The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Delta Dental of Kentucky insures nearly 800,000 smiles in the commonwealth of Kentucky through group and individual plans. CLASSIC PLAN . Schedule of Benefits. Prophylaxes (cleanings) are payable twice per calendar year. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. All of those matters are things that you should decide, in consultation with your dental care professionals. Please scroll down and accept to proceed. Providers m… Estimates should not be construed as financial or medical advice. The Deductible does not apply to diagnostic and preventive services, emergency palliative treatment, brush biopsy, X-rays, and sealants. Delta Dental of Kentucky Delta Dental PPO plus Premier Summary of Dental Plan Benefits Group Name: ... * When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. General information regarding your health care. Learn how we are committed to the safety of our members and dentists. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. Home / Members / Delta Dental Patient Direct / Sample Schedule of Fees. Want to know before you set foot in the dentist’s office? Members are responsible for all charges over the scheduled amount and/or the annual maximum benefit. View your plan, print ID cards, review claims, check eligibility and more. 2021 Client Relations Billing Schedule: Billing Month: Friday - Cutoff Date: December 2020: November 13, 2020: January 2021: December 11, 2020: February 2021 Delta Dental of Kentucky . Group Name: Kentucky Conference of the United Methodist Church . 10100 Linn Station Road, Louisville, KY 40223 | (800) 955-2030. Group Number: 690650 . We encourage you to take advantage of this program by calling your Dentist today for an appointment. see schedule o for continuationfor close to six decades, delta dental of kentucky has helped promote healthy smiles for our members by designing and administering innovative, cost-effective dental benefit programs. The national network of Delta Dental companies protects more smiles than any other insurance company. Access your insurance and the tools to help you use it anytime, anywhere with the Delta Dental mobile app. This amount may be less than what the Dentist charges or Delta Dental approves and you are responsible for that difference. Dentists must meet the coverage provisions and requirements of 907 KAR 1:026to provide covered services. Benefit Year – Policy Year. Delta Dental of Kentucky is continuing business as usual and we remain fully operational at present time. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. There is also no balance billing when utilizing a PPO dentist. Want to know before you set foot in the dentist’s office? Click below for log-in information. Delta Dental's Online Services ; Protect Your Practice from Fraud; Electronic transactions; Running a paperless office; Update your information; Your Tax Identification Number (TIN, EIN or SSN) Medicare Fraud Waste and Abuse Attestation; Webinars and Events; Resources, Tips, Suggestions. Preventive services are included in this tool. Have a question about coverage or looking for dental insurance? For DeltaCare® USA, maximum contract allowances are not applicable. Connect with your Delta Dental company to learn more. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Delta Dental has the largest network of dentists nationwide. Delta Dental has the largest network of dentists nationwide. The information and content (collectively, "Content") on this website is for your general educational information only. With Premier network dentists, there will never be balance billing. Delta Dental Premier Dentist or Nonparticipating Dentist - $75 Deductible per person total per Benefit Year limited to a maximum Deductible of $225 per family per Benefit Year. Access your benefits online; anytime, anywhere. Estimates should not be construed as financial or medical advice. Delta Dental of Kentucky offers four dental plan options for individuals and families. Delta Dental of Kentucky is a part of Delta Dental Plans Association. No dentist found that matches your criteria, I receive dental insurance through my employer, Please enter a treatment type and/or valid 5-digit ZIP code. For more detailed information on your dental care costs, please consult your dentist or your Delta Dental. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. All Rights Reserved. Connect with your Delta Dental to learn more. Confidential Filed Fee Schedule (Updated to include CDT 2018 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the rules and regulations of Delta Dental. Good oral health is a vital part of good general health, and your Delta Dental program is designed to promote regular dental visits. Code Code Status PA Description Min Age Max Age Begin Date End Date Max Units Fee D0350 Fee on File 2D … "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Delta Dental Patient Direct is a discount dental plan designed to help New Mexicans without dental benefits obtain more-affordable dental care services. Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. When you visit a New Mexico dentist who participates in Delta Dental Patient Direct, you can receive discounts on hundreds of common dental procedures. Refer to your benefit plan to determine whether these requirements apply to you. Through our charitable giving programs, Delta Dental of Kentucky is committed to improving the quality of life for of all Kentuckians. Contact your company's human resources department. Information regarding the Cost Estimator content. Do not avoid getting dental care based on the cost information provided on this website. Code Procedure Description Fee; 0120 Oral Evaluation $33; 0274. delta dental of kentucky insures nearly 800,000 smiles in the commonwealth of kentucky through group and individual plans. *Not sure where your company is headquartered? Contact your company's human resources department. Find the one that’s right for you. Here are the benefits of creating an account. We now offer exclusive dental options from Delta Dental of Kentucky as well as vision options from DeltaVision in partnership with VSP. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. © Copyright 2020 Delta Dental Plans Association. Have a question about coverage or looking for dental insurance? Show fee discounts on claims; Filing fees for multiple offices; Working with Delta Dental. Delta Dental PPO dentists accept our PPO fees as payment in full, so members will pay the least out-of-pocket with a PPO dentist. Once the deductible has been met, the plan participant has a maximum annual dental benefit of $2,500 for all dental services. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. How to use your Dental Medicare Advantage Plan - Choice of Network Dentist . DENTAL FEE SCHEDULE Effective 01/01/2020 Print Date: 05/05/2020 Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) Pricing does not include cutbacks, assessment fees, etc. Health information changes quickly. