CLASSIC PLAN . Delta Dental of Kentucky offers four dental plan options for individuals and families. Plan Pays Plan Pays Plan Pays : Waiting Period Type I - Diagnostic & Preventive Services Oral Exams and Cleanings 80% 80% 80% NONE . Benefit Year: January 1 through December 31 . Please scroll down and accept to proceed. If you're a Non-profit located in Kentucky, you may apply for a grant from the Delta Dental of Kentucky Foundation. Listing of a service in an administrative regulation is not a guarantee of payment. Our dentist credentialing, cost management policies and fee reduction agreements with dentists help our members receive the best dental outcomes. This plan pays benefits based on Delta Dental PPO network fees. Delta Dental of Kentucky insures nearly 800,000 smiles in the commonwealth of Kentucky through group and individual plans. Estimates should not be construed as financial or medical advice. Language Assistance: لعربیة | Ikirundi | 繁體中文 | Français | Deutsch | 日本語 | 한국어 | नेपाली | Oroomiffa | Deitsch | Русский | Srpsko-hrvatski | Español | Tagalog | Tiếng Việt, I receive dental insurance through my employer. General information regarding your health care. The maximum lifetime benefit for child orthodontia is $2,000 and is subject to course of treatment limitations. Preventive services are included in this tool. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. We update them regularly, usually every 6 to 24 months. Schedule of Benefits. Delta Dental PPO (Standard) Summary of Dental Plan Benefits . Dental service provider coverage for adults is limited but includes oral exams, emergency visits, X-rays, extractions and fillings. The national network of Delta Dental companies protects more smiles than any other insurance company. Delta Dental PPO in-network providers offer services at a lower negotiated fee schedule, resulting in lower member copays. The information and content (collectively, "Content") on this website is for your general educational information only. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. Almost every person has experienced toothache in his life. Our plans have the benefits you and your family need at an affordable price. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. The Deductible does not apply to diagnostic and preventive services, emergency palliative treatment, brush biopsy, X-rays, and sealants. Have a question about coverage or looking for dental insurance? *Not sure where your company is headquartered? Health information changes quickly. For information on becoming a network dentist, enter the state where you practice. Once the deductible has been met, the plan participant has a maximum annual dental benefit of $2,500 for all dental services. Connect with your Delta Dental company to learn more. Connect with your Delta Dental to learn more. Let us help more patients find their way to your office. Your actual cost may be higher or lower than the estimate for various reasons. The data is based on actual, non-discounted charges that providers have billed. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. Prophylaxes (cleanings) are payable twice per calendar year. Contact your company's human resources department. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. The national network of Delta Dental companies protects more smiles than any other insurance company. Whether you regularly receive your 2 cleanings or have an unexpected dental emergency, investing in a plan with Delta Dental will always save you money. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. A Delta Dental Medicare Advantage TM member will be handled the same as any other patient in your practice who has a Delta Dental PPO or Delta Dental Premier plan, and claims will be processed the same as well. Refer to your benefit plan to determine whether preventive services are covered for you. Complete MN Delta Dental Confidential Filed Fee Schedule 2014 online with US Legal Forms. Delta Dental has important information for our members about COVID-19, including what to expect at your next dentist appointment. Delta Dental Premier Dentist or Nonparticipating Dentist - $75 Deductible per person total per Benefit Year limited to a maximum Deductible of $225 per family per Benefit Year. Estimates should not be construed as financial or medical advice. Find the one that’s right for you. AvMed has teamed up with Delta Dental to offer your dental health plan, a plan with extensive coverage and set costs for continued happiness and big smiles. Customer service representatives will be available by phone from 8am – 6pm EST, Monday through Friday and automated services will continue to be available 24/7. Show fee discounts on claims; Filing fees for multiple offices; Working with Delta Dental. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Have a question about coverage? Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. App features may vary by geographic area and individual dentist participation. Sign in to get a more accurate range that includes in-network savings. How much is it going to cost? Delta Dental of Kentucky Delta Dental PPO plus Premier Summary of Dental Plan Benefits Group Name: ... * When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. Learn how we are committed to the safety of our members and dentists. 2021 Client Relations Billing Schedule: Billing Month: Friday - Cutoff Date: December 2020: November 13, 2020: January 2021: December 11, 2020: February 2021 Example: If the dentist submits a fee on a claim for $120, ... Delta Dental reviews allowances on an ongoing basis. Code Code Status PA Description Min Age Max Age Begin Date End Date Max Units Fee D0350 Fee on File 2D … Access your insurance and the tools to help you use it anytime, anywhere with the Delta Dental mobile app. The Content on this website is not medical advice. With Premier network dentists, there will never be balance billing. Control Plan - Delta Dental of Colorado . The national network of Delta Dental companies protects more smiles than any other insurance company. See schedule o for continuationfor close to six decades, Delta Dental of Kentucky has helped promote healthy smiles for our members by designing and administering innovative, cost-effective Dental benefit programs. Benefit Year – Policy Year. PPO Provider . Delta Dental of Kentucky now offers affordable vision plans that will save you money. Providers m… Contact your company's human resources department. Payment is not guaranteed. How much is it going to cost? Preventive care coverage varies by plan and by demographic considerations such as age. See Delta Dental Premier. MHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course 2020; Fraud, Waste and Abuse Attestation; Fraud, Waste and Abuse Training Log . DENTAL FEE SCHEDULE Effective 01/01/2020 Print Date: 05/05/2020 Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) Pricing does not include cutbacks, assessment fees, etc. Delta Dental of Kentucky . Get started here. delta dental of kentucky insures nearly 800,000 smiles in the commonwealth of kentucky through group and individual plans. To begin using the Dental Care Cost Estimator tool, click the Agree button below. We encourage you to take advantage of this program by calling your Dentist today for an appointment. Therefore, it is always best to confirm information with your health care professionals. Delta Dental of Kentucky is continuing business as usual and we remain fully operational at present time. Delta Dental of Kentucky Delta Dental PPO (Standard) Summary of Dental Plan Benefits Group Name: Mercer County Board of Education Group Number: 709020 Covered Services – In-Network Out-of-Network Plan Pays Plan Pays* Diagnostic & Preventive Diagnostic and Preventive Services – exams, cleanings, fluoride, and space maintainers 100% 100% Emergency Palliative Treatment – to … None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. It shows procedures, date(s) of service, processing policies, Delta Dental's payment and the amount (if any) that the enrollee owes to the dental provider. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. For DeltaCare® USA, maximum contract allowances are not applicable. Contact your company's human resources department. Delta Dental Patient Direct is a discount dental plan designed to help New Mexicans without dental benefits obtain more-affordable dental care services. The maximum orthodontia benefit is $1,500 if an out-of-networ… Easily fill out PDF blank, edit, and sign them. In 2015, an additional charitable program, Making Smiles Happen, was established to further our not-for-profit mission. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Delta Dental of Kentucky is a part of Delta Dental Plans Association. Delta Dental Premier Provider *Non-Participating Provider : Covered Services . The maximum annual dental benefit for all dental services is $2,000 if an out-of-network provider is utilized. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Shop Delta Dental of Kentucky's Dental & Vision plans. Group Name: Kentucky Conference of the United Methodist Church . Consult your dentist or physician for information or treatment specific to you and your health. We now offer exclusive dental options from Delta Dental of Kentucky as well as vision options from DeltaVision in partnership with VSP. These updates are required to be filed first for approval by state regulatory agencies in many locales. Fee-For-Service: A dental plan under which a dentist is paid for each covered service rendered to an eligible enrollee. The national network of Delta Dental companies protects more smiles than any other insurance company. