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Delta Dental Premier

The Delta Dental Premier dental benefits program is Delta Dental’s plan of choice for employers nationwide. Along with the array of plan benefits offered, Delta Dental Premier enables our customers to control expenses without limiting their employees’ freedom to choose any dentist. The following features of the Delta Dental Premier program contribute to Delta Dental’s high rate of enrollee satisfaction, and effectively manage costs for both the employer and their enrollees.

Freedom of Choice
Enrollees may visit any licensed dentist or dental specialist within the United States.

Special Advantages
When Selecting a Delta Dental Premier Dentist By visiting one of our Delta Dental Premier dentists, enrollees will maximize their program benefits. The following table demonstrates the advantages of visiting a Delta Dental Premier dentist compared to visiting a non-Delta Dental dentist.

Delta Dental Premier Dentist	Non-Delta Dental Dentist
*"Patient share" is the coinsurance payment, deductible(s), any amount over the plan maximums and any excluded services.
The enrollee may be charged only the patient share* at time of service.	The enrollee may be required to pay the entire bill at the time of service.
Delta Dental Premier dentists agree to accept Delta Dental’s approved UCR amount as payment in full – the enrollee is only responsible for the patient share.*	The dentist may charge any amount and balance bill the enrollee for the difference between Delta Dental’s allowance and the actual charge.
The dental office completes and submits claim forms at no cost — the enrollee is never responsible for filing paperwork.	The enrollee may be asked to complete claim forms and/or other paperwork, or may be charged a claim submission fee.

Easy Access to Specialty Care
Enrollees will receive full program benefits when specialty care is required. Enrollees do not need to obtain a referral to a dental specialist, and benefits are not reduced when specialty care services are rendered.The Delta Dental Premier network offers enrollees access to endodontists, oral surgeons, orthodontists, pedodontists, periodontists and prosthodontists.
No Pre-Existing Condition Limitations
Delta Dental does not impose restrictions regarding covered benefits for new enrollees.*

*Subject to Delta Dental’s standard processing policies, procedures and benefits, limitations and exclusions, as stated in the attached proposal pages.