Premier plans offer members access to the Delta Dental Premier Network, one of the largest dental networks nationally and the largest in Oregon. Almost 90% of dentists participate in the network. Members with this plan have the freedom to choose their own dentist. When they see Delta Dental Premier Network providers, there is no balance billing.
These plans help members save costs by connecting them with providers in the Delta Dental PPO Network, one of the largest preferred provider organization (PPO) dental networks in Oregon. Almost 50% of Oregon dentists are PPO providers. Dentists agree to accept the Delta Dental PPO Network fee, which is typically lower than other networks.
Members with PPO plans have more choice and control over their out-of-pocket costs. When they use Delta Dental PPO dentists, they receive their plan's best benefit level and enjoy the most savings. Members can also use out-of-network providers at a reduced benefit level. As long as members see participating dentists, there is no balance billing.
With EPO plans, members get a higher level of benefits than with the PPO plans, but they must see Delta Dental PPO contracted providers. This exclusive provider option does not pay for services provided from a Premier or noncontracted dentist. Care from providers outside this network is not covered, except for emergency services.
Premier plans offer your employees access to the Delta Dental Premier Network, the largest dental network in Alaska and one of the largest networks across the nation. Employees with this plan have the freedom to choose their own dentist. When they see Delta Dental Premier Network providers, there is no balance billing.
These plans help groups in Anchorage, Mat-Su Valley and Fairbanks North Star save costs by connecting members with providers in the Delta Dental PPO Network.
Members receive in-network benefits when seeing a Delta Dental PPO Network dentist. For out-of-network benefits, they can save money by seeing providers in the Delta Dental Premier Network. In both cases, there is no additional balance billing charge.
These plans help members prevent serious and expensive dental services down the road. Preventive services do not apply to the annual maximum. By saving on preventive care, members can use their annual maximum for other services.
In partnership with Willamette Dental Group, we offer Direct Option plans. These plans include a network of Willamette Dental Group providers to pair alongside our nonvoluntary Delta Dental Plans for all groups size five to 99. Groups size two to four can choose a Direct Option plan with or without a medical plan. We manage the enrollment, billing, claims and customer service for both plans, making administration easy for everyone.
Delta Dental Premier Shining Smiles plan offers benefits for children under age 19. It also meets the federal pediatric essential health benefits (EHB) requirement. Your clients can purchase this plan, even if no one enrolls right away.
With these Delta Dental and Direct Option voluntary plans, members get the same great value and variety as with non-voluntary plans, as well as flexible group contribution and participation.
Every plan includes access to our Employer Dashboard. Your clients can use the dashboard to manage their employees’ benefits, pay invoices, access plan materials and much more.
Members can use their Member Dashboard to view their claims and benefits, and to access many resources created to help them manage their health.