dental Premier and a slightly reduced fee schedule for Delta Dental PPO. PPO fees are posted to the National Provider File and accepted nationally by other Delta Plans. Medical Assistance Program Dental Fee Schedule May 2, 2022. 7906 0 obj <>/Filter/FlateDecode/ID[<6A22589A1FC506448F51EC6CE5CCD5A3><7FE5D63132C3D543B8A2DB0D0F689003>]/Index[7893 21]/Info 7892 0 R/Length 82/Prev 914206/Root 7894 0 R/Size 7914/Type/XRef/W[1 3 1]>>stream If so, please visit Humana Medicare Advantage Supplemental Dental Benefits Information to find the most recent dental office handbook, Humana Medicare Advantage dental benefit descriptions and member-specific dental plans. 0000001055 00000 n Enter the Humana Dental Payer Space and access the ERA/EFT Enrollment application. %PDF-1.7 % What if I use a clearinghouse not included in your list of accepted clearinghouses? WebClaim/Claim Form Information.the.dentist.submits.to.the.dental.plan. In Maryland, Delta Dental PPO. For more information, refer to these frequently asked questions and answers. Find a dentist near you. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. This is just one of the solutions for you to be successful. Submit a list of fees to be filed with Delta Dental of Check out our DCUSA network video. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. 0000022178 00000 n @C{+$aF^ADjCq)C-{ =Q[m9@q P{( (U"N Y y Oh5; d % )SPp/F w`` >E;!3J B H2H" TN+!u`),aKU@!Ds&'L@6$H d8H i#RMIvJ+rTe+E7,n)9"Aw H)4__DZW3tma,($TirN'}QZEaP_D 5@8 = t` NAI-1502064614v2 1 Introduction We are pleased to welcome you to the dental plan for BRAND NEW DAY. Contact your company's human resources department. ` g/ Webdelta dental ppo fee schedule 2022 pdf delta dental fee schedules delta dental fee schedule pdf delta dental fee schedules by zip code delta dental out-of-network fee Box 16354 Little Rock, AR 72231 Everyday forms Authorization for Release of Health and Payment Information (PDF, 2 pages, 21kb) This form authorizes Delta Dental of New Jersey to release protected health information. These plans make it easy to receive Delta Dental coverage and protect your health. Use our Find a Dentisttool to search for PPO dentists identified by the Greater Savings icon." 0 Select the Claims & Payments menu and choose Remittance Viewer. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. %PDF-1.6 % WebDelta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 877.521.2101 | DeltaDentalWA.com DD LG Premier 2015. ) A?)){BYf)Q$ek:INTVTF!oE+6/$+~-,Wj44["$I"u>DN'$m! WebKpic Delta Dental Fee Schedule 2014 below. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. CompBenefits payer ID: CX021. Youll save the most when you see PPO dentists. ,B_tx,?_BU-AdM#B?Y|k:7faNH >dW gj Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. hbbd``b`$B@D; H0 | A$Dg` the SingularDental fee schedule for pricing details. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. The Delta Dental PPO fee schedules are reviewed annually and updated accordingly. endstream endobj 87 0 obj <>stream Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. You have remained in right site to start getting this info. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. Benefits described in this comparison are guaranteed only when you select a participating dentist from Deltas networks. Your actual cost may be higher or lower than the estimate for various reasons. The American Dental Association may periodically change CDT codes or definitions. 0000037948 00000 n Lexington, KY 40512-4611, CompBenefits claims office Can you give me a comparison of my costs in network vs. out of network? This network supports the SimpleChoice plan. This preferred provider organization (PPO) plan is designed in response to employers' requests for an economical product for their employees. SimpleChoice offers the unmatched level of service member dentists enjoy from Delta Dental and is designed to be easy for dental offices to administer. Go365 is not an insurance product. WebLearn how to identify members and verify their dental coverage, easily submit claims and receive payment for services and supplies. HumanaDental Medicare Network is the name of the nationwide network for Medicare Advantage members who bought their MA plan outside of Florida. Premier and PPO networks, we will pay your This dentist provides most of your treatment and coordinates any necessary specialist referrals. Can I go to any dentist I want with this plan? "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. SM hU[k0+zl. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. Therefore, it is always best to confirm information with yourhealth careprofessionals. hwTTwz0z.0. |w&Vk2JIUQ kpbU}$qYs#]NflzSC%M_y WIm{SGn>95xfi'c]r_5\}GW:muM'|KC#{oG$tnRw[GU@u/l7{8;}cEl>c7% GsF hb``e``ZAXX8W``H`ibH CGHcWpajkf Estimates may vary depending on your benefit plan and the state you live in. Health information changes quickly. 2022 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) Use of this website in no way increases or decreases the benefits available under a dental benefit plan. WebMedicaid has two dental plans. Search. Webunder copyright by the American Dental Association. WebDelta Dental of Minnesota 1 -877 631 8954 . 0000031542 00000 n To start or update ERA and EFT, please sign in to the Availity.com portal. Our coverage makes it easy and affordable to protect your smile, Follow snack and alcoholic drinks with water to keep your smile healthy on game day. Specialists and general dentists recorded the fees they charged most often for over 200 dental procedures. Not available with all Humana health plans. 81 0 obj <> endobj 0000008456 00000 n Previous Next. WebProtect your smile and wallet with a DeltaCare USA plan from Delta Dental. COVID-19 resources Click Here . View plan provisions or check with your sales representative. To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value. endstream endobj 149 0 obj <> endobj 150 0 obj <> endobj 151 0 obj <>stream Member perks for your smile and beyond If a contracted dental provider no longer wants to have third parties accessing its services under the contract the dental provider and Humana entered into, the contracted dental provider can reach out to its Humana dental representative to be removed from third-party access. Box 14611 2. Payment is based on the SPEEA fee schedule with Delta Dental. WebIf you need to share the delta dental fee schedule 2022 pdf with other people, it is possible to send the file by e-mail. 0000020376 00000 n delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company 4993 0 obj <> endobj xref It is a nationwide network for MA members who bought their plan in Florida. WebPlease note: This fee schedule applies to procedures performed by a General Dentists only. "Iy"`v>o5@?" Lr) I8 Rates are subject to periodic change without prior notification. 2020 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) Group- and state-specific exceptions may apply. tqX)I)B>== 9. WebThe Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. Click the > to move your selection to the box on the right side. endstream endobj 153 0 obj <>stream Refer to your benefit plan to determine whether these requirements apply to you. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. In the event of any disagreement between this communication and the plan document, the plan document will control. Find the one thats right for you. With Delta Dental as the programs administrator, these two options are known as the Delta Dental PPOTM plan and the DeltaCare USA (DHMO) plan. 0000002580 00000 n WebDelta Dental of Oregon at no charge to the patient. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using You also may contact Delta Dental PPO customer service at (800) 626-3108. My Contracted Fees 1. For a complete description of the details of your coverage, please refer to your coverage documents. The plans may have different dentists. 148 0 obj <> endobj (those who choose not to participate in PPO or Premier) dont offer negotiated discounts. billing surprises. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. hWF+HYr :1U`vh$~#_EJC $!yo70EN3"&IHC" !#_BD,'>nN"~.O_EHiL Plan participants may not always inform a dental office of their participation in the MetLife PDP program. Webdentists billed charge and the Delta Dental negotiated fee).