Products & Services | Delta Dental of Colorado - Special PPO Plans
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Special PPO Plans

Exclusive Panel Option (EPO) and Maximum Allowable Charge (MAC) are features of Delta Dental PPO plans. They're similar to PPO plus Premier plans, but not quite the same.

EPO Plans

  • Provide benefits only when members see a PPO provider
  • Do not cover treatment and services from a non-PPO provider
  • Offer employer groups and their employees savings, because all charges are based on the lower fees of PPO dentists
  • Require PPO providers to file claims and paperwork on behalf of members
  • Bill non-covered services at Delta Dental's discounted rate, so members save money even if they need a service that is not covered under their plan
  • Members should search for a PPO dentist when looking for a new provider

MAC Plans

  • Members may visit any provider, but will receive the best benefits by seeing a PPO provider
  • Pay claims based on the PPO fee schedule
  • Members seeking the lowest out-of-pocket costs should visit a PPO provider
  • Allow members to visit a non-participating dentist, however, members will have the highest out of pocket costs and run the risk of balance billing if they do so