Does My Dentist Participate?

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The Delta Dental Networks

Delta Dental of Virginia has three participating dentist networks: Delta Dental PPOSM, Delta Dental Premier® and DeltaCare®. Your network options will depend on your plan. To determine which networks are available to you, simply look on your ID card (as shown below) or ask your Human Resources/Benefits representative. Use the Find a Dentist search tool on the left-hand side of the page to find a dentist that participates in your plan. You may also call the toll-free number on your ID card or ask your dentist if he or she participates with Delta Dental.

Present your Delta Dental ID card to your dentist at the time of your appointment to ensure they participate in your plan. This will help you to avoid balance billing costs.




Choose your plan type:


Delta Dental PPO

If you have a Delta Dental PPO plan, you can enjoy the highest level of out-of-pocket cost savings. To receive the greatest level of savings, you should visit a Delta Dental PPO dentist. You will still receive benefits if you visit a Delta Dental Premier or out-of-network dentist; however, your out-of-pocket costs will likely be higher, because, in addition to your deductible and coinsurance, the dentist may balance-bill you for additional charges not covered under your dental plan.

Delta Dental PPO is our preferred provider organization. Delta Dental PPO offers you the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. More than 48% of all dentists in Virginia1 and 45% nationally2 participate in the Delta Dental PPO network. Delta Dental PPO is available in the following areas of Virginia: Hampton Roads/Tidewater, Richmond and Northern Virginia Metropolitan. Use the Find a Dentist search tool on the left-hand side of the page to find a Delta Dental PPO participating dentist.

1DDVA, May 2011; 2DDPA, June 2010


Click on the link below to view a chart that demonstrates how choosing a Delta Dental PPO dentist can save you the most on your out-of-pocket costs.

Delta Dental PPO payment example

Delta Dental PPO aXcess

Delta Dental PPO aXcess gives you the widest selection of dentists with varying levels of cost savings. You can save the most on out-of-pocket costs by visiting a Delta Dental PPO dentist, or take advantage of our dual network safety net by visiting a Delta Dental Premier dentist at a slightly higher cost. With either network, you will only be responsible for any deductible and coinsurance, which may be due at the time of service. You may also visit an out-of-network dentist; however, your out-of-pocket costs will likely be higher, as, in addition to your deductible and coinsurance, the dentist may balance-bill you for additional charges not covered under your dental plan.

Delta Dental PPO is our preferred provider organization. Delta Dental PPO provides you with the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. More than 48% of all dentists in Virginia1 and 45% nationally2 participate in the Delta Dental PPO network. The Delta Dental PPO network is available in the following areas of Virginia: Hampton Roads/Tidewater, Richmond and Northern Virginia Metropolitan. Use our Find a Dentist search feature on the left-hand side of the page to find participating dentists.

1DDVA, May 2011; 2DDPA, June 2010


Click on the link below to view a chart that demonstrates how to choose a dentist that will save you the most on out-of-pocket costs.

Delta Dental PPO aXcess payment example

Delta Dental PPO (Pays PPO Network Only)

If you have a Delta Dental PPO (Pays PPO Network Only) Plan, you may choose to visit any dentist that participates in the Delta Dental PPO network. Coverage is not available if you choose to visit a dentist that participates in any network other than Delta Dental PPO.

Delta Dental PPO is our preferred provider organization. Delta Dental PPO provides you with the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. More than 48% of all dentists in Virginia1 and 45% nationally2 participate in the Delta Dental PPO network. The Delta Dental PPO network is available in the following areas of Virginia: Hampton Roads/Tidewater, Richmond and Northern Virginia Metropolitan. Use the Find a Dentist search tool on the left-hand side of the page to find a Delta Dental PPO participating dentist.

1DDVA, May 2011; 2DDPA, June 2010


Click on the link below to view a chart that demonstrates how choosing a Delta Dental PPO dentist can save you the most on your out-of-pocket costs.

Delta Dental PPO (Pays PPO Network Only) payment example

Delta Dental Premier

If you have a Delta Dental Premier Plan, you will experience the lowest out-of-pocket costs when you visit a Delta Dental Premier dentist. You will only be responsible for any deductible and coinsurance, which may be due at the time of service. You may also visit an out-of-network dentist; however, your out-of-pocket costs will likely be higher, because, in addition to your deductible and coinsurance, the dentist may balance-bill you for additional charges not covered under your dental plan.

Delta Dental Premier is the largest dental network in the nation1, with more than 85% of all dentists in Virginia2 and more than 80% nationally3 participating. Delta Dental Premier gives you a wide selection of dentists with economical out-of-pocket costs. With so many dentists in the network, it’s likely your dentist already participates with us.

