Delta Dental of Colorado - Premier Plan
Friday, September 10, 2010
Delta Dental Premier*

Delta Dental Premier is a fee-for-service plan with a wide range of covered services. When enrolled in a Premier plan, you have the freedom to see any dentist. But you save money if you choose a dentist who participates in the Delta Dental Premier network. These dentists agree to accept Delta Dental's fee schedule, which reduces your out-of-pocket costs. And, you can't be charged more than what Delta Dental allows for services. You can be charged only for your deductible and coinsurance at the time of service.

You may select any licensed dentist for your dental care. But non-participating dentists may charge you more, in addition to deductibles and coinsurance. The following chart gives you examples of cost, based on the dentist you choose:

Fee examples when you see your dentist for an exam, cleaning and full-mouth x-ray:

   

Delta Dental
Premier Dentist


Non-Participating
Dentist
 

A  Fee Charged by Dentist $245 $245
B  Our Maximum Allowance $225 $191
C  Non Chargeable Amount $20 n/a
D  % Allowance Paid by Delta Dental 100% 100%
E  Delta Dental Pays (B x D= ) $225 $191
F  Member Pays: $0 $54
     Premier (B-E=)   Non-Par (A-E=)

 

 

 

 

 

 

 

In this example, you saved $54 by seeing a Delta Dental Premier dentist in comparison to the non-participating dentist.

*This example uses hypothetical fees and assumes that your annual deductible has been met. 

 

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