Refer to your benefit plan to determine whether preventive services are covered for you. If you prefer to continue receiving hard copies of EOBs via standard mail, you may elect to do so on the Benefit Lookup site or by calling our eligibility … Vision discounts - Northeast Delta Dental offers vision discounts to employees and their family members that are enrolled in a Dartmouth plan.. PPO Network - When your dentist falls within the Delta Dental PPO network, you will receive additional discounts. Please enter the e-mail address associated with your user account on this system; Do you have questions? Northeast Delta Dental will issue EOBs electronically via our Benefit Lookup site. General information regarding your health care. The information and content (collectively, "Content") on this website is for your general educational information only. I receive dental insurance through my employer. This article was developed jointly by Delta Dental Plans Association , Delta Dental of Arizona and Delta Dental of Wisconsin. Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect with your local Delta Dental. (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the number of remaining An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. See current career opportunities that are available at Northeast Delta Dental It's a quick authentication process. You are responsible to pay any remaining balance directly to the dentist. *Not sure where your company is headquartered? 19. After your visit, an Explanation of Benefits (EOB) w ill be available to you. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Northeast Delta Dental will produce an Explanation of Benefits (available through Northeast Delta Dental’s Benefit Lookup site at www.nedelta.com) detailing what has been processed under your Plan’s coverage. Explanation of Benefits. Please contact the dental practice directly to learn more about treatment, payment and dental benefits, or to schedule an appointment. (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the … All Rights Reserved. Explanation of Benefits (EOB): the notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Go The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Find a Vision Provider DeltaVision Provider Search 19. Understanding your explanation of benefits. An EOB presents the opportunity to make sure you are being billed for a service or treatment you actually received, and that the amounts listed are within your expectations. The dentist will submit your claim to Northeast Delta Dental. Delta Dental strives to maintain an accurate and up-to-date dentist directory, but it is always useful to verify the participation status of the particular dentist. For a complete description of the details of your coverage, please refer to your coverage documents. An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Explanation of Benefits (EOB): the notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Preventive / Diagnostic services include: oral exams (two per calendar year); cleanings (two per calendar year); bitewing x-rays (two sets per calendar year); full mouth x-rays (one set every 36 months); fluoride treatments (to age 19); space maintainers (to age 19); and … Delta Dental's vision discount program is available free to all Northeast Delta Dental subscribers and … © Copyright 2020 Delta Dental Plans Association. I receive dental insurance through my employer I purchase dental insurance on my own. Get started here. The Content on this website is not medical advice. Subscriber must register in order to procure an EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. How much is it going to cost? Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). 18. To find out if your dentist is within the network, … You are responsible to … If you wish to view or print EOBs (as far back as six years! The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. Fill in the fields below to get started. A bill for any amounts you may owe will come separately. On the most basic level, your EOB will provide a breakdown of the dental services that you received, the amount Delta Dental will pay to your dentist, and any portion you will be expected to pay the dental office. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. This Northeast Delta Dental–Vermont Health Connect dental plan meets the standards for Pediatric Dental Benefits (for children under the age of ... After your visit, an Explanation of Benefits (EOB) will be available to you. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Northeast Delta Dental is part of Delta Dental Plans Association. Here are the answers to common questions about EOBs. After your visit, an Explanation of Benefits (EOB) will be available to you. Preventive / Diagnostic services include: oral exams (two per calendar year); cleanings (two per calendar year); bitewing x-rays (two sets per calendar year); full mouth x-rays (one set every 36 months); fluoride treatments (to age 19); space maintainers (to age 19); and sealants (to age 14). Then, the secondary policy will ask for a copy of the payment information (referred to as an explanation of benefits, or EOB) from the primary insurer. Northeast Delta Dental … If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." Northeast Delta Dental will produce an Explanation of Benefits (available through our Benefit Lookup site at nedelta.com) detailing what has been processed under your plan’s coverage. Dentists should submit their reconsideration/appeal request to: Dental Director Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Want to know before you set foot in the dentist’s office? Explanation of Benefits (EOB) Delta Dental of Nebraska Learn more about how your oral health connects to your overall health at: DeltaDentalNE.org DDNE.8.2.18 After a trip to the dentist’s o˚ce, you’ll likely receive an EOB from Delta Dental of Nebraska explaining the procedures performed and what is covered by your dental plan. You are responsible to pay any remaining balance directly to the dentist. No, an EOB is not a bill. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. After you receive your EOB, you will know what, if anything, you owe to your dentist. 