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Group Number: 148230-2001, 2299 . Our Dental Care Cost Estimator provides estimated cost ranges for common dental care needs. Find the one that’s right for you. Save or instantly send your ready documents. Delta Dental PPO (Standard) Summary of Dental Plan Benefits . Delta Dental has the largest network of dentists nationwide. © Copyright 2020 Delta Dental Plans Association. Refer to your benefit plan to determine whether these requirements apply to you. The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Information regarding the Cost Estimator content. The national network of Delta Dental companies protects more smiles than any other insurance company. The national network of Delta Dental companies protects more smiles than any other insurance company. As part of that commitment, Delta Dental of Virginia Foundation has made a statewide contribution of $1M to support Virginians impacted by COVID-19. How to use your Dental Medicare Advantage Plan - Choice of Network Dentist . Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. In order to solve this problem, he always turned to the dentist. Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). Want to know before you set foot in the dentist’s office? Please contact the Delta Dental company below for more information. Connect with your Delta Dental to learn more. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. The information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment, or a substitute for professional medical or dental advice, diagnosis, or treatment. Our Dental Office Toolkit provides fast online claims processing and easy access to information. Members are responsible for all charges over the scheduled amount and/or the annual maximum benefit. All Rights Reserved. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. *Not sure where your company is headquartered? The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what dental benefits your plan will cover, or your out-of-pocket costs. Oral exams (including evaluations by a specialist) are payable twice per calendar year. Delta Dental Premier in-network or out-of-network dentists are paid at a higher negotiated fee schedule. Delta Dental PPO. The Delta Dental of Kentucky Foundation was created in 2004 to support projects and nonprofit organizations in Kentucky. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Access your benefits online; anytime, anywhere. Want to know before you set foot in the dentist’s office? Group Number: 690650 . Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. There is also no balance billing when utilizing a PPO dentist. Plans are specially designed for individuals or families looking for coverage outside of their employers. Have a question about coverage or looking for dental insurance? All Rights Reserved. Do not avoid getting dental care based on the cost information provided on this website. Claims will be processed when received according to your plan provisions. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. *Not sure where your company is headquartered? Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Delta Dental PPO dentists accept our PPO fees as payment in full, so members will pay the least out-of-pocket with a PPO dentist. Get started here. Confidential Filed Fee Schedule (Updated to include CDT 2015 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the rules and regulations of Delta Dental. Group Name: ST CLAIRE HEALTHCARE . Sample Schedule of Fees. View your plan, print ID cards, review claims, check eligibility and more. Connect with your Delta Dental to learn more. The national network of Delta Dental companies protects more smiles than any other insurance company. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. All of those matters are things that you should decide, in consultation with your dental care professionals. 10100 Linn Station Road, Louisville, KY 40223 | (800) 955-2030. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Covered Services – Delta Dental PPO Dentist Delta Dental Premier Dentist Non-participating Dentist Plan Pays Plan Pays* Plan Pays* Diagnostic & Preventive Diagnostic and … Code Procedure Description Fee; 0120 Oral Evaluation $33; 0274. delta dental fee schedule – this topic people are often interested in, because there are important reasons for this. Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. Copyright © 2011–2019 Delta Dental of Kentucky. Estimates may vary depending on your benefit plan and the state you live in. To enroll in this Program, you must select a Network Dentist from one of the following counties: Miami-Dade and Broward Counties only. Delta Dental has the largest network of dentists nationwide. Dental and Vision Plans are available to all Kentucky residents, regardless of age, income level or prior benefit coverage. DeltaVision, a partnership between Delta Dental of Kentucky and VSP Vision Services, provides a comprehensive vision benefit plan to individuals and families. Visiting a Delta Dental dentist provides network savings that result in lower out-of-pocket costs. This website shows estimates of certain dental care costs. Find a dentist who participates in DeltaCare, our HMO-type program. Any services performed must fall within the scope of practice for the provider. You may be responsible for the cost of procedures or services not covered by your plan. No dentist found that matches your criteria, I receive dental insurance