The Delta PPO Plan is a Preferred Provider Program that provides the maximum benefit when you visit a dentist within the PPO network.

PPO dentists charge reduced fees for services rendered to PPO patients due to the potential to receive more from the patient's annual maximum allowable benefit.

See the Comprehensive Plan Comparison & Out-Of-Network Benefits – PPO vs Premier under Resources for more information.

The Delta Premier Plan is an incentivized program that starts off paying 70% of the approved fees for covered diagnostic, preventative, basic, and cast & crown benefits during the first year of eligibility. This percentage will increase by 10% each year – to a maximum of 100% – for each enrollee, provided that the enrollee visits the dentist at least once per plan year.

If an enrollee does not use the program during the plan year, the percentage of coverage will remain at the level reached during the previous plan year.

If an enrollee becomes ineligible for benefits & later regains eligibility, the percentage will start back at 70%.

See the Comprehensive Plan Comparison & Out-Of-Network Benefits – PPO vs Premier under Resources for more information.

Although both dental programs cover many of commonly needed services, some services are not covered. If you are unsure whether a particular service or procedure is covered and/or how much of it is paid for by your Delta Dental plan, call Delta Dental of California Member Services before proceeding.
 
The following are not covered by the programs:

• Services for injuries or conditions covered under Workers’ Compensation or Employer’s Liability Laws
• Cosmetic surgery, dentistry, or services to correct congenital malformation
• Experimental procedures
• Therapeutic drugs, premedication, or pain relievers
• Hospital costs or extra charges for hospital treatment
• Anesthesia (except for general anesthesia for oral surgery)
• Extra-oral grafts, implants, and implant removal
• Treatment related to the temporomandibular joint (TMJ)
• Orthodontic treatment