Notice
Change Healthcare announced a breach of HIPAA privacy and is reaching out to individuals whose personal information may have been compromised. Although this incident does not involve Delta Dental of New Jersey or Connecticut, Change Healthcare is a vendor we used and we are providing this information to help our members who might be affected.
Save some green on your pearly whites
Everyone wants to save money while still receiving good service. With Delta Dental Premier™ and Delta Dental PPO™ network dentists, you get great dental care at lower prices.
Here’s how using an in-network dentist saves you money:
 Excellent benefits with low out-of-pocket costs.In-network dentists have agreed to pre-established fees for services. On average, patients save 32% on the fee typically submitted for a Delta Dental Premier claim, and 43% on the fee typically submitted for a Delta Dental PPO claim. |
 No more billing surprises.Delta Dental in-network participating dentists won’t “balance bill” patients. That means they can’t charge you the difference between their usual fee and the amount they’ve agreed to charge patients covered by Delta Dental. |
Let’s take a real-world example of a common dental procedure—a crown that costs $1,438—to see how using an in-network dentist saves you money.
When you see a Delta Dental PPO dentist
| PPO dentist’s max allowed fee | $790 |
| Delta Dental covers 50% of the maximum allowed fee | x 50% |
| Your cost, assuming you already met your deductible for the year | $395 |
Total savings with the Delta Dental PPO network = $648! |
|
When you see a Delta Dental Premier dentist
| Premier dentist’s max allowed fee | $930 |
| Delta Dental covers 50% of the maximum allowed fee | x 50% |
| Your cost, assuming you already met your deductible for the year | $465 |
Total savings with the Delta Dental Premier network = $578! |
|
When you see an out-of-network dentist
| They can bill you the full $1,438 | $1,438 |
| Delta Dental’s maximum allowed fee | - $790 |
| The difference between the dentist’s charge and the maximum allowed fee is the balance billed amount | $648 |
| Delta Dental covers 50% of the maximum allowed fee | $395 |
| You’ll pay the other half of the maximum allowed fee plus the balance billed amount from above | $395 + $648 |
| Your cost | $1,043 |
