Customer Service, For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO, Check benefits, eligibility, incentive and utilization. Happy Holidays! Portland, OR 97204 Specialist services are a covered benefit under most plans, and the same Delta Dental Premier agreements apply. Find a General Surgeon who accepts Delta Dental Premier near you in Portland, OR. For a list of participating Delta Dental Premier dentists, view our find care directory. Visit a dentist in your network to get the most savings. The Delta Dental Plans Association is composed of 39 independent Delta Dental member companies operating in all 50 states, the District of Columbia and Puerto Rico.These member companies provide coverage to 68 million people, enrolled in over 120,000 groups. Patient's name, identification number and group ID number, An itemized description of services and charges. All plans include access to the Health through Oral Wellness Program. Delta Dental Plan of Oregon The Delta Dental Plan of Oregon dental plan gives you access to the Premier and PPO Networks, the largest dental networks in Oregon and nationwide. Delta Dental Premier offers a network of dentists that encompasses more than 128,000 dentists and over 198,000 office locations -- the largest network in the country. Individual medical plans in Alaska provided by Moda Assurance Company. Customer Service We cover more Americans than any other dental benefits provider - and strive to make dental coverage more accessible and affordable to a wide variety of employers, groups and individuals. If you are creating an account for an adult member of your family, that member must have given you permission to set up an account in his/her behalf. Delta Dental Premier dentists have contracted with Moda Health and agreed that their charges will not exceed the plan allowance, which means your out-of-pocket costs will be lower. Refer to your Member Handbook for any specific limitations. Delta Dental Individual and Family ™ Premier The most choice for members. Find a doctor, dentist, pharmacy or clinic. However, premier dentist fees may mean different out-of-pocket costs than PPO dentist fees. The Premier option connects you with the largest dental network in Oregon and nationally. Based on your risk score, you may qualify for additional cleanings, fluoride treatments, sealants and periodontal maintenance. This site is subject to change in order to comply with state and federal law, including the Affordable Care Act (ACA) and related regulations, and connectivity with the federal Marketplace. If you can't find an answer, please feel free to contact our You also can contact Moda Health Customer Service, and we will review your claims history to determine your remaining benefits. My former employer is allowing me to pay for continued insurance coverage on my own. For a list of participating Delta Dental Premier specialists, view our find care directory. It includes more than 2,400 providers in Oregon and over 156,000 Delta Dental Premier dentists nationwide. Delta Dental Premier is a traditional fee-for-service plan that allows you to visit any licensed dentist and to change dentists at any time without notifying Delta Dental. You can look up: Both the PPO and Premier plans have participating providers who will not charge more than Delta Dental's allowed amount. Copyright © document.write(new Date().getFullYear()); Moda, Inc. All rights reserved. The national network of Delta Dental companies protects more smiles than any other dental insurance company. The information shown here is not a guarantee of payment. Its “safety net” feature combines the traditional Delta Dental Premier network with the Delta Dental PPO network, giving members maximum access to participating dentists and maximum savings. Delta Dental of Massachusetts PPO and Premier insurance products are offered by Dental Service of Massachusetts, Inc. Delta Dental of Massachusetts EPO and DeltaCare insurance products are offered by DSM Massachusetts Insurance Company, Inc. May only be purchased and used by those who have primary residence in Massachusetts. Customer Service Compare savings when you have access to both our Delta Dental PPO TM and Delta Dental Premier networks. Please refer to your Member Handbook for the specific age limits under your plan. Healthcare from your head to your toes. See all Diabetologist office locations in Portland that accept Delta Dental Premier and doctor ratings. Find Delta Dental Dentists in Salem, Oregon & make an appointment online instantly! If permission has not been provided, you may be violating the privacy of that individual's information. It includes more than 1,300 participating providers in Oregon, and over 112,000 Delta Dental PPO dentists nationwide. Talk to your dentist about the program. If you are creating an account for an adult member of your family, that member must have given you permission to set up an account in his/her behalf. Use our Find Care tool to locate a dentist near you. Follow these simple steps to see if you qualify: *All enhanced dental benefits are subject to your plan's annual maximum and other limitations. Health plans provided by Moda Health Plan, Inc. How long are my children covered under my dental plan? Delta Dental of Oregon is a part of Delta Dental Plans Association. You can view your remaining benefits as well as other health information on Member Dashboard, your personalized member website. If you see providers outside of the network, you may pay more for care. 2nd Ave. See all General Surgeon office locations in Portland that accept Delta Dental Premier and doctor ratings. Dental plans in Oregon provided by Oregon Dental Service, dba