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. Get started here. In order to solve this problem, he always turned to the dentist. Please contact the Delta Dental company below for more information. As part of that commitment, Delta Dental of Virginia Foundation has made a statewide contribution of $1M to support Virginians impacted by COVID-19. Visiting a Delta Dental dentist provides network savings that result in lower out-of-pocket costs. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Customer service representatives will be available by phone from 8am – 6pm EST, Monday through Friday and automated services will continue to be available 24/7. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. We update them regularly, usually every 6 to 24 months. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Save or instantly send your ready documents. Our plans have the benefits you and your family need at an affordable price. These updates are required to be filed first for approval by state regulatory agencies in many locales. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. The national network of Delta Dental companies protects more smiles than any other insurance company. You may be responsible for the cost of procedures or services not covered by your plan. It offers online invoice fee facility to all its users and provides several other how one can pay bills. Delta Dental of Kentucky Delta Dental PPO (Standard) Summary of Dental Plan Benefits Group Name: Mercer County Board of Education Group Number: 709020 Covered Services – In-Network Out-of-Network Plan Pays Plan Pays* Diagnostic & Preventive Diagnostic and Preventive Services – exams, cleanings, fluoride, and space maintainers 100% 100% Emergency Palliative Treatment – to … Connect with your Delta Dental to learn more. Our dentist credentialing, cost management policies and fee reduction agreements with dentists help our members receive the best dental outcomes. Your actual cost may be higher or lower than the estimate for various reasons. This website shows estimates of certain dental care costs. Example: If the dentist submits a fee on a claim for $120, ... Delta Dental reviews allowances on an ongoing basis. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what dental benefits your plan will cover, or your out-of-pocket costs. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Preventive care coverage varies by plan and by demographic considerations such as age. Plan Pays Plan Pays Plan Pays : Waiting Period Type I - Diagnostic & Preventive Services Oral Exams and Cleanings 80% 80% 80% NONE . Dental coverage for children includes oral exams, emergency visits, x-rays, extractions, and fillings. Therefore, it is always best to confirm information with your health care professionals. For information on becoming a network dentist, enter the state where you practice. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. This plan pays benefits based on Delta Dental PPO network fees. How much is it going to cost? Listing of a service in an administrative regulation is not a guarantee of payment. Delta Dental PPO. It shows procedures, date(s) of service, processing policies, Delta Dental's payment and the amount (if any) that the enrollee owes to the dental provider. A Delta Dental Medicare Advantage TM member will be handled the same as any other patient in your practice who has a Delta Dental PPO or Delta Dental Premier plan, and claims will be processed the same as well. PPO Provider . Group Number: 148230-2001, 2299 . The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. All Rights Reserved. Delta Dental of Kentucky now offers affordable vision plans that will save you money. For a complete description of the details of your coverage, please refer to your coverage documents. See schedule o for continuationfor close to six decades, Delta Dental of Kentucky has helped promote healthy smiles for our members by designing and administering innovative, cost-effective Dental benefit programs. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. The national network of Delta Dental companies protects more smiles than any other insurance company. The national network of Delta Dental companies protects more smiles than any other insurance company. MHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course 2020; Fraud, Waste and Abuse Attestation; Fraud, Waste and Abuse Training Log . Group Name: ST CLAIRE HEALTHCARE . delta dental fee schedule – this topic people are often interested in, because there are important reasons for this. Contact your company's human resources department. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. App features may vary by geographic area and individual dentist participation. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Have a question about coverage or looking for dental insurance? Delta Dental PPO (Standard) Summary of Dental Plan Benefits . Our Dental Office Toolkit provides fast online claims processing and easy access to information. If you're a Non-profit located in Kentucky, you may apply for a grant from the Delta Dental of Kentucky Foundation. Have a question about coverage? Whether you regularly receive your 2 cleanings or have an unexpected dental emergency, investing in a plan with Delta Dental will always save you money. See Delta Dental Premier. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Delta Dental Patient Direct® Schedule 19 Form 0718 Diagnostic and Preventive Services (x-rays and cleanings) Restorative Services (fillings and crowns) ADA CODE DENTAL PROCEDURE /ADA CODE DESCRIPTION NORMAL FEE* MEMBER FEE YOU SAVE D2950 Core buildup, including any pins when required $369 $104 72% D2951 Pin retention - per tooth, in addition to restoration $112 $31 72% … The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. To enroll in this Program, you must select a Network Dentist from one of the following counties: Miami-Dade and Broward Counties only. Delta Dental PPO in-network providers offer services at a lower negotiated fee schedule, resulting in lower member copays. Refer to your benefit plan to determine whether preventive services are covered for you. Connect with your Delta Dental to learn more. How much is it going to cost? Annual Dental benefit for all Dental services is $ 2,000 if an out-of-network is... Company below for more detailed information on this website represents or warrants that any drug! Documents, your coverage, please refer to your coverage documents will control which a dentist paid. `` Content '' ) on this website represents or warrants that any particular drug or treatment specific to you your. Dentist provides network savings that result in lower member copays increases or decreases the benefits and... Dental visits, the plan participant has a maximum annual Dental benefit all! 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