Group Dental Insurance | Delta Dental

Cost Estimator Terms of Use

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Information About the Content of the Cost Estimator

In the case of a medical or dental emergency, it is crucial to seek appropriate emergency medical or dental assistance by calling “911”. To get started with the dental care cost estimator tool, simply click the agree button below. By clicking, you acknowledge that you have read the following information and are accessing it to determine treatment cost estimates for the dental care services you are considering. Please note that using the information provided in this tool for commercial or anti-competitive purposes is strictly prohibited. The cost estimates provided are only approximations and do not guarantee payment or benefits. It’s important to remember that the actual cost may vary for various reasons.

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General Information About Your Healthcare

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The content on this website serves as general educational information and should not be considered a replacement for the relationship you have with your healthcare professionals. It is important to consult your healthcare professionals for accurate information regarding diagnosis and treatment, including which medications or treatments may be suitable for you. The information on this website does not represent or warrant the safety, appropriateness, or effectiveness of any specific drug or treatment. Health information is subject to rapid changes, so always verify the information with your healthcare professionals.

Dental Care Cost Calculator: Understanding Treatment Categories

The dental care cost calculator sometimes groups together services that are often provided together to address a specific dental problem and categorizes them as “treatment categories.” However, it’s essential to note that the inclusion of certain services in a treatment category does not imply that it is the right treatment for you, nor does it discourage you from considering any particular treatment. The decision regarding your dental treatment should be made in consultation with your dental care professionals. This cost estimator is designed for use throughout the United States, including Puerto Rico and other U.S. territories. If you reside outside the U.S., you may come across information in this cost estimator that pertains to products or services unavailable or unauthorized in your country.

General Information About Your Dental Benefits

• Nothing on this website guarantees eligibility, coverage, or payment, nor does it determine or guarantee the benefits, limitations, or exclusions of your coverage. To obtain a complete description of your coverage details, please refer to your coverage documents.
• Estimates may vary depending on your benefit plan and the state you reside in. Claims will be processed in accordance with your plan’s provisions once received.
• You may be responsible for the costs of procedures or services not covered by your plan.
• The use of this website does not affect the benefits available under your dental benefit plan, either positively or negatively. In case of any conflict or inconsistency between the content on this website and your coverage documents, your coverage documents will prevail.
• Certain benefit plans and dental care providers require prior authorizations or referrals. Make sure to check your benefit plan to determine if these requirements apply to you.
• This tool includes preventive services; however, coverage for preventive care varies based on your plan and demographic factors such as age. Check your benefit plan to confirm if preventive services are covered for you.

General Information on Cost Estimates

• It is important not to avoid receiving dental care solely based on the cost information provided on this website.
• This website provides estimates for specific dental care costs.
• The publicly available version of the cost estimator uses aggregated historical cost data for the respective procedure. The secure version, accessible after login, employs procedure costs or cost ranges derived from provider fee schedules and aggregated historical cost data.
• The cost estimates given may differ from your actual costs due to various factors, including your unique dental circumstances, decisions made by you and your dental professionals regarding the services you will receive, deviations between the anticipated costs and the scope of services actually provided, as well as features of your specific plan.

More Information on How Cost Estimates Are Calculated

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Estimated costs for services provided by out-of-network dentists (available in the out-of-network estimator) are based on data from claims submitted by out-of-network providers. The data reflects the actual undiscounted charges billed by those providers.

Cost estimates are specific to geographic areas, defined by the first three digits of a zip code. For example, the geographic zip code for 12345 is 123.

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