Section 3: > How The Delta Preferred Option (DPO) Works > Getting The Most From Your Plan
Getting The Most From Your Plan
Choosing A Dentist
You receive the maximum benefits available when you use a DPO dentist. DPO
dentists are Delta dentists who have agreed to charge DPO patients reduced fees.
The dentist you choose will impact the level of benefits you receive. Here's
how it works:
| When You Choose... |
| A Delta dentist, including: |
| A DPO dentist |
- Your out-of-pocket costs will probably be less because DPO dentists
agree to charge DPO patients reduced fees
- You'll pay a deductible*, copay and/or any amount over the annual
benefit maximum when you receive care
- You don't need to file a claim form
|
| A non-DPO dentist |
- You'll be charged no more than the fees approved by Delta Dental,
but these fees could be higher than those charged by a DPO dentist
- You'll pay a deductible*, copay and/or any amount over the annual
benefit maximum when you receive care
- You don't need to file a claim form
|
| A non-Delta dentist: |
| |
- The dentist's fees you'll be charged may be higher than the rates
negotiated for DPO providers or other Delta providers
- You'll pay a deductible*, copay and/or any amount over the annual
benefit maximum when you receive care
- You'll also be responsible for any charges over the R&C limit
- You may have to pay the entire cost in advance
- You may have to complete and submit your own claim form and wait for
reimbursement from the plan
|
*Deductible waived for diagnostic and preventive care.
You'll automatically receive a network provider list at no charge. To learn
more about the dentists who participate in the nationwide DPO network, as well
as other Delta Dental providers, you can also:
- Call Delta Dental for a list of participating dentists in your area; or
- Log on to Delta Dental's website to search for a provider online.
Keep in mind that network dentists occasionally change, so you'll want to make
sure the dentist you choose is still in the DPO or Delta Dental network before
you make an appointment. For the most up-to-date information, including whether
a dentist is accepting new patients, call the dentist directly.
|
