File name: Delta Dental Ppo Coverage Pdf 2024
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Delta Dental Ppo Coverage Pdf 2024 ========================
Products: Emergency Dental · Stand-Alone Dental · Senior Dental · Pediatric Dental. Your dental plan is underwritten by Delta Dental of California (“Delta Dental”) and administered by Delta Dental Insurance Company. This Policy discloses the terms and conditions of this . Interim caries arresting medicament application is covered twice per tooth per year. For age 19 and over, many restorations are not covered within 2 months of interim caries arresting . For a complete list of covered services, limitations and exclusions, please refer to the Dental Plan Details. © Delta Dental of Minnesota and its affiliates. All rights reserved. Delta Dental of Minnesota is an authorized licensee of the Delta Dental Plans Association of Oak Brook, Illinois. Delta Dental of Minnesota Individual and Family™. Plan Name: Delta Dental PPO™ Family Dental PPO for Small Businesses Name of Product: Delta Dental Type of Product Line: DPPO Plan Phone #: Effective Date: Beginning on or after 01/01/24 Plan site: THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND WHAT YOU WILL PAY FOR. Dental Benefits Summary January 1 – December 31, Your Dentist Network Options: Delta Dental PPOTM Delta Dental Premier® Non Network BENEFIT PAID (% PLAN PAYS) ENHANCED BENEFIT Applies when you have received at least one routine cleaning and/or preventative oral exam in the past 12 months. Diagnostic & Preventive Services % % %*. Plan Name: Delta Dental PPO™ Family Dental PPO for Small Businesses Name of Product: Delta Dental Type of Product Line: DPPO Plan Phone #: Effective Date: Beginning on or after 01/01/24 Plan site: THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS AND WHAT YOU WILL PAY FOR. For a complete list of covered services, limitations and exclusions, please refer to the Dental Plan Details. © Delta Dental of Minnesota and its affiliates. All rights reserved. Delta Dental of Minnesota is an authorized licensee of the Delta Dental Plans Association of Oak Brook, Illinois. Delta Dental of Minnesota Individual and Family™. Your dental plan is underwritten and administered by Delta Dental Insurance Company (“Delta Dental”). Delta Dental will pay Benefits for covered dental services as set forth in this Policy.