Understanding Orthodontic Benefits with Delta Dental
This document provides an overview of orthodontic benefits available under Delta Dental PPO and Premier plans, along with guidance on selecting orthodontists and understanding coverage details.
Delta Dental PPO™ Delta Dental Premier® Get the Facts Straight Find out about orthodontic benefits Preparing for orthodontic treatment? Start by reviewing these FAQs about orthodontic benefits under most Delta Dental PPO and Delta Dental Premier plans. Then, log into your online account 1 at deltadentalins.com to review your coverage. Choosing an orthodontist 1. Can I select any orthodontist? How can I find one? You can visit any licensed orthodontist under your plan, but you’ll usually save the most if you choose a Delta Dental orthodontist.1, 2 Search for a dentist at deltadentalins.com and enter “orthodontist” in the keyword field. You can also ask your general dentist to recommend an in-network orthodontist or call Customer Service for help. Orthodontic coverage 2. What’s covered? 1 Coverage varies depending on your plan, but most Delta Dental plans include: • Pre-orthodontic treatment visit • Orthodontist-recommended tooth extractions • Exam and start-up records • Comprehensive orthodontic treatment • X-rays • Post-treatment records It is less common for plans to cover: • Two-phase orthodontic treatment • Appliances to correct harmful habits like thumb-sucking • Jaw surgery to facilitate orthodontic treatment • Treatment to prepare for any non-covered surgical procedures 3. Are retainers covered? Typically, one set of post-treatment retainers (for orthodontic purposes) is covered in a lifetime. If your plan covers two-phase orthodontic treatment, retainers are usually covered after each phase. 1 Your benefits may differ from the general information provided here. Review your plan booklet for specific details regarding your plan’s orthodontic benefits, deductibles, maximums, waiting periods, limitations and exclusions. 2 PPO network dentists usually offer the most cost savings; however, the Delta Dental Premier network also offers cost protections. deltadentalins.com/enrollees
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