Delta Dental Plan of Oregon. If you see providers outside of the network, you may pay more for care. When you visit a Delta Dental Premier dentist, we ensure that you pay no more than the co-insurance percentage specified by your coverage. Individual medical plans in Alaska provided by Moda Assurance Company. The preferred provider option (PPO) gives you access to one of the largest PPO dental networks in Oregon and across the country. Large network of dentists nationwide. How long will my COBRA plan be effective? Customer Service, If you can't find an answer, please feel free to contact our Find a Dentist Giving Back Our Foundation promotes dental health, advances dentistry, helps Iowans access dental health care, and more to keep Iowans smiling. This program uses an oral health assessment to find out your risk of tooth decay, gum disease and oral cancer. You can access your Member Handbook online by logging in to your Member Dashboard account. This can help you save on out-of-pocket costs. Delta Dental Premier Choose if you’re interested in a broader selection of providers – and are willing to pay a bit more for the convenience. This means they do not balance bill – the difference between what we pay and the dentist’s fee. The Certificate includes any limitations or exclusions not seen here. Dental plans in Alaska provided by Delta Dental of Alaska. Dental plans provided by Oregon Dental Service (ODS), dba Delta Dental Plan of Oregon and Delta Dental of Alaska. Done again. coverage document is the master resource my remaining benefits as well as other health information Member! The latin term `` modus '' and means `` a way '' if any ) and charges any limitations... United states, also known as Dental Service ( ODS ), Delta. Premier dentists, view our find care tool to locate a dentist again. choose. Premier near you in Portland, or please refer to your Member Dashboard video series. See all Diabetologist office locations in Portland, or Dental dentists in,! In Portland that accept Delta Dental PPO this network provides the best of both.... Guarantee of payment our maximum approved fee Service ( ODS ), dba Dental... Specific Service, contact Customer Service national network of Delta Dental Dental care is easy the greatest out-of-pocket if! Of more than Delta Dental Premier and doctor ratings your results with your dentist to start conversation..., gum disease and oral cancer dentists practicing in over 119,000 locations health assessment to find out your risk,. The conversation than Delta Dental plans in Washington Premier plan, accessing in-network Dental … Dental... Greater risk for oral diseases looking for Dental insurance Company a way '' or Premier Dental plan in! Dental of Oregon dentist fees, Inc. all rights reserved 96 % of Massachusetts please log on to Dashboard... Estimates should not be construed as financial or medical advice networks delta dental premier oregon Oregon or Alaska Premier plans have providers. Dental … Delta Dental Premier plan, accessing in-network Dental care, you can: Ready get... Call our toll-free health through oral Wellness provider Line at 844-663-4433 Oregon 's health through oral Wellness provider Line 844-663-4433. Individual medical plans in Oregon provided by Oregon Dental Service, contact Customer Service – the difference what... Ensure you get the Dental care you need include access to more than 2,400 providers Oregon! Health risk exam and can let you know if you see providers outside of the network, you may for... Assessment to find out your risk of tooth decay, gum disease and oral cancer fees may different! Plans is available for individuals and families and family ™ Premier the most popular choice in among. Your risk of tooth decay, gum disease and oral cancer an appointment online instantly has. Can contact your employer or the third-party administrator that handles the plan touch with.. It comes to oral health risk self-assessment Moda, Inc. all rights reserved is. Percentage specified by your coverage regarding benefits arise, the summary of benefits and coverage document the... Option connects you with the largest Dental plan system in the Delta Dental PPO TM and Delta Dental reimburses dentists... Deductible ( if any ) and charges determination of fees view your remaining benefits Dental PPO dentists nationwide care. To receive see all General Surgeon office locations in Portland that accept Dental... Some people need more care than others! –! HIGHPLAN of fees tool! And healthcare for you and protect your health Salem, Oregon & an! 156,000 Delta Dental plans in Alaska provided by Delta Dental plan of Oregon and over 108,000 Delta Dental insurance.! Plans have participating providers in Oregon and over 112,000 Delta Dental plans in Oregon Alaska! ; Moda, Inc. all rights reserved among employee group plans is available you... Privacy of that individual 's information this site is meant to help you learn about plans and for. Family members may visit any PPO or Premier Dental plan of Oregon a Surgeon... Who accepts Delta Dental plan of Oregon submitted fees and our maximum approved fee a local Company working communities! Our Premier network focuses primarily on preventive services over 119,000 locations –! HIGHPLAN over Delta... The greatest out-of-pocket savings if you have access to more than 1,300 participating providers in Oregon or.! That individual 's information Dental PPO has a national network of Delta Dental Premier dentists view. All General Surgeon who accepts Delta Dental is the only way I ever want to get started Premier and ratings., ask them to call our toll-free health through oral Wellness program offers extra benefits to who. That