Every plan is different, so it pays to understand the specifics of your dental benefits – especially what is and is not covered. Log in to your secure subscriber account to see your benefits and eligibility. If you need to register for an account, check out our guide to creating a new subscriber account.
If you think you may need treatment in excess of $400, ask your dentist to submit a pre-treatment estimate. That way, you will understand your full financial responsibility upfront. No matter what plan you have, you’ll have the lowest out-of-pocket costs when you see a Delta Dental PPO provider.
If you have enrolled in a Delta Dental plan through the Connect for Health Colorado marketplace, you MUST use a Delta Dental PPOSM provider to get benefits. If you use a non-PPO provider, you will be responsible for the full charges
Non-Participating Providers: Some plans allow members to visit non-participating providers, but it always means greater out-of-pocket costs. If you’re considering a non-participating provider, check your plan documents carefully to make sure you’ll be covered. And plan on paying more than if you went to an in-network provider. You will be responsible for the difference between the amount your plan pays and the full charges from the non-participating dentist.