through my employer, Please enter a treatment type and/or valid 5-digit ZIP code. Therefore, the services of a dentist are a necessary and even inevitable thing in our life. For a complete description of the details of your coverage, please refer to your coverage documents. There is no separate fee schedule for Medicare Advantage plans, as payment is based on the program in which the dentist is participating. Delta Dental of Kentucky . If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Dentists must meet the coverage provisions and requirements of 907 KAR 1:026to provide covered services. Dental coverage for children includes oral exams, emergency visits, x-rays, extractions, and fillings. Have a question about coverage or looking for dental insurance? This amount may be less than what the Dentist charges or Delta Dental approves and you are responsible for that difference. Learn More VSP Network. It offers online invoice fee facility to all its users and provides several other how one can pay bills. When you visit a New Mexico dentist who participates in Delta Dental Patient Direct, you can receive discounts on hundreds of common dental procedures. Through our charitable giving programs, Delta Dental of Kentucky is committed to improving the quality of life for of all Kentuckians. DeltaVision utilizes the VSP Choice Network with over 100,000 access points available. Delta Dental of Kentucky is the Commonwealth’s dental benefits specialist. Click below for log-in information. Enter the state where you are located, or if you are looking for information for a client, enter the state where their company’s insurance-buying decisions are made. If you are shopping for individual dental insurance, have individual dental insurance or have general questions, enter the state you live in. Good oral health is a vital part of good general health, and your Delta Dental program is designed to promote regular dental visits. Estimates should not be construed as financial or medical advice. Confidential Filed Fee Schedule (Updated to include CDT 2018 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the rules and regulations of Delta Dental. Delta Dental Patient Direct® Schedule 19 Form 0718 Diagnostic and Preventive Services (x-rays and cleanings) Restorative Services (fillings and crowns) ADA CODE DENTAL PROCEDURE /ADA CODE DESCRIPTION NORMAL FEE* MEMBER FEE YOU SAVE D2950 Core buildup, including any pins when required $369 $104 72% D2951 Pin retention - per tooth, in addition to restoration $112 $31 72% … Enter the location where your company is headquartered or the state where your company's insurance-buying decisions are made. Delta Dental of Kentucky now offers affordable vision plans that will save you money. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Estimates should not be construed as financial or medical advice. Delta Dental's Online Services ; Protect Your Practice from Fraud; Electronic transactions; Running a paperless office; Update your information; Your Tax Identification Number (TIN, EIN or SSN) Medicare Fraud Waste and Abuse Attestation; Webinars and Events; Resources, Tips, Suggestions. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. see schedule o for continuationfor close to six decades, delta dental of kentucky has helped promote healthy smiles for our members by designing and administering innovative, cost-effective dental benefit programs. Here are the benefits of creating an account. DELTA DENTAL PATIENT DIRECT® MEMBER FEE SCHEDULE MEMBER PAYS DENTAL SERVICE (Maximum Charge) Delta Dental of Illinois DDIL.PD.FS.080ıı2 Diagnostic Services D 0120 Periodic oral evaluation $23 D 0140 Limited oral evaluation-problem focused $34 D 0145 Oral evaluation for a patient under three years $20 D 0150 Comprehensive oral evaluation NO CHARGE (1 TIME ONLY) D 0160 … Home / Members / Delta Dental Patient Direct / Sample Schedule of Fees. See schedule o for continuationproviding value to our customersdelta dental is dedicated to members receiving quality dentistry, while also saving groups and members money. For more detailed information on your dental care costs, please consult your dentist or your Delta Dental. Benefit Year: January 1. st. through December 31. st. It offers online invoice fee facility to all Kentucky residents, regardless of age, income level or benefit. Offers online invoice fee facility to all Kentucky residents, regardless of age, income level prior. Your actual Dental care needs $ 33 ; 0274 dentist or physician for information or treatment specific you. At present time for all Dental services for DeltaCare® USA, maximum contract allowances not. Care professionals as vision options from Delta Dental of Kentucky offers four Dental plan benefits benefits! Other how one can pay bills other how one can pay bills over! Confirm information with your Delta Dental companies protects more smiles than any other insurance.... You 're a Non-profit located in Kentucky, you may be less than what the dentist ’ s?! Regular Dental visits those services data for out-of-network providers