Delta Dental
Delta Dental PPO Plus Premier Plan
As a Delta Dental PPO Plus Premier subscriber, you have access to two of Delta Dental's extensive national networks- Delta Dental PPO, with more than 283,000 participating dentist locations and Delta Dental Premier, the largest dental network in the country with more than 358,000 dentist locations. Three out of four dentists nationwide participate in one or both of these networks.
- Both networks offer discounted fees and a no balance billing policy.
- You will enjoy great benefits when you receive your dental care from a participating dentist in either the Delta Dental PPO or Delta Dental Premier networks.
- You will receive good value from Delta Dental Premier network dentists who generally accept discounted fees. You will enjoy the greatest savings when visiting Delta Dental PPO network dentists due to even deeper discounts.
- After you meet your annual deductible, you pay coinsurance for dental services under this plan.
- If you choose to receive services from a non-participating dentist, you will have higher out-of-pocket costs as the Delta Dental contract rates and the no balance billing policy does not apply.
Simply visit www.deltadentalma.com to find a participating dentist in your area. Choose the Delta Dental PPO or Delta Dental Premier network.
When does dental coverage begin?
Coverage for new hires or newly benefit eligible is effective on your start date or eligibility date. However you must elect a plan there is no auto enrollment for dental coverage. You have up to 31 days after your start date to make and submit you election on Workday. Coverage is retroactive to your start date.
Coverage under a qualifying life event is effective on the event date. You must make your election with required documentation within 31 days of the event.
- If you do not submit your election within the required 31 days you will have to wait until the next annual open enrollment period.
When does dental coverage end?
Coverage for you and your eligible dependent(s) ends on the earliest of the following dates:
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the last day of the month in which you are no longer in an eligible class for group health coverage under the plan, or
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the date you or your dependents fail to pay for the cost of coverage, or
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the last day of the month in which you are no longer an employee of the University, or
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the date your covered dependent(s) no longer qualify for group health coverage under the plan, or
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the date the plan terminates.
Note: If you or your dependents provide false information or make misrepresentations in connection with a claim for benefits; permit a non-participant to use a membership or other identification card for the purpose of wrongfully obtaining benefits; or obtain or attempt to obtain benefits by means of false, misleading, or fraudulent information, acts, or omissions, the Plan Administrator may, in its sole discretion may terminate your or your dependents coverage in the plan