| Delta Dental PPO Plan | ||
|---|---|---|
|
| Delta Dental PPO, Delta Dental Premier and Out-of-Network Dentist | |
| Deductible | $50/person; $150/family | |
| Benefit Maximum (calendar year) |
Plan pays $2,000/person | |
| Diagnostic and Preventive Services* (oral exams, cleanings, X-rays) |
No copay or deductible | |
| Basic Services (oral surgery, fillings, root canals, etc.) |
You pay 20% | |
| Major Services (crowns, onlays, gum treatment, cast restorations, etc.) |
You pay 50% | |
| Prosthodontic (bridges, full and partial dentures) |
You pay 50% | |
| Dental Guards (once every three years) |
You pay 50%, plan pays $500 maximum/person | |
| Retainer Replacement (once every five years) |
You pay 50%, plan pays $500 maximum/person | |
| Implants | You pay 50%, plan pays $2,000 annual maximum/person | |
| Orthodontic Benefits (adults and children) |
You pay 50%, plan pays $2,000 lifetime maximum/person | |
| Reimbursement is based on PPO-contracted fees for PPO dentists, Premier-contracted fees for Premier dentists, and enhanced-program allowance for out-of-network dentists. Balance billing may still apply for out-of-network dentists. | ||
View 2025 network comparison.
In-Network vs. Out-of-Network Dentists
Under the Delta Dental PPO Plan, you can visit any licensed dentist but you save money when using dentists within the PPO Network since PPO dentists have lower contracted fees and may only charge a set amount. When seeing a PPO dentist you will receive free diagnostic and preventive care and pay less for basic benefits, crowns, and other services.
Out-of-Network dentists tend to charge higher rates, and Premier dentists have a higher contracted rate with Delta, and so you'll pay more out-of-pocket and meet your benefit maximum quicker.
Since you pay a percentage of the dental bill, it’s in your best interest to see in-network Delta Dental PPO providers in order to minimize your out-of-pocket costs and maximize your annual plan allowance.
Log in at deltadentalins.com to search for in-network PPO providers.
Dental Cost Estimator
Delta Dental has a cost estimator tool to help you estimate your out-of-pocket expenses for dental procedures. Whether you’re getting braces or need a cavity filled, the tool will use real-time personalized data to estimate your expected out-of-pocket costs.
- Login to your Delta Dental portal at deltadentalins.com
- Click on Plan ahead for a visit
- Select Estimate Costs
- You'll be able to Select a Procedure and then click Get Cost Estimate
- You'll be asked if you want this to be done at your regular dentist's office which you can then select yes or no. You'll be able to see the cost of the current dentist you visit or dentist within your area.
- Then click Get Cost Estimate
Log in to your account at deltadentalins.com to get started!
Dental ID Card
You will not receive an ID card for dental insurance. The dental or orthodontic office will locate your coverage based on your SSN and date of birth (DOB). However, you can log in at deltadentalins.com and print out an ID card with your Enrollee ID number if you prefer not to provide your dentist with your SSN and DOB.
To print your ID card:
- Login to deltadentalins.com
- Select Get ID card on the right side of your homepage
- Print ID card
Coordination of Benefits
If you are considering enrolling in Marvell's dental plan and a second dental plan through a spouse/domestic partner's employer, review this flyer for information on how coordinating two dental plans would work.
Submitting a Claim for Out-of-Network Services
If you or a dependent received dental services with an out-of-network provider, you can still submit a claim by following the below steps.
Members will need to complete the claim form which can be found on the Delta Dental site > proceed to Quick Links at the bottom of the landing page > find the claim form titled Member Claim Form.
Be sure to complete the top portion of the form with your member and/or dependent insurance information. You can attach the detailed treatment statement from your dental office along with the receipt/proof of payment to ease you from completing the full form. The Delta Dental claims processing team can then utilize the detailed statement to process the claim. Once the form is completed, you can mail it to the address found in box 3 of the form.
Please note, claims typically process within two weeks unless additional information is required from your or your dentist.
Connecting with Delta Dental
Have questions regarding a claim? You can submit inquiries through your Delta Dental portal be following the steps below.
1) Login to your Delta portal atdeltadentalins.com
2) Click on claims and visits in the left column
3) Click on contact us
4) Enter your information and select Claims from the drop down.
You can also call Delta Dental directly at (800) 427-3237.
