What is Delta Dental PPOSM (Standard)?
Delta Dental PPO (Standard) is our national preferred provider organization program administered by Delta Dental of Michigan. Services provided by a Delta Dental PPO participating dentist are covered under this plan, however, services provided by a dentist who does not participate in Delta Dental PPO are not covered.

What are the advantages of utilizing a Delta Dental PPO dentist?
When you utilize a Delta Dental PPO participating dentist for covered services, we will pay that dentist directly based on submitted fees or the amount in the local Delta Dental PPO fee schedule, whichever is less. If the Delta Dental PPO fee schedule amount is lower than the dentist’s submitted fee, the dentist cannot charge you the difference. This means you will be responsible only for your copayments and deductible, if any, when you receive covered services from a Delta Dental PPO dentist. Our PPO dentists will also fill out and file your claim forms, which means fewer hassles for you.

How can I find a Delta Dental PPO dentist?
To get the names of Delta Dental PPO dentists near you, call our Customer Service department at (800) 971-4108. Our DASI (Delta Dental’s Automated Service Inquiry) system is available 24/7 and can provide you with the names of Delta Dental PPO dentists near you. You can also visit our Web site at www.deltadentalmi.com.

What if I go to a dentist who does not participate in Delta Dental PPO?
Services provided by a dentist who does not participate in Delta Dental PPO are not covered under this plan. If you receive dental services from a dentist who does not participate in Delta Dental PPO, you will be responsible for paying the dentist whatever he or she charges. No payment will be made by Delta Dental.

Do I need to tell my dentist my coverage has changed?
Yes, it would be helpful if you told your dentist that you have Delta Dental PPO coverage through Delta Dental of Michigan.

Do I need an ID card to receive care?
No. Your dentist can verify your eligibility for coverage 24/7 by checking our online Dental Office Toolkit® or by calling DASI. If you would like an ID card for reference purposes, you can use our online Consumer Toolkit® at www.deltadentalmi.com to print one.

What if I have other questions?
Please call our Customer Service department at (800) 971-4108. Our DASI system is available 24/7 and can answer many of your questions. DASI can provide you with benefit, claims, and eligibility information, our mailing address, and the names of Delta Dental PPO dentists near you. In addition, Customer Service representatives are available to assist you Monday through Friday from 8:00 a.m. to 6:00 p.m. EST.

You can also use our Web-based Consumer Toolkit to access your own benefit, claims, and eligibility information 24/7. You can also use this Toolkit to search our dentist directories, print ID cards and claim forms, sign up for electronic delivery of your Explanation of Benefit (EOB) statements, and read oral health tips.