April 24, 2024

Delta Dental of Illinois dental benefit programs include three networks: Delta Dental PPO, Delta Dental Premier and DeltaCare dental HMO. Delta Dental of Illinois dental benefit programs can also include the following plan features:

To Go carryover feature

A dual choice, monthly switch option that allows enrolles to switch between Delta Dental PPO and DeltaCare dental HMO.

IF YOU DO NOT KNOW WHAT YOUR SPECIFIC GROUP'S PROGRAM ENTAILS, please refer to your certificate of coverage or dental benefits booklet. You can also access benefit information through the Subsriber Connection. 

If your employer/group program features Delta Dental PPO, you have access to two Delta Dental networks nationwide - Delta Dental PPO and Delta Dental Premier.

With Delta Dental PPO, you're free to go to any licensed dentist anywhere, regardless of whether the dentist participates in one of our networks. However, you're likely to save money by going to a dentist who participates in the PPO or Premier network.  Here's how.

If you go to a dentist who participates in the PPO network, your out-of-pocket expenses are likely to be lower because these dentists agree to accept reduced fees as payment-in-full. In the majority of cases, this translates into reduced copayments for you.

If you go to a dentist who participates in the Premier network, you may enjoy savings as well. These dentists have agreed to accept our Maximum Plan Allowances (MPAs) as payment-in-full. If Delta Dental's fee is lower than what the dentist charges, he or she can't bill you for the difference. Three out of every four practicing dentists nationwide participate in Delta Dental Premier.

If you visit a dentist who participates in either network, you don't have to hassle with paperwork since all dentists who participate in the PPO and Premier networks agree to fill out and file claims forms for their Delta Dental patients.

If you go to an out-of-network dentist, you'll still be covered, but you may have to pay more because these dentists have not agreed to reduced fees or no "balance billing," which means you will be responsible for any difference between what we pay and the dentist's submitted fee. You may also have to file your own claim.

To find a network dentist near you, access our online dentist directory.