Delta Dental is a network of 39 independent, not-for-profit dental plans conducting business in all 50 states, the District of Columbia, and Puerto Rico - collectively the largest and most experienced provider of dental benefits in the country. These plans are all members of the Delta Dental Plans Association (DDPA), whose mission is to help improve the overall oral health of the nation by making dental care more available and affordable.
Delta Dental offers a wide variety of programs, providing employers with quality, cost-effective benefit plans and services. Over one in four Americans with dental benefits relies on Delta Dental! Our programs work because we specialize in dental benefits and dental benefit administration.
With all Delta Dental plans, full benefits apply when the network selected by the group is used. Patients who use non-network dentists may have additional out-of-pocket costs (depending on what the individual dentist charges) but there is never a requirement to use only network dentists. Delta Dental subscribers have benefits for covered services with any dentist, anywhere.
If a non-network dentist is used by a patient enrolled in a plan featuring Advantage Network, PPONew Mexico or Delta Dental PPO, the amount of any additional non-network cost can be capped by making sure a Delta Dental Premier dentist is selected. Delta Dental Premier dentists will not balance-bill patients for any amount over and above Delta Dental Premier approved fee maximums, regardless of the plan selected by the employer. In addition, dentists in every Delta Dental network will submit a claim on behalf of the patient, eliminating the requirement of many non-network offices for the patient to pay first and wait for reimbursement.
Approximately three out of four dentists in the United States are Delta Dental dentists, the largest network in the industry. Delta Dental participating dentists are critical to the success of our unique cost management system. They agree to charge patients only the fees approved by Delta Dental for covered services. Our cost management expertise also incorporates coordination of benefits, utilization reviews, in-office fee audits and peer review, saving our purchasing groups millions of dollars annually.
Please let us know if we can tell you more about our unique network choices or more fully explain The Delta Dental Difference. Our most up-to-date network directories are available by clicking here .
DeltaUSA® gives national clients the advantage of the nation's largest dental network -- more than 148,000 dentist locations. Designed for large employers with employees in two or more states, DeltaUSA® is offered by Delta Dental Plans across the country to groups headquartered in their state.
This national program enables uniform benefits for all employees, the same quality assurance and cost management features of all Delta Dental programs, and benefits paid based on each dentist's approved fees, not regional profiles. Savings and satisfaction for employees in all locations!
Available only in New Mexico, these proprietary networks give Delta Dental patients all the features of other Delta Dental networks, including The Delta Dental DifferenceSM.
Delta Dental of New Mexico offers a menu of fully insured dental plans with varying levels of benefits and dentist networks, based on the size of the group. Plan designs and new business premiums are the same for all employers in the Pool, which helps stabilize future premium adjustments, control the plan costs associated with administration, and enhance affordability.
To meet the varying budget and benefit goals, each individual employer is able to select from several deductible and plan maximum options within the standard plan designs offered. With several affordable pricing options, the required 50% employer contribution to employee premiums can be as little as $10.00-15.00 a month per employee!
Many dental plans require a benefit waiting period before major services are considered eligible expenses. With Delta Dental's small group pool, the waiting period for major services is waived for any employer with a comparable prior dental plan and - on all plans for all employers -- preventive care is covered immediately at 100%.
Delta Dental PPO combines our national Delta Dental PPO network with our most affordable benefit designs. With an emphasis is on generous preventive care benefits, the plan's specially negotiated provider fees also help control patient out-of-pocket costs for major services.
Delta Dental PPO gives employers the ability to enjoy both maximum premium savings and all the features, including The Delta Dental DifferenceSM, of other Delta Dental plans.
Featuring the exclusive Advantage Network, this plan design results in a cost-efficient balance of provider access, competitive pricing and comprehensive benefits.
Advantage members who select a Delta Dental Premier dentist - in or out of the state - have the assurance that additional out-of-network costs, if any, will be capped and they are never required to pay first and wait for claim reimbursement. That's The Delta DifferenceSM!
Enabling enrollees to select from two different benefit levels, this plan features both of Delta Dental's national networks. Patients selecting a Delta Dental PPO dentist receive the plan's highest level of benefits while patients choosing to utilize Delta Dental Premier will have the broadest selection of dentists. Employees are not "locked in" to either benefit level and may choose either side of the plan anytime.
All Small Group Pool Point of Service Plans automatically include enhanced Diagnostic & Preventive care benefits. With these plans, D&P benefits never count against the Annual Plan Maximums, assuring each enrollee of the full level of preventive care benefits in every year.
Delta Dental PPO Point of Service allows employers to offer our most affordable point of service plan premiums with benefit flexibility designed to meet the varying individual needs of their employees.
Available exclusively to New Mexico employers, Advantage Network Point of Service offers enrollees a choice between two benefit levels. Selecting between Delta Dental Premier, our comprehensive national network, and our Advantage Network participating providers, enrollees are rewarded with the highest level of coverage when they select an Advantage Network dentist. The same covered services are available under the Delta Dental Premier side of the plan, but enrollees will contribute a somewhat higher coinsurance percentage. Employees are not "locked in" to either benefit level and may choose either side of the plan anytime.
All Small Group Pool Point of Service Plans automatically include enhanced Diagnostic & Preventive care benefits. With these plans, D&P benefits never count against the Annual Plan Maximums, assuring each enrollee of the full level of preventive care benefits in every year.
Advantage Network Point of Service allows employers to offer affordable premiums and a plan with the flexibility to meet the varying individual needs of their employees.
Delta Dental Premier is a national network for groups who want to provide their employees with the broadest panel of participating dentists. Over 90% of the dentists in New Mexico participate and there are over 182,000 Delta Dental Premier dentist locations nationwide.
The possibilities are nearly endless! For large employers who qualify for custom designed benefit plans, Delta Dental of New Mexico's menu of networks, plan designs and benefit configurations - along with our plan design expertise - makes us the state's leader in custom benefit administration. For fully insured, voluntary, or self-funded plan options contact us today!
Delta Dental's cost management system incorporates the nation's largest repository of dental services costs and data, enabling valuable utilization review, effective in-office fee audits and peer review. Delta Dental also retains the services of licensed dentists who review claims for major dental procedures. Using a "best practices" model, these consultants review proposed services to help Delta Dental subscribers receive dental treatment appropriate for their conditions. Because of Delta Dental's unique ability to reduce costs, employer groups save millions of dollars each year. Our Report Card speaks for itself!