Delta Dental PPO Plan
HM.Clause offers two dental programs for you to choose from. When you enroll in the Delta Dental PPO plan, you may visit any dentist you choose, but in-network providers offer larger discounts and can file your claims for you. If you prefer to see an out-of-network provider, keep in mind, since they are not under a contract, they may charge you for any amount billed in excess of the negotiated discounted rate.
Delta Dental HMO Plan
If you are located in California, you can enroll in the Delta Dental DHMO plan. A DHMO provides lower cost coverage with a focus on preventive care. DHMO plans are designed to encourage regular dental visits and check-ups while minimizing spending. Any out-of-pocket costs are clearly defined by the copays listed in the benefit summary, and most DHMO plans do not have exclusions for pre-existing conditions or missing teeth. If you choose to enroll in a DHMO plan, you are required to select a primary dental facility to manage and coordinate your oral health needs. If a treatment by a specialist is necessary, the primary dental facility or dentist will first need to submit a referral. You’ll need to use in-network dentists in order to obtain coverage under a DHMO plan.
Helpful Dental Resources
Visit Delta Dental website at https://www.deltadental.com/
For a current list of PPO providers, go the Delta Dental provider search engine at
https://www.deltadental.com/us/en/member/find-a-dentist.html
For help with how to choose a dentist, visit How to choose a dentist visit
https://www1.deltadentalins.com/wellness/preventive-care/articles/how-to-choose-a-dentist.html
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