Under this Delta Dental plan, you may see any dentist. However, your out-of-pocket costs are lower when you use a dentist on Delta's Preferred Provider Option (PPO) list. Once you meet the deductible, you will be responsible for a percentage of your covered costs, known as coinsurance. Adults, age 19 or older, are eligible for the orthodontic benefit with this plan.

Features and Considerations
Plan Type PPO Provider Network Premier Provider Network** Non-Participating***
Plan Year Benefit $2,500* $2,500* $2,500*
Deductible (Children under 13 exlcuded) $25 per person $75 per person $75 per person
Preventative & Diagnostic Services 0% coinsurance and no deductible 0% coinsurance and no deductible 0% coinsurance and no deductible
Basic Services 20-25% coinsurance 40-50% coinsurance 40-50% coinsurance
Major Services 25% coinsurance 60% coinsurance 60% coinsurance
Orthodontics 40% coinsurance after deductible 60% coinsurance after deductible 60% coinsurance after deductible
* Combination of in and out-of-network services.
** The Premier percentage of benefits is limited to the Premier Maximum Plan Allowance.  
*** The non-participating percentage of benefits is limited to the non-participating Maximum Plan Allowance. You will be responsible for the difference between the non-participating Maximum Plan Allowance and the full fee charged by the dentist.