Delta Dental HMO
Similar to a medical HMO plan, you must select a primary care dentist in the Delta Dental network to provide your care. You must visit your primary care dentist to receive benefits. If specialty care is needed, your dentist must provide the necessary referral. With this plan there are no deductibles or maximums for covered services.
Delta Dental PPO
Members who elect the Dental PPO program are allowed to visit any licensed dentist, independent of whether they are contracted with Delta Dental. Members who do visit a Delta contracted dentist will experience discounted fees that will lower your out-of-pocket cost. Delta Dental contracted providers are required to file a claim on the member’s behalf, as well as to only require payment of the patient’s portion when services are provided. Delta Dental offers two networks, the Delta Dental Preferred Provider Organization (PPO) and Delta Dental Premier.