Delta Dental has the following insurance Orthodontics coverage plans available: Delta Dental PPO Plus Premier and Delta Dental PPO Individual – Premium Plan.
Delta Dental coverage plans for Orthodontics
You can save more money and have options as well as flexibility with a Delta Dental PPO plan for Orthodontics. Additionally, you can be sure that you will receive high-quality orthodontic care because all orthodontists in the network have credentials proving they meet or exceed Delta Dental’s requirements.
Delta Dental PPO Plus Premier
By utilizing two of Delta Dental’s national dental networks, Delta Dental PPO and Delta Dental Premier (the biggest dental network in the nation), members of this plan benefit from unparalleled access and significant savings. There are two degrees of claim savings in this plan. Members have the best flexibility by selecting an orthodontist from Delta Dental Premier network and have the greatest value by selecting an orthodontist from Delta Dental PPO network.
Delta Dental PPO Individual – Premium Plan
Delta Dental PPO Premium plan offers the broadest coverage. It covers more procedures, has lower out-of-pocket costs and covers orthodontics for both adults and children. This plan has a $50 annual deductible, which is the amount you pay for each person per year before your plan starts making payments for your orthodontic services. It has a $2,000 annual maximum which is the total amount for every person your plan will pay toward the cost of orthodontic care per year.
Looking for a Orthodontist that accepts Delta Dental? We accept Delta Dental.
Delta Dental covers Retainers?
With Delta Dental PPO premium plan, one set of post-treatment retainers (for orthodontic purposes) is typically covered for the course of a lifetime. Keep in mind that the general information given here may not apply to your benefits, limitations, maximums, waiting periods, and deductibles. For specific information about your plan’s orthodontic coverage, review your plan booklet. Source
Delta Dental Lingual Braces cost coverage?
Delta Dental PPO Plus Premier and Delta Dental PPO Premium offers an estimated 50% coverage for lingual braces. The waiting period is 6 months while the maximum lifetime benefit is $1,500. When visiting a PPO orthodontist, you will receive the $1500 calendar year maximum. Source
Is X-Rays covered by Delta Dental?
Yes, both Delta Dental PPO Premium plan and Delta Dental PPO Plus Premier give an estimate of 100% coverage for diagnostic services like bitewing x-rays and full mouth x-rays with no waiting period. Delta Dental PPO Plus Premier provides coverage for bitewing x-rays twice in a calendar year for children under the age of 18 and once in 5 years for full mouth x-rays. Source
Does Delta Dental cover Braces?
Braces for children and adults are estimated to be 50% covered by both Delta Dental PPO Plus Premier and Delta Dental PPO Premium plans. The waiting period is 6 months while the maximum lifetime benefit is $1,500. When visiting a PPO orthodontist, you will receive the $1500 calendar year maximum. Source
Is Invisalign accepted by Delta Dental?
Yes, about an estimated 50% of the total cost of your Invisalign treatment will be covered by Delta Dental PPO Premium plan and Delta Dental PPO Plus Premier. Typically, Invisalign is considered under Orthodontia. Make sure to check the fine print in your insurance policy to make sure that orthodontic treatments like Invisalign are covered. Additionally, keep an eye out for restrictions and exclusions. There may be a clause limiting orthodontic benefits only for those who are 19 years of age or younger. All insured members who are older than 19 will not be eligible for the orthodontic benefit, including reimbursement for Invisalign treatment, due to this specific limitation. Source
How much does Delta Dental cover for Clear Braces?
With Delta Dental PPO Premium and Delta Dental PPO Plus Premier, lingual braces are estimated to be 50% covered with a waiting period of 6 months. The maximum lifetime benefit is $1,500. You will receive the $1500 calendar year maximum when you’re visiting a PPO orthodontist.
For latest information, please visit: https://deltadentalma.com/dental-plans/delta-dental-ppo-plus-premier/ for more details.
DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Delta Dental.