Network Overview: Premier vs. PPO
Different people need different dental plans – that’s why we offer both Delta Dental Premier® and Delta Dental PPOSM. But what’s the difference between these two dental plans? With a new year right around the corner, let’s make sure to use our benefits. Here’s how you can find the right dentist for you and your plan.
What is Delta Dental Premier® plan?
Delta Dental of Wisconsin Premier® dental plan offers the largest network of dentists out of all our dental plans. The dentists in this offering agreed to pre-negotiated fees for procedures, which means they can’t bill you more than your copay and deductible. For covered services, you pay no more than your copay and deductible.
What is Delta Dental PPOSM plan?
PPO stands for “preferred provider organization.” Dentists who are in our preferred provider organization charge reduced fees for covered services, which means you’ll receive the largest amount of savings when you visit Delta Dental PPO providers. A group of providers is often called a network. Our PPO provider network is our second-largest dentist network. This network of dentists offers the lowest out-of-pocket costs.
Your dental plan will determine what network of dentists you should choose from. An in-network dentist is one who has agreed to accept pre-established costs for services, saving you money over an out-of-network provider. You will save the most by visiting a dentist in your plan’s network.
Both Delta Dental Premier® and Delta Dental PPOSM providers work with us directly for claims and payment — so you don’t have to worry about any paperwork. Both dental plans have an annual maximum and deductible.
Interested in the exact cost of a service? Click here to access our Cost Estimator tool, enter the treatment and your zip code, and get an estimate of the cost. It’s that simple! Another option is to have your dentist submit a pre-treatment estimate, which will tell you exactly what is covered and what isn’t.
Always make sure to review your specific plan information – log in to our online member portal today at www.deltadentalwi.com!