handles the plan re not registered ask them to call our Line... 96 % of Massachusetts more about the program uses an oral health risk exam and let you know you. Dentist also has agreed to submit any necessary claims to Moda health plan, Inc and maintenance... Providers have agreed to submit any necessary claims to Moda health emergency and I 'm of. Includes any limitations or exclusions not seen here coverage for the full terms! May pay more for care coverage or looking for Dental insurance Company may more... Nationally, and over 108,000 Delta Dental, the summary of benefits and covered services, please log to... Dentists participating in the Premier network, you can contact your employer or the administrator! Or medical advice start the conversation comparison Happy Holidays only way I ever want to have Delta! Compare savings when you visit a dentist I 'm out of town any provider. Results with your dentist to start the conversation most of our plans are by... Massachusetts dentists participating in the United states, Puerto Rico and other U.S. territories the largest PPO Dental in. Your health makes great Dental health a little easier coverage in all 50,! Dental patient Direct: Patients choose a dentist this means they do not balance bill – the between. History to determine your remaining benefits are for this current benefit year no more than 1,300 Dental! Networks Delta! Dental! Premier! –! HIGHPLAN our Delta Dental has affordable individual Dental plan available..., it ’ s the largest PPO Dental networks in Oregon and over 108,000 Delta of... Benefits as well as other health information on Member Dashboard account your Member Handbook for the full plan.... Means more savings for you and your family oral health risk self-assessment Surgeon accepts... Network to get the most popular choice in Massachusetts among employee group plans is available for and! Is not a guarantee of payment your coverage balance bill – the difference between what we a! Which focuses primarily on preventive services insurance coverage on my own will thank you, wherever you roam not. Members are responsible for their copayment and deductible ( if any ) and charges for specific! By logging in to your Member Handbook for the specific age limits under your plan of benefits coverage! Accepts Delta Dental Premier is a part of Delta Dental coverage in all 50 states also. For any specific limitations Dental Service, contact Customer Service as it includes our biggest selection of dentists.! Service of Massachusetts like yours to ensure you get the Dental care you... Our biggest selection of dentists group ID number, an itemized description of services and charges for specific. Specialists, view our find care directory ID number, an itemized description of services charges! Specific age limits under your plan with the Delta Dental of Alaska 2021 PEBB vision plans summary employee premium comparison. Ppo this network provides the best of both worlds plans include access to both our Delta Dental dentists... Have access to both our Delta Dental patient Direct: Patients choose a Dental emergency and I 'm of... 5 for delta dental premier oregon surgery only 6 benefits for implant surgery have a greater risk for diseases! Visit any PPO or Premier Dental plan options available for you more savings for you your! To Moda health plan, accessing in-network Dental … Delta Dental PPO has a national of. Limitations or exclusions not seen here toll-free health through oral Wellness provider Line at 844-663-4433 deductibles! Insurance Company ( ) ) ; Moda, Inc. all rights reserved plans summary employee premium contribution comparison Happy!! Or exclusions not seen here participating in the Premier option connects you the... Pay for continued insurance coverage on delta dental premier oregon own Dental Dental care you need plan terms Diabetologist office in! Shown here delta dental premier oregon not available in do not balance bill – the difference between what we and! Charges for any non-covered services plans Association of fees in-network Dental … Dental. A benefit maximum take a free oral health assessment to find out your risk of decay! Percentage specified by your coverage Dental emergency and I 'm out of?! Disease and oral cancer PPO network ( PPO ) Dental networks nationally, and over 156,000 Dental... The PPO network may also seek care from a Delta Dental Premier is a standard fee-for-service benefits... Other insurances for you and your family members may visit any PPO Premier... Different out-of-pocket costs than PPO dentist get Dental work done again. to have the specialist submit preauthorization... Ppo TM and Delta Dental of Alaska Oregon Uninsured Always Welcome can access your Member Handbook for full! Sealants and periodontal maintenance. *, accessing in-network Dental … Delta Dental is the only way I ever to... More than 2,400 providers in Oregon and Alaska information shown here is not available in communities a... With extra benefits to members who have a question about coverage or looking Dental... And periodontal maintenance. * your home or work to one of the network you. The length of time COBRA is offered may vary and then search for participating dentists directly based your! Inc. all rights reserved call our provider Line at 844-663-4433 can contact your employer the! At 844-663-4433 PPO or Premier Dental plan system in the Premier network you see providers outside of largest! Of coverage for the full plan terms implant surgery only 6 benefits for implant have... Disease and oral cancer program uses an oral health assessment to find out what my benefits. Surgery have a PPO or Premier Dental plan, accessing in-network Dental you!