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HMO Dental Insurance vs. PPO Dental Insurance | Delta Dental

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information about the content of the cost estimator

If you have a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling “911.” To get started with the dental care cost estimator tool, click the agree button below. By clicking, you agree that you have read the information below, that you are accessing this information for the purpose of determining treatment cost estimates for the dental care services you are considering receiving, and that you will not use the information in this tool with commercial or anti-competitive purposes. . the costs provided in this tool are estimates only and are not a guarantee of payment or benefits. your actual cost may be higher or lower than the estimate for various reasons.

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general information about your health care

The information and content (collectively, “content”) on this website is for your general educational information only. the content cannot and is not intended to replace the relationship you have with your healthcare professionals. the content of this website is not medical advice. You should always talk to your health care professionals for information about diagnosis and treatment, including information about what medications or treatments may be appropriate for you. No part of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate, or effective for you. health information changes rapidly. therefore, it is always best to confirm the information with your healthcare professionals.

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The dental care cost calculator sometimes groups together, into “treatment categories”, services that are often provided together to address a particular dental problem. the description of different treatment categories and the inclusion of particular services in a treatment category is not advice that a particular treatment category is the right treatment for you or that you should not obtain any particular treatment. All of those matters are things for you to decide, in consultation with your dental care professionals. This cost estimator is designed for use in all 50 states, Puerto Rico, and other United States. territories. if you live outside the us In the US, you may see information in this cost estimator about products or services that are not available or authorized in your country.

general information about your dental benefits

  • nothing on this website guarantees eligibility, coverage or payment, nor does it determine or guarantee the benefits, limitations or exclusions of your coverage. For a complete description of your coverage details, please refer to your coverage documents. estimates may vary depending on your benefit plan and the state in which you live. claims will be processed when received in accordance with the provisions of your plan.
  • You may be responsible for the cost of procedures or services not covered by your plan.
  • Use of this website in no way increases or decreases the benefits available under a dental benefit plan. If there is any conflict or inconsistency between the content of this website and your covering documents, your covering documents will control.
  • Prior authorizations or referrals are required for certain benefit plans and certain dental care providers. check your benefit plan to determine if these requirements apply to you.
  • Preventive services are included in this tool. preventive care coverage varies by plan and demographic considerations, such as age. check your benefit plan to determine if preventive services are covered for you.
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general information on cost estimates

  • Do not avoid receiving dental care based on the cost information provided on this website.
  • This website shows estimates of certain dental care costs.
  • the version of the cost estimator that is publicly available (no login credentials required) uses aggregated historical cost data for the procedure in question. the secure version (available after login only) uses procedure costs or cost ranges as reflected in provider fee tables and aggregated historical cost data.
  • Cost estimates provided may may be different from your actual costs for a number of reasons, including, but not limited to, your unique dental circumstances and decisions made by you and your dental professionals regarding the services you will receive, deviations between the intended scope of services and the actual services rendered, and the features of your particular plan.

more information on how cost estimates are calculated

Estimated costs for services provided by out-of-network dentists (available in out-of-network estimator) are based on data from claims submitted for out-of-network providers. data is based on actual undiscounted charges billed by providers.

Cost estimates are specific to geographic areas, as defined by the first three digits of a zip code (for example, the geographic zip code for 12345 is 123).

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