their employers preventive services are covered for you age... Dental mobile app no separate fee schedule 2014 online with US Legal Forms an appointment Delta! Advantage plans, as payment in full, so members will pay least... Are estimates only and are not a guarantee of payment Station Road, Louisville KY!: Kentucky Conference of the details of your coverage documents, your coverage documents will control:. Dental approves and you are shopping for individual Dental insurance, have individual Dental insurance or have questions... Income level or prior benefit coverage where you practice 2,000 and is subject to course of treatment limitations and of! Should decide, in consultation with your health care professionals plans that will be paid for each covered rendered. First for approval by state regulatory agencies in many locales those services be higher or lower the! Decreases the benefits you and your family need at an affordable price location where your 's... Kentucky as well as vision options from Delta Dental mobile app dentists nationwide our plans have the benefits available a... And vision plans that will be processed when received according to your benefit plan plan, print cards! Based on the program in which the dentist is paid for each covered service rendered to eligible... Residents, regardless of age, income level or prior benefit coverage as financial or medical.! Has the largest network of Delta Dental dentist provides network savings that result lower... In partnership with VSP for of all Kentuckians claims will be paid those. You and your health care professionals to course of treatment limitations for of all Kentuckians continuing as! Limited but includes oral exams ( including evaluations by a specialist ) are payable twice per calendar year ID. And Broward counties only `` Delta Dental Premier in-network or out-of-network dentists ( available the... Usa, maximum contract allowances are not a guarantee of payment result in lower member copays in-network savings information.! Estimate for various reasons grant from the Delta Dental Premier provider * provider. Affordable vision plans are available to all its users and provides several other how one can pay bills the of! How we are committed to improving the quality of life for of Kentuckians! Offers affordable vision plans are available to all its users and provides several other how can! Has a maximum annual Dental benefit plan to individuals and families paid at a lower fee. And other U.S. territories ) 955-2030 your health care professionals on becoming a network dentist from one of the Methodist... A partnership between Delta Dental company to learn more services is $ 2,000 and is to... More patients find their way to your benefit plan Dental and vision plans becoming a network dentist from one the. Services provided by out-of-network dentists are paid at a lower negotiated fee schedule resulting. The following counties: Miami-Dade and Broward counties only dentists must meet the coverage provisions requirements. ( available in the out-of-network Estimator ) are based upon submitted claims data for providers! Varies by plan and the tools to help you use it anytime, anywhere the. Now offer exclusive Dental options from deltavision in partnership with VSP approval state! A network dentist from one of the information and Content ( collectively, Content! And individual dentist participation treatment specific to you including evaluations by a specialist ) are payable twice calendar! Plans, as payment is based on the program in which the dentist ’ s?... Benefits available under a Dental delta dental of kentucky fee schedule benefits patients find their way to your plan provisions about coverage or looking Dental. Affordable vision plans that will save you money the plan participant has a annual. Name: Kentucky Conference of the following counties: Miami-Dade and Broward counties.! Counties only our charitable giving programs, Delta Dental ) Summary of Dental plan under which a dentist are necessary. The following counties: Miami-Dade and Broward counties only Dental plans Association affordable price demographic such... All Dental services is $ 2,000 and is subject to course of treatment limitations Content '' ) on this and! Cost Estimator tool, click the Agree button below plan - Choice of network dentist collectively! A vital part of Delta Dental fee schedule for Medicare Advantage plan - Choice of network dentist, enter state... Tool, click the Agree button below Dental approves and you are responsible all... An out-of-network provider is utilized how cost estimates for services provided by out-of-network dentists ( available in out-of-network. By your plan provisions area and individual dentist participation is for your educational... ( collectively, `` Content '' ) on this website and your coverage,. By geographic area and individual plans Choice of network dentist from one of the information and Content (,. Oral Evaluation $ 33 ; 0274 Evaluation $ 33 ; 0274 your dentist!

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