It's A Fact Dental Insurance Is Important. - Pueblod60

It’s a fact.Dental insurance isimportant.deltadentalco.com

Fact: Your overall health will benefit.Your oral health is connected to your overall health. Researchers have uncoveredlinks between gum disease and systemic health, including associations withheart disease and strokes. That’s why it’s so important to make dental care apriority — it can help you and your family live healthier.People with dental insurance are more likely to visit the dentistregularly.Patients receiving regular preventive care have better oral health.Dental insurance often covers 100% of preventive care.Facts. Tooth decay is the single most common chronic childhood disease. If you have cavity-causing germs in your mouth, you can pass them toyour baby. More than 120 diseases can cause specific signs and symptoms in andaround the mouth and jaw. A dentist doing regular check-ups can helpspot these potential problems.and Figures 23% of all adults have untreated toothdecay. More than half of U.S. children ages 5 to9 have at least one cavity orfilling. One out of every twoAmerican adults age 30or older has periodontaldisease. Dental disease causesemployed adults to lose morethan 164 million hours of worka year. In Colorado, dentaldisease costs taxpayersan estimated 1 billionannually.

Fact: Nearly 100% of oral disease ispreventable.People with dental insurance are more likely tovisit the dentist regularly. Routine exams allowyour dentist to get to know you and follow yourhealth history. Dentists are more able to catchand treat potential problems early when theysee their patients on a routine basis. Invest inyour future — make dental care a priority.Fact: Healthy habits lead to healthysmiles.What does “healthy living” really mean?Diet, exercise, and plenty of rest are majorcomponents of a healthy lifestyle, but otherhealthy habits include: Regular dentist visits. Brushing and flossing at least twice a day. Making nutritious food choices. Sharing your medical conditions with yourdentist.By choosing a Delta DentalPPOSM provider, you will savethe most money on out-ofpocket expenses!1Use the Find a Dentistsearch tool atdeltadentalco.com2Call 1-800-610-02018 a.m. to 6 p.m. MTMonday–FridayFact: Finding a provider is easy!3Download the free DeltaDental mobile app foriPhone and Android

Visit us at deltadentalco.com to: Find a providerView benefitsPrint ID cards Check claim statusAssess your oral healthrisk View wellness resourcesAnd much moreDental Plans to Keep You Healthy and SmilingDelta Dental of Colorado is the state’s leading dental benefits company and the onlyone based in Colorado. Unlike most carriers, we focus on just one thing — dentalinsurance. We provide our more than one million members with the convenience oflocal customer service backed by a national network of dental providers. In addition,we are a nonprofit company with a mission to improve oral health in Colorado.Since 1958, we have offered high-quality, cost-effective dental plans to help you stayhealthy and smiling. We are committed to: Expanding access to oral health care. Using our dental benefits expertise to provide accessto the best dental care in the most extensivenetwork. Providing world-class customer service.Contact UsDelta Dental of ColoradoPO Box 5468Denver, Colorado 80217-5468Customer RelationsToll-free: 1-800-610-0201Monday–Friday 8 a.m. to 6 p.m.Mountain TimeEmail: customer service@ddpco.comFact: Delta Dental is thechampion of your smile!

Delta Dental PPOPUEBLO SCHOOL DISTRICT #60 / Group # R0069MAXIMUM BENEFITDoes not apply to Diagnostic & PreventativeServicesOrthodontia is combined with Maximum BenefitWHO CAN BE COVEREDPPO*NON-PPO**Premier & 1,000 per personCombination of in and out-of-networkEmployee, Spouse and Dependent Children to age 26.COVERED SERVICESBENEFIT INFORMATION (subject to Delta Dentalguidelines)***Non-ParPREVENTIVE AND DIAGNOSTIC SERVICES ***These procedures DO NOT apply to maximum benefit***90%80%Oral EvaluationLimited to 2 evaluations in a 12 month periodBitewing X-raysLimited to 2 sets in a 12 month periodFull Mouth X-rays orPanoramicRoutine CleaningLimited to 1 in a 36 month periodFluoride TreatmentsLimited to 2 treatment in a 12 month period- to age 19Space MaintainersFor posterior primary teeth- to age 19Sealants1 per tooth in 24 months- to age 19 on unrestored molarsLimited to 2 cleanings in a 12 month periodBASIC SERVICES (Fillings, Endodontics (Root Canal), Periodontics (Gum Disease) and Oral Surgery (extractions)80%80%Amalgam FillingsBenefits on the same surface limited to 1 in 12 monthsResin, CompositeBenefit for anterior teeth only allowance for amalgam onposterior teethOral Surgery (Extractions)General AnesthesiaBenefit with covered Oral Surgery onlySurgical Periodontal (gums)Benefit once every 36 monthsRoot Canal TherapyMAJOR SERVICES (Crowns, Bridges, Partials, Dentures)50%50%CrownsBenefit 1 in 60 months on same tooth- not a benefit under age 12Dentures, Partials, BridgesBenefit 1 in 60 months- not a benefit under age 16Bridge/Denture RepairDenture Rebase/RelineBenefit 6 months after initial insertion- then benefit 1 in 36monthsORTHODONTICS (Braces) Maximum Benefit is combined with General MaximumComplete Orthodontic EvaluationActive Orthodontic Treatment* The PPO percentage of benefits is based on the PPO Schedule of Allowance **The Premier percentage of benefits islimited to the Premier Maximum Plan Allowance.***The Non-Participating percentage of benefits is limited to the nonparticipating Maximum Plan Allowance. You will be responsible for the difference between the non-participatingMaximum Plan Allowance and the full fee charged by the Dentist.50%50%To Find a Dentist- www.deltadentalco.com Customer Service Phone- (303) 741 9305 or (800) 610-0201.Important Note: This form provides only a brief description of services covered under your contract and does not list thoseservices which are limited or excluded from coverage. Your Employee Benefit Booklet provides a more completeexplanation of your coverage, including limitations and exclusions. If differences exist between this Summary of Benefitsand your Employee Benefit Booklet, the Benefit Booklet will govern.

