If you have Delta Dental insurance, you hold a powerful tool for maintaining your oral health. But understanding all the details of your plan can sometimes feel complicated. At Keep Smiling El Paso, we believe your dental care should be simple and stress-free. We are proud to be an in-network provider for Delta Dental, making it easier for our neighbors in Horizon City to get the quality care they deserve.
This guide is your go-to resource for understanding how your Delta Dental benefits work with us. We will break down the essentials so you can feel confident and informed every time you visit our office on East Lake Blvd.
What “In-Network” Means for You
When a dental office is “in-network” with Delta Dental, it signifies a direct partnership. We have agreed to specific rates for covered services, from routine cleanings to crowns. For you, this partnership offers several key advantages:
- Lower Out-of-Pocket Costs: Your expenses are typically lower because you receive care at pre-negotiated, discounted rates.
- Simple, Hassle-Free Billing: Our team files and manages your insurance claims directly with Delta Dental. You don’t have to worry about the paperwork.
- Clear Financial Estimates: We can provide a clear estimate of what your plan is expected to cover, so you know what to expect financially before your treatment begins.
Understanding Your Delta Dental Plan
While every Delta Dental plan is slightly different, most share a common framework. Familiarizing yourself with these terms will help you better understand your coverage.
- Preventive Care: This is the foundation of good oral health and usually includes exams, cleanings, and routine X-rays. Many Delta Dental plans cover preventive care at a very high percentage.
- Basic vs. Major Services: Dental treatments are often grouped into categories. “Basic” services may include things like fillings, while “Major” services cover more complex procedures such as crowns, bridges, or root canals. Your plan pays a set percentage for each category.
- Deductible: This is a fixed amount you might need to pay for certain services before your insurance plan starts contributing. Many plans waive the deductible for preventive care.
- Copay & Coinsurance: A copay is a fixed fee you pay for a service. Coinsurance is the percentage of the cost you are responsible for after meeting your deductible.
- Annual Maximum: This is the total dollar amount your Delta Dental plan will pay for your dental care within your plan year.
How Keep Smiling El Paso Helps You Navigate
You don’t need to be an insurance expert—that’s what our team is here for! We help you make the most of your benefits by:
- Verifying Your Coverage: We’ll contact Delta Dental on your behalf to confirm your eligibility and review your specific benefits.
- Providing Transparent Estimates: Before any procedure, we provide a detailed treatment plan that breaks down the estimated costs.
- Handling Preauthorizations: For some major treatments, Delta Dental may require a “preauthorization” to confirm coverage. We handle this process for you.
A Note on Out-of-Network Care
You can often use your Delta Dental benefits at an out-of-network dentist, but your costs will likely be higher. You may also need to pay the full fee upfront and submit the claim yourself for reimbursement.
Tips for Delta Dental Members
To ensure a smooth experience every time you visit our Horizon City office, here are a few simple tips:
- Bring Your ID Card: Always have your most current Delta Dental ID card handy for your appointment.
- Keep Your Information Updated: Let our front office know if your personal information or insurance plan changes.
- Coordinate Your Benefits: If you have coverage from more than one insurance plan, tell us so we can help coordinate them properly for you.
Ready for Your Next Visit?
At Keep Smiling El Paso, we are committed to providing exceptional care that’s easy to access. We’re here to be your partner in health and help you use your Delta Dental benefits with complete confidence.
Ready to schedule your next appointment? Our friendly team is here to help our neighbors on East Lake and throughout Horizon City.
