It takes a Team

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Your Benefits - Three Options
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Delta Networks
Basic and Basic Plus members use the PPO network
exclusively while Flex Option members can choose
Premier and non-participating dentists as well.
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Delta Dental PPO Network

• No balance billing
• Dentist submits claim paperwork
• Minimal out of pocket expenses
• Over 600 general dentists to choose from in the
  St. Louis area

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Your Benefits Basic Option
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Your Benefits Basic Plus Option
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Your Benefits Basic Basic Plus Options
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Your Benefits Flex Option
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Outstanding Speed and Accuracy

• Claims finalized in 3.3 days (average)
• 99.9 accuracy

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Delta Dental PPO Network Basic Options
Procedure code 2150 two surface amalgam filling

• Example a Delta Dental PPO dentist installs a
  two surface amalgam filling on a patient. Patient
  has 70 coverage for basic services.

Submitted DPO scheduled Delta Dental
pays Patient pays amount amount (70 of
65) (30 of 65) 136.00 65.00 45.50 19.50
This calculation is for illustration purposes
only, it does not reflect actual fees.
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Delta Dental PPO Network Flex Option
Procedure code 2150 two surface amalgam filling

• Example a Delta Dental PPO dentist installs a
  two surface amalgam filling on a patient. Patient
  has 90 coverage for basic services.

Submitted DPO scheduled Delta Dental
pays Patient pays amount amount (90 of
65) (10 of 65) 136.00 65.00 58.50 6.50
This calculation is for illustration purposes
only, it does not reflect actual fees.
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Delta Dental Premier Network Flex Option Only
Procedure code 2150 two surface amalgam filling

• Example a Delta Dental Premier dentist installs
  a two surface amalgam filling on a patient.
  Patient has 80 coverage for basic services.

Submitted Approved Delta Dental pays Patient
pays amount amount (80 of 125) (20 of
125) 136 125 100 25
Members in Basic and Basic Plus Options have no
benefits for Premier or non-participating
providers. This calculation is for illustration
purposes only, it does not reflect actual fees.
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Delta Dental Nonparticipating Flex Option Only
Procedure code 2150 two surface amalgam filling

• Example a nonparticipating dentist installs a
  two surface amalgam filling on a patient. Patient
  has 80 coverage for basic services.

Submitted Approved Delta Dental pays Patient
pays amount amount (80 of 128) 136 128 10
2.40 33.60 20 of 128 (25.60) - plus the
difference between the approved amount and the
dentists charges (8)
Members in Basic and Basic Plus Options have no
benefits for Premier or non-participating
providers. This calculation is for illustration
purposes only, it does not reflect actual fees.
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Unrivaled Customer Service
1-800-335-8266

• 99.8 - solutions on first call
• Over 98 of customers satisfied with service
• Average speed of answer 8 seconds
• 96 answered in 30 seconds
• Abandon rate 0.6
• Average 14 years experience
• Minimal turnover

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Ease and Convenience

• 24/7 access to benefit and claims information
• Benefit24 online at www.deltadentalmo.com
• Benefit24 VRU
• Faxback summary of benefits

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State-of-the-art Web-based Service

• For members and dentists
• Participating dentists
• Claims status and history
• Copy of EOB
• Benefit design
• Track use of maximums
• Print ID cards

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Find a Dentist . . .
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Questions?
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