Delta Dental definition

Delta Dental means Delta Dental of Wisconsin, Inc.

Split View

AI-Powered Contracts

Draft, Review & Redline at the Speed of AI

Get StartedSchedule a Demo

Delta Dental means Delta Dental Plans Association, which is a nationwide non-profit organization of health care service plans, which offers a range of group dental Benefit Plans.

Delta Dental means Delta Dental of Arizona

Examples of Delta Dental in a sentence

• The subscriber must submit a request for external review within one hundred twenty (120) days after receipt of the claims denial to Delta Dental of Wyoming’s appeal’s office and after all internal review processes have been exhausted.

• Delta Dental does not cover the cost of the implants, maintenance or the surgical removal thereof.

• If Delta Dental of Wyoming denies the subscribers request for the provision of or payment for a dental care service or course of treatment of the basis that it is not dentally necessary, or on another similar basis, the subscriber may have a right to have the adverse determination reviewed by dental care professionals who have no association with Delta Dental of Wyoming and are not the attending dental care professional or dental care professionals partner by following the procedures outlined here.

• If they are not a benefit and implants are utilized, Delta Dental will allow the cost of the standard appliance, either fixed or removable, constructed in association therewith.

• Medically Necessary Orthodontic Services You are not covered for medically necessary orthodontic services unless approved by Delta Dental.

• To request an external review or an expedited review, the subscriber must submit the following completed documents that accompanied his or her claims denial: • Request form • Release for records • Healthcare professionals’ statement of dental necessity • Any other documents necessary The subscribers request must be received at Delta Dental of Wyoming, ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇, ▇▇ ▇▇▇ ▇▇, ▇▇▇▇▇▇▇▇ ▇▇, ▇▇▇▇▇ within one hundred twenty (120) days of the date of the Notice of Appeal Rights.

• Contract means this agreement between Delta Dental and Applicant including the Application of the Applicant for this Contract and the attached appendices, endorsements and riders, if any.

• Delta Dental means Delta Dental Plan of Wyoming, a non-profit dental service corporation, d.b.a. Delta Dental of Wyoming, acting for itself.

• Applicant wherever used in this Contract means the group that has requested a policy from Delta Dental.

• Coverage percentage means the percentage of the maximum plan allowance paid by Delta Dental for a specific benefit, as specified in the summary of benefits.

More Definitions of Delta Dental

Delta Dental. PPO shall mean a dental care program for Enrollees under which all fees paid or otherwise discharged by Delta Dental for Services provided by a PPO Dentist shall be the PPO Allowed Amount, subject to any applicable co-payments, deductibles and maximums. All fees paid or otherwise discharged by Delta Dental for Services provided by a Participating Dentist who is not a PPO Dentist or a Non-Participating Dentist under this Delta Dental PPO program shall be the Allowed Amount as defined in Article I, subject to any applicable co-payments, deductibles and maximums. Delta Dental Premier® shall mean a dental care program for Enrollees under which all fees paid or otherwise discharged by Delta Dental for Services shall be the Allowed Amount, subject to any applicable co-payments, deductibles and maximums. Dental Affairs Committee shall mean a duly appointed committee of the Board of Directors of Delta Dental.

Delta Dental means Delta Dental of New Jersey, Inc.

Delta Dental. 100:90/90/90: $1,500 Negotiated Life $45,000 Accidental Death & Dismemberment at Long Term Disability 70% Delta Dental: 100: 90/90/90: $1,500 Negotiated Life: $45,000 Accidental Death & Dismemberment at Double Indemnity Vision: VSP-3 Plus

Delta Dental. PPO shall mean a dental care program for Enrollees under which all fees paid or otherwise discharged by Delta Dental for Services provided by a PPO Dentist shall be the PPO Allowed Amount, subject to any applicable co-payments, deductibles and maximums. All fees paid or otherwise discharged by Delta Dental for Services provided by a Participating Dentist who is not a PPO Dentist or a Non-Participating Dentist under this Delta Dental PPO program shall be the Allowed Amount as defined in Article I, subject to any applicable co-payments, deductibles and maximums. Dental Affairs Committee shall mean a duly appointed committee of the Board of Directors of Delta Dental.

Delta Dental means Delta Dental of Alaska. Delta Dental of Alaska is a business name used by Oregon Dental Service, which is a not-for-profit health insurer licensed in Alaska. Delta Dental is the claims administrator of the dental plan.

Delta Dental means Delta Dental State Government Programs (DDSGP), third party administrator (TPA) responsible for paying claims for Delta Dental Insurance Company, the CHIP Dental Plan underwriter.