Dental

 

(Click on the logo to visit the website.)

Group Identification Number:

2086

Group Enrollment Program:

DeltaPreferred

Phone Number:

1-800-932-0783

Website:

www.MidAtlanticDeltaDental.com

Since July of 2003 our dental coverage has been through Delta Dental. 

The logo above is link a link to the Delta Dental website.  At this website you can search for dentists, retrieve claims information and even download a claim form.  You must register yourself with the Delta website to have online access to your information (claims, eligibility, etc.).

We are enrolled in the DeltaPreferred program.  Each individual is entitled to a maximum benefit of $1500.00 when using an in-network provider or $1250.00 maximum benefit when using an out-of-network provider.  Our contract year runs from July 1 of a given year to June 30 of the following year.  We follow the payment schedule below:

  In-Network Out-of-Network
Benefit Paid by Delta Paid by Patient Paid by Delta Paid by Patient
Diagnostic 100% 0% 100% 0%
Preventive 100% 0% 100% 0%
Basic Restorative 90% 10% 90% 10%
Major Restorative 80% 20% 80% 20%
Oral Surgery 80% 20% 80% 20%
Endodontics 80% 20% 80% 20%
Periodontics 80% 20% 80% 20%
Prosthodontics 50% 50% 50% 50%
TMJ 50% 50% 50% 50%

** The above covered percentages are payable to participating dentists or subscribers and subject to limitations and exclusions as specified in the Group Dental Service Contract.**

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