20. Author: It is administered by Northeast Delta Dental. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Find a … Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Estimates should not be construed as financial or medical advice. It is important to note that while not every EOB will be formatted the same, this example contains many of the sections and terms you will find on a typical EOB. Do not avoid getting dental care based on the cost information provided on this website. Please scroll down and accept to proceed. Below is an example of an EOB that you will receive after you have visited your dentist. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Refer to your benefit plan to determine whether these requirements apply to you. The notification will be sent to the email address we have on record for your account, and will be available from the electronic billing site as well. Contact your company's human resources department. For additional savings, PPO network providers offer deeper discounts. At Northeast Delta Dental, we are passionate about oral health and its importance to families. Estimates may vary depending on your benefit plan and the state you live in. The dentist will bill your dental insurance company after you’ve received dental treatment, and then you will receive an EOB, typically before you receive a bill from the dental office for any amount you may owe. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover, or your out-of-pocket costs. When you visit a non-Delta Dental … You may be responsible for the cost of procedures or services not covered by your plan. Northeast Delta Dental will produce an Explanation of Benefits (available through our Benefit Lookup site at nedelta.com) detailing what has been processed under your plan’s coverage. Reconsideration/appeal requests must be submitted within six (6) months of the date of the original explanation of benefits/payment remittance advice. The notification will be sent to the email address we have on record for your account, and will be available from the electronic billing site as well. Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. Once registered, you will no longer receive a paper bill in the mail. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. 19. It is sent to you after your dentist visit, and outlines your costs, the treatments that were covered under your dental plan, and treatments that may not have been covered and why. 20. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover, or your out-of-pocket costs. Northeast Delta Dental will produce an Explanation of Benefits (available through our Benefit Lookup site at nedelta.com) detailing what has been processed under your plan’s coverage. Connect with your Delta Dental company to learn more. Non-Delta Dental dentists have no fee restrictions. Northeast Delta Dental will send you a EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Predetermination of Benefits HealthTrust and Northeast Delta Dental strongly encourage Is my explanation of benefits a bill? Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. This Northeast Delta Dental–Vermont Health Connect dental plan meets the standards for Pediatric Dental Benefits (for children under the age of ... After your visit, an Explanation of Benefits (EOB) will be available to you. Here are the benefits of creating an account. Estimates should not … The EOB shows you how your claim 19. Explanation of Benefits (EOB): The notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. The EOB shows you how your claim was ... Northeast Delta Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 1 Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums.. 2 Delta Dental dentists agree to our determination of fees and won’t bill you more than your share of Delta Dental’s approved fee for a covered service. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. Northeast Delta Dental will complete payment of its liability (up to the orthodontic Maximum specified in the Outline of Benefits) in accordance with paragraph 3 below. Looking for more information? Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. It's a quick authentication process. Subscribers who … Connect with your Delta Dental company to learn more. For almost 50 years, we have worked to improve oral health and hygiene by emphasizing preventative care. Delta Dental of Washington is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 1 Refer to your plan booklet or Policy for more information about covered services, deductibles and maximums.. 2 Delta Dental dentists agree to our determination of fees and won’t bill you more than your share of Delta Dental’s approved fee for a covered service. If you are a first time visitor, click here to create a new account to register for eBilling. Northeast Delta Dental will complete payment of its liability (up to the orthodontic Maximum specified in the Outline of Benefits) in accordance with paragraph 3 below. By clicking, you agree that you have read the information below, are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Northeast Delta Dental is part of Delta Dental Plans Association. When Delta Dental of California is the secondary carrier and is subject to the provisions of the California Health and Safety Code §1374.19, we pay the lesser of: (1) the amount we would have paid in the absence of any other dental benefit coverage; or (2) the enrollee’s out-of-pocket cost payable under the primary plan … It is administered by Northeast Delta Dental. The Dartmouth plan offers providers in both the PPO and Premier networks. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Explanation of Benefits (EOB): The notice which explains the benefits that were paid on your behalf, lets you know if any services are Denied or Disallowed, and gives you the reason(s) for the denial or disallowance. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Your actual cost may be higher or lower than the estimate for various reasons. Present your subscriber ID card to the dentist at the time of your visit. 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