Downtown Family Dental of Leesburg is pleased to be a provider with Delta Dental, the largest dental benefits carrier in the United States. As a Delta Dental in-network dental office, we offer a number of services at fixed fees according to your dental plan. If you have a Delta Dental Premier® plan, our front dental office staff will submit a claim after your visit and will not bill you more than the approved amount. These fees have been pre-negotiated between our dental office and Delta Dental. Once you’ve satisfied your deductible and we receive your copayment at the time of service, you have nothing more to pay. If you have a Delta Dental PPO ® plan, your copay would be based on the pre-negotiated fees for a Delta Dental Premier® plan. After payment of this copay, you would have nothing more to pay.
Although dental insurance plans may differ in detail, there are some basics that apply to nearly all of them. Our dental office will be glad to help you understand the details of your Delta Dental insurance, but here are some fundamentals.
This is the amount of money you must pay out-of-pocket for dental care before your Delta Dental benefits plan will begin to cover the cost of your dental treatment.
This is the top dollar amount your dental plan will pay for dentistry within a specified period. Your Delta Dental insurance plan likely runs from January 1st through December 31st of any given year. If you reach the maximum before year-end, then you will be responsible for paying for any necessary treatment during the remaining benefit period.
This constitutes your out-of-pocket expense for a covered dental service after you’ve reached your deductible. The amount of the copayment may vary depending on the type of dental procedure you receive.
Your Delta Dental insurance benefits plan offers different levels of coverage for different categories of service. For example, preventive dentistry such as dental cleanings and examinations are often covered at 80 to 100 percent. Delta Dental covers preventive dentistry at this high rate to encourage subscribers to get regular checkups in order to avoid more extensive and expensive procedures.
For more information about your Delta Dental insurance plan or to find out about the coverage for a specific procedure, please contact our dental office today.