Benefits details
Get to know your planYour plan type is Delta Dental PPO™
Your plan covers a percentage of your dental treatment costs. The portion you pay is called coinsurance.You can visit any dentist in any network. Your coverage and costs will vary by dentist and the dentist's network.To check the current status of any maximums, deductibles, and out-of-pocket limits, view your benefits usage.Coverage for Quin Parker
Coverage can vary depending on the dentist you go to and the network that dentist is in. For the most savings go to a dentist in the Delta Dental PPO network.
Getting ready to visit the dentist?
Plan ahead for a visitWhich network should I select?
Procedures & servicesPortion your plan covers for
Delta Dental PPO network
Delta Dental PPO network
50%
80%
80%
Restorative services - other
Other Restorative Services
Quin Parker has no covered procedures in this category for this networkOther Restorative Services
50%
80%
50%
50%
50% - 100%
Prosthetic services
Other Prosthetic Services
Quin Parker has no covered procedures in this category for this networkOther Prosthetic Services
Coverage for dependents
For adultsSpouses are eligible to receive coverage. For more detailed information on adult dependents, please see your official policy document.For childrenChildren are eligible to receive coverage until the end of the month that they turn 26. They must be a declared dependent on this plan to receive coverage.For studentsStudents are eligible to receive coverage until the end of the month that they turn 26. They must be a declared dependent on this plan to receive coverage.Additional benefits
Basis of paymentPPO Providers (DPO in the state of Texas) are reimbursed at the PPO schedule and Premier Providers are reimbursed at their Premier schedule. A member's out of pocket costs are higher when treated by a Premier or non-Delta Provider.Orthodontic Age LimitPlease refer to your policy document for any age limits on orthodontic coverage.Pregnancy benefitsYour plan includes one additional cleaning during pregnancy.Orthodontic paymentFollowing the initial payment, Delta Dental will pay the remaining orthodontic benefit within 12 months, provided there has been no lapse in coverage.SmileWay® Wellness BenefitsIf you have been diagnosed with certain chronic conditions, you can opt in to receive expanded dental coverage at no additional cost.Enroll in Smileway Wellness Benefits
Benefits documentation
Evidence of Coverage
Your Evidence of Coverage (EOC) is an official document containing details about your Delta Dental plan benefits, costs and coverage.
