Dental PPO and Delta toothbrush holder stainless steel Dental premier what does that mean when a provider a provider can participate in both of the networks and when they participate in both of them all that's important to you is that they're a Delta Dental PPO provider when that claim comes in to process.
we recognize that have status or participating status in the Delta Dental PPO Network and we pay that claim accordingly so we we give you the higher level you or you receive the higher level of discount on that service.
Portable Sanitary Toothbrush Holder
you get the higher level of toothbrush holder stainless steel benefit you don't need to ask the provider office to do anything and you don't need to contact us to tell us that their PPO will automatically see that their PPO and pay that accordingly.
Delta Dental has a variety of programs that we offer to our clients and so in some cases it makes sense for the providers to be participating in both but when you see that they're in both it's good news for you because that means they participate in PPO and you get that higher level of benefit so we've taken a look at.
the changes we've taken a look at the benefit and we've taken a look at the provider type so let's put all of this together now and take a look at the payment example this is so we've got a couple payment examples for you and this first one is a major service so it's in the major service category it's a crown and.
this is with a deductible so you can see here the first line there the green line is the Delta Dental PPO network that PPO provider they charge nine hundred fifty dollars for this crown however because they participate with Delta Dental they've agreed to accept the as the PPO approved fee which means they cannot.
balance bill you the difference between the and because this is a PPO provider there is a zero deductible the coinsurance on this this service is percent so percent of is seventy-five and because this is a PPO provider.
there's no additional cost this provider has agreed to accept is payment in full for this crown so your out-of-pocket here is the next row when you go to a Delta Dental premier dentist they also charge nine hundred fifty dollars but they've agreed to accept eight hundred and mouth by keeping your regular visits with.
periodontal services periodontal or anything they have to do with gum disease endodontic services which have to deal with working out oral surgery realigns and repairs all of those are considered restorative services as you can see when you go to a PPO provider your fillings have a % coinsurance so you have a higher level benefit by going to a PPO provider when you go to a premier a non-participating
No comments:
Post a Comment