How much does this plan cost?

With Delta Dental PPO – Point of Service, you pay a low monthly fee and receive a comprehensive dental program ranging from routine preventive care to major restorative care.

Note: Current Delta Dental subscribers and persons currently covered by another dental carrier are not eligible to enroll.


PPO – Point of Service Monthly Rates
Effective 1/1/2010 (Rates subject to change at renewal)

Individual	$32.12
Individual + 1	$55.88
Spouse or dependent child up to age 19
Individual + Family	$109.36
Spouse if applicable, + all dependent children up to age 19

How do I pay?

You can pay by monthly “bank draft” from a checking or savings account. You can only pay by personal check if you are paying for the total annual enrollment cost in full. This is to keep administrative costs (and your premiums) down. Because of state insurance laws, we are unable to accept debit or credit cards.

You are eligible immediately upon your effective date for Class 1 services (no waiting periods apply). If visiting a Delta Dental PPO or Premier participating provider, your claim will be filed for you by the dental office.


How do I receive treatment?

You enroll and pay your fee, and after processing, you'll receive a Delta Dental PPO – Point of Service membership kit and ID card. On your effective date, simply present your card to any of the Delta Dental PPO or Delta Dental Premier participating dentists nationwide.

IMPORTANT NOTE: Your first month's premium is deducted immediately upon enrollment.

ABOUT YOUR EFFECTIVE DATE: When valid enrollment documentation and payment are received by DDOK on the 1st through the 20th of the month, coverage will be effective the first of the month immediately following. When valid enrollment documentation and payment are received by DDOK on the 21st through the last day of the month, coverage will be effective the first of the second month.

Example: If enrollment documentation/payment is received January 5, 2007-your coverage effective date is February 1, 2007; If enrollment documentation/payment is received January 23, 2007-coverage effective date is March 1, 2007.