1Delta Dental Plans Association, Dec 2010; 2Delta Dental of Virginia, May 2011; 3Delta Dental Plans Association, June 2010


Click on the link below to view a chart that demonstrates how choosing a Delta Dental Premier dentist can save you the most on your out-of-pocket costs.

Delta Dental Premier payment example

Delta Dental PPO plus Premier

Delta Dental PPO plus Premier gives you the widest selection of dentists with varying levels of cost savings. You can save the most on out-of-pocket costs by visiting a Delta Dental PPO dentist, or take advantage of our dual network safety net by visiting a Delta Dental Premier dentist at a slightly higher cost. With either network, you will only be responsible for any deductible and coinsurance, which may be due at the time of service. You may also visit an out-of-network dentist; however, your out-of-pocket costs will likely be higher, as, in addition to your deductible and coinsurance, the dentist may balance-bill you for additional charges not covered under your dental plan.

Delta Dental PPO is our preferred provider organization. Delta Dental PPO provides you with the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. More than 48% of all dentists in Virginia1 and 45% nationally2 participate in the Delta Dental PPO network. The Delta Dental PPO network is available in the following areas of Virginia: Hampton Roads/Tidewater, Richmond and Northern Virginia Metropolitan. Use our Find a Dentist search feature on the left-hand side of the page to find participating dentists.

1DDVA, May 2011; 2DDPA, June 2010


Click on the link below to view a chart that demonstrates how to choose a dentist that will save you the most on out-of-pocket costs.

Delta Dental PPO plus Premier payment example

Delta Dental PPO (or Delta Dental Premier)

Delta Dental PPO (or Delta Dental Premier) gives you the widest selection of dentists with varying levels of cost savings. You can save the most on out-of-pocket costs by visiting a Delta Dental PPO dentist, or take advantage of our dual network safety net by visiting a Delta Dental Premier dentist at a slightly higher cost. With either network, you will only be responsible for any deductible and coinsurance, which may be due at the time of service. You may also visit an out-of-network dentist; however, your out-of-pocket costs will likely be higher, as, in addition to your deductible and coinsurance, the dentist may balance-bill you for additional charges not covered under your dental plan.

Delta Dental PPO is our preferred provider organization. Delta Dental PPO provides you with the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. More than 48% of all dentists in Virginia1 and 45% nationally2 participate in the Delta Dental PPO network. The Delta Dental PPO network is available in the following areas of Virginia: Hampton Roads/Tidewater, Richmond and Northern Virginia Metropolitan. Use our Find a Dentist search feature on the left-hand side of the page to find participating dentists.

1DDVA, May 2011; 2DDPA, June 2010


Click on the link below to view a chart that demonstrates how to choose a dentist that will save you the most on out-of-pocket costs.

Delta Dental PPO (or Delta Dental Premier) payment example

Delta Dental PPO Choice

Delta Dental PPO Choice gives you the widest selection of dentists with varying levels of cost savings. You can save the most on out-of-pocket costs by visiting a Delta Dental PPO dentist, or take advantage of our dual network safety net by visiting a Delta Dental Premier dentist at a slightly higher cost. With either network, you will only be responsible for any deductible and coinsurance, which may be due at the time of service. You may also visit an out-of-network dentist; however, your out-of-pocket costs will likely be higher, as, in addition to your deductible and coinsurance, the dentist may balance-bill you for additional charges not covered under your dental plan.

Delta Dental PPO is our preferred provider organization. Delta Dental PPO provides you with the lowest out-of-pocket costs, because dentists who participate in the PPO network have agreed to accept lower reimbursements for services. More than 48% of all dentists in Virginia1 and 45% nationally2 participate in the Delta Dental PPO network. The Delta Dental PPO network is available in the following areas of Virginia: Hampton Roads/Tidewater, Richmond and Northern Virginia Metropolitan. Use our Find a Dentist search feature on the left-hand side of the page to find participating dentists.

1DDVA, May 2011; 2DDPA, June 2010


Click on the link below to view a chart that demonstrates how to choose a dentist that will save you the most on out-of-pocket costs.

Delta Dental PPO Choice payment example

DeltaCare

DeltaCare is Delta Dental’s managed care network, offering cost-effective benefits through one of the largest managed care dental networks. If you have a DeltaCare plan, you will pay a fixed copayment for each covered dental procedure, with no annual deductible or maximum. You must select a dentist that participates in the DeltaCare network to receive coverage.