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About Delta Dental Patient Direct®

General Program Description

Delta Dental Patient Direct is a discounted dental program that offers access to a network of Patient Direct dentists. Covered procedures each have a negotiated/discounted fee that the participating dentist has agreed to accept as payment in full for that procedure. The fees listed in the Patient Direct Fee Schedule contain dental procedures along with the discounted fee the dentist has agreed to accept for that service. These reduced fees are discounted from the dentist's regular fees (submitted charges). Patient Direct is not insurance and members are responsible for paying 100% of the Patient Direct dentist's fee up to the Patient Direct level of fees. Most routine dental services, including braces and cosmetic services such as bleaching are included in the program. Members are also eligible for vision care savings.

Eligibility
If you do not have dental insurance, are at least 18 years of age and a resident of New Jersey, you are eligible to become a member of Patient Direct. Patient Direct is not insurance and does not coordinate benefits with insurance carriers. Once you join and receive your membership card, you can begin using your membership immediately. You will be able to access your membership information online the first of the following month. Notification will be through a welcome packet and receipt of ID card(s).

Program Cost
Membership runs for one year after enrollment. The annual enrollment fee for individuals is $66.00, or $96.00 for a family. Family membership includes spouses, including domestic partners (must be able to furnish a certificate of civil union if requested by Delta Dental), all children until the end of the membership year in which they turn 23 years of age, and any disabled child who is fully dependent on you for support. Family members who have dental insurance are not eligible for Patient Direct.

If, for any reason, you are not satisfied, you may notify Delta Dental in writing within 30 business days of the effective date of your membership, and Delta Dental will fully refund your money.

Included Services
Delta Dental Patient Direct includes general services such as routine cleanings, fillings, and x-rays, as well as crowns, root canals, gum treatments, extractions, dentures, orthodontia, and cosmetic services. Because this is not dental insurance, even treatment for pre-existing dental conditions is subject to the fee schedule. If you require specialty care, simply visit one of the participating specialists. Note that the fees for services rendered by general dentists are generally lower than fees of specialists.

Delta Dental Patient Direct is not insurance; therefore, there are no deductibles, no claims to file, no frequency limitations, and no waiting periods. This program does not apply to any dental services which have begun prior to the date you joined Patient Direct. If a dentist has given you a treatment plan before you joined Patient Direct, you will need to notify the dentist that you have joined Patient Direct before you begin treatment.

The Delta Dental Patient Direct fee schedule is based on a reduction of the average fees submitted to Delta Dental of New Jersey by New Jersey participating dentists. Since individual dentists' usual fees vary from office to office, the cost savings can vary as well. Cost savings in the following example range from 36% to 51%.

Delta Dental Patient Direct Potential Savings

Procedure Average
Fee*
2015 Patient Direct
Fee Schedule
Potential 
Cost
Savings
Upper Complete Denture $1,515.00   $956.00   $559.00
Comprehensive Exam $84.00   $49.00   $35.00
Full Mouth X-rays $133.00   $81.00   $49.00
Periapical X-ray $28.00   $16.00   $12.00

Full Gold Crown
(High Noble Metal)

$1,175.00   $808.00   $375.00

*Average Fee is based upon the submitted fees of all of Delta Dental's participating dentists.
*This is not dental insurance, and Patient Direct does not coordinate benefits with any dental plan.

Dental Network

You must be treated by a dentist in the Patient Direct network to receive services at fees below or at the amounts listed in the Patient Direct fee schedule. If you visit a dentist who is not a participating Delta Dental Patient Direct dentist, you may not receive services at the Patient Direct fee schedule and are required to pay the dentist fees in full.  Participating dentists have agreed to charge no more than the fees listed in our Patient Direct fee schedule (which are discounted from average fees submitted to Delta Dental of New Jersey by its participating dentists).

To find out if your dentist is a Delta Dental Patient Direct dentist, or to locate a participating Delta Dental Patient Direct dentist, search our online dentist directory. Simply present your ID card to any Patient Direct participating dentist in our New Jersey statewide network, and he or she will not charge you more than the fees listed in our Patient Direct fee schedule. You must pay the dentist at the time of service. 

Vision Care Savings
Delta Dental Patient Direct membership also includes savings on eye exams, frames, lenses and contact lenses through EyeMed Vision Care. Visit www.eyemedvisioncare.com/deltadental for more information.

Join Now

Once you've registered and your payment has been confirmed, we will mail your membership packet within 7 to 10 days.

If you have any additional questions, please refer to our FAQs or call 877-TOOTH-07 (877-866-8407). For a glossary of terms, please click here.


Delta Dental Patient Direct is not an insurance product.

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