Delta Dental Networks
Delta Dental is proud to offer the value of the nation's largest network of dentists to our members. Delta Dental subscribers and members have a variety of plan designs uniquely tailored to meet their needs. Many of Delta Dental's plans utilize different provider networks. Because we offer a number of networks and programs, we thought it might be helpful to explain them.
You can find detailed information regarding a member’s plan and network on the Dental Office Toolkit.
Delta Dental Premier®
Delta Dental Premier® is one of the largest dental network in the country, offering four-out-of-five dentists nationally so our members can receive best-in-class care wherever they seek care. To be an in-network provider with Delta Dental, dentists are credentialed and contracted in this network, agreeing to accept the fee maximums and allowed amounts tied to this network. Dentists participating in this network cannot balance bill the member if charging more and payment is directed to the dentist.
Delta Dental PPO™
In addition to the Delta Dental Premier® network, Delta Dental PPO™ network supports plans that can offer enhanced benefits to Delta Dental members. Delta Dental PPO™ allowances are separate from the Delta Dental Premier Network and are typically less. The cost savings generated by the PPO allowances make it most appealing to members and groups and can draw more patients to your office. Dentists participating in this network agree to accept the fee maximums and allowed amounts tied to this network and cannot balance bill to the member if charging more. Payment is directed to the dentist. Active participation in the Delta Dental Premier® network is required for participation in the Delta Dental PPO™ network. Specialists are automatically enrolled in both Delta Dental Premier® and Delta Dental PPO™.
This network and benefit plan is managed by Delta Dental of California (also known as Delta Dental Insurance Company or Dentegra). Provider recruitment and agreements are managed by Delta Dental of California. In Minnesota and most states the plan and reimbursement is a capitation model. In North Dakota, providers who participate in the Delta Dental PPO™ network are recognized as an in-network provider for the DeltaCare USA Plan and are paid at the Delta Dental PPO™ allowances.
State Dental Plan (Group 216)
State Dental Plan benefits are at a higher percent when the member receives treatment from an in-network provider. Providers in the State Dental Plan network are required to participate in the Delta Dental Premier® network. For those who provide dental services in the seven-county metro area, Minnesota’s “Rule 101” applies and requires that if you participate and treat state employees in this plan (Group 216), you must also agree to service patients covered under the Minnesota Health Care Programs. You can do this by participating in a qualifying network or by seeing patients out of network. The State of Minnesota monitors this rule for compliance. It does not apply to dental providers practicing outside of the metropolitan area.
Minnesota Select DentalSM
This network was created to support the programs administered by Delta Dental of Minnesota for the Minnesota Health Care Programs. Currently, Delta Dental of Minnesota administers for Blue Plus, Hennepin Health, Medica, UCare and South Country Health Alliance. Reimbursement for services is set by the Minnesota Department of Human Services base fee amount and each individual health plan determines any additional increases. All payments are made directly to the providers. This network is also used by the UCare individual and family plans but reimburses the UCare allowed rate.
Delta Dental Medicare Advantage™
A network that supports Medicare Advantage plans administered by Delta Dental plans across the nation. Dentist must comply with regulatory requirements for Medicare Advantage. Delta Dental of Minnesota currently administers Sanford Health Plans and UCare plans.
This narrow network was created specifically for the Singular Dental® product sold to Individual and Family Plan members by Delta Dental of Minnesota. This network is closed.