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  • Delta Dental PPO vs. Premier Network – What’s the Difference?

    Network Information

    • PPO Network: 56% of dentist locations in California. PPO
      Dentists are considered In-network for all PPO, PPO Plus Premier, and
      Premier plans.
    • Premier Network: 90% of dentist locations in California. Delta
      Premier dentists are considered Out-of-Network for all PPO and PPO plus Premier plans, and are considered In-Network for Premier plans.

    Dentist Reimbursement by Plan

    • PPO: Ina Classic or OPTIONS PPO plan, all dentists (PPO, Premier, and Non-contracted) are reimbursed at the lesser of the submitted charge or the PPO provider’s contracted fee.
    • PPO Plus Premier: If a member visits a PPO dentist, charges are reimbursed at
      the lesser of the submitted charge or PPO contracted fee.  If visiting a Premier dentist, charges are reimbursed at the lesser of the submitted charge or the Premier provider’s contracted fee.
      If a Delta Dental member goes to a Non-contracted dentist, charges are reimbursed at the lesser of the submitted charge OR the fee that satisfies a majority of dentists with the same training and geographical area.
    • Premier: If a member visits a PPO or Premier dentist, charges are reimbursed at the
      lesser of the submitted charge or the Premier provider’s contracted fee. Non-contracted dentist charges are reimbursed at the lesser of the submitted charge OR the fee that satisfies a majority of dentists with the same training and geographical area.

    For more information, view the following:

    New 2012 Summary of Benefits

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