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| 1. Go to your internal Delta Dental site. | |
| 2. Click on Search for a Participating Dentist. | |
| 3. Find a dentist in your area. |
| Fee charged: | $110 | |
| DPO allowed fee: | $80 | |
| DPO discount: | $30 | |
| Delta Dental pays 90% of allowed fee: | $72 | |
| You pay ($80 - $72): | $8 |
Because DPO network dentists agree to accept the amount listed in Delta Dental’s DPO member dentist schedule, they cannot charge the $30 difference between the DPO allowed fee and the fee charged to the enrollee.
Here’s an example of how you’ll save with a DeltaPremier network dentist:| Fee charged: | $110 | |
| DeltaPremier Maximum Plan Allowance (MPA): | $100 | |
| Delta Dental pays 90% of MPA: | $90 | |
| You pay ($100 - $90): | $10 |
DeltaPremier network dentists accept Delta Dental’s MPA as payment in full so they cannot charge the $10 difference between the MPA and the fee charged to the enrollee.
Here’s an example of what you’ll pay with an out-of-network dentist:| Fee charged: | $110 | |
| Usual & Customary fee: | $100 | |
| Delta Dental pays 90%: | $90 | |
| You pay ($110 - $90): | $20 |
Because out-of-network dentists do not have agreements with Delta Dental, the amount you pay is based off of the dentist’s total fee charged.
For more information, refer to your dental benefits booklet or call us at 1-800-452-1987.
www.deltadentalil.com