Delta Dental offers the dental benefits you need at an
affordable price Diagnostic and preventive careNo waiting periods
or deductibles.
Annual maximum$1,000 annual maximum per covered person per
benefit year.
No annual maximum limit on pediatric EHB.
Low deductible$50 deductible per covered person per benefit
year.
Deductible only applies to basic and major services.
Exceptional customer serviceSpecialized representatives are
available to assist you at (800) 971-4108.
Secure online access 24/7Delta Dentals secure online Individual
Account Manager is a fast, secure way to locate participating
dentists, review your claims, access benefit information and
more.
Individual Dental PlansGet affordable certified essential health
benefit dental coverage from the nations leading and most
experienced dental benefits administrator.
*Sources: J Am Dent Assoc, Vol 134, No suppl_1, 41S-48S. 2003
American Dental Association and Dental Management of The Medically
Compromised Patient, 7th Edition, 2008, Mosby Elsevier, St. Louis,
MO.
Underwritten by Renaissance Life & Health Insurance Company
of America
on the care you need: For example: A dentist may submit a $950
charge for a crown. With dental coverage, the participating dentist
accepts a reduced fee of $744. Thats an immediate savings of $206!
Furthermore, having Delta Dental coverage means Delta Dental pays a
percentage from the already reduced fee. You can see how the
advantages of having dental coverage can add up quickly!
Submitted feeMaximum
approved feeCoverage level
Amount Delta Dental pays
Amount you pay
Delta Dental in-network dentist
$950.00 $744.00 50% $372.00 $372.00
The payment example above is for illustration purposes only.
Fees and reimbursements can vary by location and dentist. It does
however represent how the payment is determined.
Set by our network agreements
61% decrease from the dentists
submitted fee
x =
$ave
Good health starts with a healthy smileA healthy smile is
importantnot only to your oral health, but for your overall health,
too. In fact, your dentist can detect more than 120 signs and
symptoms of non-dental diseaseincluding cancer, diabetes, heart
disease, kidney disease, and osteoporosisduring a routine oral
exam.*
Having dental coverage helps you get the care you need to stay
healthy. It can also help keep your overall health care costs down.
Thats why we are pleased to offer you quality individual dental
benefits administered by Delta Dental. After all, good health
starts with a healthy smile!
4 4 4 4 4 4 4 4 4 4 4 4
Administered by Delta Dental Plan of Michigan, Inc..
Underwritten by Renaissance Life & Health Insurance Company of
America, PO Box 1596, Indianapolis, IN 46206
NM EHB Plan Brochure v1 PA 10/13
Save money by staying in network with our nationwide network of
dentistsDelta Dental provides access to two of the largest dental
networks in the nation. You can go to any licensed dentist, but you
generally will save money if you go to a dentist who participates
in one of our two networksDelta Dental PPO or Delta Dental Premier.
Thats because Delta Dental has established Maximum Approved Fees
for nearly all dental services, and participating dentists agree to
accept the Maximum Approved Fee as full payment for those services.
If the dentists fee is higher than Delta Dentals, he or she cannot
charge you the difference. This means you are responsible only for
your copayments and deductibles, if any, when you visit a Delta
Dental participating dentist.
As an example, say you have met your deductible and visit your
dentist for a basic covered service. If the estimated charge of
$100 is covered at 80 percent, heres the out-of-pocket cost based
on the participation status of the dentist you choose:
Submitted fee
Maximum approved fee
Amount Delta Dental pays
Amount you pay
Delta Dental PPO dentist $100.00 $70.00 $56.00 $14.00
Delta Dental Premier dentist $100.00 $90.00 $72.00 $18.00
Nonparticipating dentist $100.00 $87.00 $69.60 $30.40
The payment example above is for illustration purposes only.
Fees and reimbursements can vary by location and dentist. It does
however represent how the payment is determined.
Using your benefits couldnt be easierDelta Dental benefits are
easy to use. Participating dental offices will complete and file
claims for you, so there is no paperwork for you and you dont have
to wait to get reimbursed when visiting participating providers.
And if you have any questions, customer service representatives are
available to assist you along the way.
In this example, choosing a Delta Dental PPO dentist saves 54%
more out of
pocket versus choosing the nonparticipating dentist!
Underwritten by Renaissance Life & Health Insurance Company
of America
Start smiling brighter today
with Delta Dental!