Delta DentalPPOSM plus PremierWith the Delta Dental PPO plus Premier plan, you and your family members may visit any licensed dentist. You willreceive the greatest out-of-pocket savings if you see a Delta Dental PPO provider. PP0 and Premier providers fileclaims directly with Delta Dental and accept Delta Dental’s reimbursement in full. You are responsible only for yourdeductible and coinsurance (as determined by your plan), as well as any charges for non-covered services. If youchoose to see an out-of-network provider, you will incur additional out-of-pocket expenses, and you will be billedthe total amount the provider charges beyond what Delta Dental pays (called balance-billing). When you see aDelta Dental PPO or Premier provider, you are protected from balance-billing for covered services.Advantages of the Delta Dental PPO plus Premier plan:SAVINGS: Delta Dental PPOproviders offer our members thegreatest savings.CHOICE: If you choose to visita Premier provider, you will still savemoney because Premier providersalso accept discounted fees (however,discounts are not as great as if you seea PPO provider).Looking for a dentist? Concerned about costs?PPO providers offer you the greatest savings.Service: Porcelain Crown (Benefit illustration only.Example assumes deductible has been met.)Greatest SavingsLeast SavingsProtected from balance-billing(for covered services)Not protected frombalance-billingDelta DentalPPO ProviderDelta DentalPremier ProviderOut-of-NetworkProvider 1,000 1,000 1,000Maximum Provider CanCharge Patient 700 850 1,000 *NetworkNETWORK: Delta Dental’s dualnetwork has nearly 102,000 PPOproviders and an additional 50,000Premier providers, for a total of152,000 participating providersnationwide.Procedure CostBenefit Percentage50%50%50%**To find a participating provider orto see if your current provider is inthe network, visit our website atdeltadentalco.com and click on theFind a Dentist search tool. Or useour free mobile app for iPhone andAndroid. You may even be able toschedule an appointment online oron the app if your provider hasBrighter Schedule.Delta Dental Pays 350 425 500You Pay 350 425 500 You can also contact our customerrelations department, Monday–Friday8 a.m. to 6 p.m. Mountain Time, at1-800-610-0201 (toll-free) or* Please note that an out-of-network provider is not bound by Delta Dental’s in-networkcontractual obligations and may bill patients for the remaining balance, calledbalance-billing. The practice of balance-billing refers to a provider’s ability to bill patientsfor outstanding balances after the insurance company pays the required portion of the bill(coinsurance percentage).** Check your specific plan to see what the coinsurance rate is as they differ from plan toplan.deltadentalco.com

Using Your Dental BenefitsOnline or On The Go, Delta Dental Makes Taking Careof Your Teeth EasyCongratulations! You have a dental plan from Delta Dental of Colorado. It’s so important touse your dental benefits because your oral health is connected to your overall health. Yourdentist can spot the early signs of systemic diseases and can help you avoid painful andcostly dental procedures in the future. So make dental care a priority.CREATE A SUBSCRIBER ACCOUNT ON DELTADENTALCO.COM.You can check the specifics of your plan, the status of claims, and much more. To createa secure account, go to our homepage and click on the Members link and follow theprompts. If you need help setting this up, you can contact our customer service team.DOWNLOAD OUR FREE MOBILE APP.Once you’ve created an account online, you can access all of the same informationAND make an appointment with your dentist within the app.* To download andinstall the app on your device, visit the App Store (Apple) or Google Play(Android) and search for Delta Dental.GO TO OUR WEBSITE OR MOBILE APP AND FIND A DENTISTNEAR YOU.Choose either a Delta Dental PPOSM or a Delta Dental Premier provider based on the plan you have. A Delta Dental PPO providerwill always cost you less out of pocket, so search for one near youto get the greatest savings.MAKE AN APPOINTMENT.AND SMILE!You’re taking steps to protect your oral health and your overallhealth! Plus, preventive services — like cleanings and exams — areusually at no cost to you, so there’s no reason to wait.**ADDITIONAL RESOURCESOur website has additional resources to help you understandyour benefits and the importance of your oral health: om/mobile-app.aspxCONTACT USToll-free: 1-800-610-0201 Monday–Friday 8 a.m. to 6 p.m.Email: customer service@ddpco.com*Dentist participation in the mobile scheduling tool varies. If your dentistdoes not currently participate, ask them to sign up for that option.**Frequencies and limitations apply. Be sure to check your specific planbenefits and eligibility.deltadentalco.com