to the dentist. 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. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. 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. When a dental office calls or goes online to verify coverage, they also receive all the information needed to submit a claim. DISCOUNTS. 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. Your Explanation of Benefits (EOB) is a paper or electronic statement provided by your dental insurance company, which breaks down any dental treatments or services that you have received. I receive dental insurance through my employer I purchase dental insurance on my own. ŽŽŽ n(GÐÀŽ"S$w3ãv®~ £å€8ìü@~¦2½ãþÎ0&æc+äõia›ð9ˆ“é¿£ûµ';ž1px8ðn°`¨. You are responsible to pay any remaining balance directly to the dentist. Find the one that’s right for you. Estimates should not … Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any After your visit, an Explanation of Benefits (EOB) will be available to you. Here are the answers to common questions about EOBs. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any All Rights Reserved. Estimates should not be construed as financial or medical advice. 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. ), you may do so securely through the site. Frequently Asked Questions About Explanation of Benefits. It is administered by Northeast Delta Dental. 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 … Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. Below is an example of an EOB that you will receive after you have visited your dentist. 20. Non-Delta Dental dentists have no fee restrictions. This document will explain what procedures were covered under your benefits plan, as well as any procedures that might not have been covered, and why they were not covered. 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. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Please contact the dental practice directly to learn more about treatment, payment and dental benefits, or to schedule an appointment. Contact your company's human resources department. For additional savings, PPO network providers offer deeper discounts. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. The information and content (collectively, "Content") on this website is for your general educational information only. 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. 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. Looking for more information? Our oral health and wellness section provides important information about adult oral health, children's oral health and even oral … It's a quick authentication process. 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. No, an EOB is not a bill. It is administered by Northeast Delta Dental. Is my explanation of benefits a bill? ” ... New: Explanation of Benefits (EOB) Select Print EOB button to view the EOB. Information regarding the Cost Estimator content. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Northeast Delta Dental … 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. Have a question about coverage or looking for dental insurance? The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. 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. Claims will be processed when received according to your plan provisions. Dentists should submit their reconsideration/appeal request to: Dental Director Northeast Delta Dental One Delta Drive PO Box 2002 Concord, NH 03302-2002 Delta Dental PPO plans are underwritten by Delta Dental Insurance Company in AL, DC (Policy- IENT-P-CORE-DC-REV2018), FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA — Delta Dental of California; PA, MD — Delta Dental of Pennsylvania; NY — Delta Dental of New York, Inc.; DE — Delta Dental of Delaware, Inc.; WV — Delta Dental … Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any If you wish to view or print EOBs (as far back as six years! The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. For a complete description of the details of your coverage, please refer to your coverage documents. The national network of Delta Dental companies protects more smiles than any other insurance company. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Here are the benefits of creating an account. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. The EOB shows you how your claim Predetermination of Benefits HealthTrust and Northeast Delta Dental strongly encourage Fill in the fields below to get started. 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. 18. Refer to your benefit plan to determine whether these requirements apply to you. Health information changes quickly. 20. Find a … 18. Refer to your benefit plan to determine whether preventive services are covered for you. Delta Dental has the largest network of dentists nationwide. 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. 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. If you have a question regarding the participation status of a specific dentist who does not appear in this directory, please contact the dentist or your Delta Dental. You may be responsible for the cost of procedures or services not covered by your plan. Delta Dental of Washington is a part of Delta Dental Plans Association. 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. 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. Welcome to Northeast Delta Dental's eBill Document Center. 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). Find a Vision Provider DeltaVision Provider Search After your visit, an Explanation of Benefits (EOB) w ill be available to you. 19. Subscribers may access electronic versions of their ID cards and EOBs using Northeast Delta Dental’s site at www.nedelta.com/Patients. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Get started here. If you are a first time visitor, click here to create a new account to register for eBilling. Maximum: the dollar amount Northeast Delta Dental will pay per Eligible Person within any Estimates may vary depending on your benefit plan and the state you live in. Fill in the fields below to get started. 19. *Not sure where your company is headquartered? I receive dental insurance through my employer. 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. Go 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. Delta Dental's vision discount program is available free to all Northeast Delta Dental subscribers and … Delta Dental is committing more than $1.2 million to help New Mexico dentists acquire supplies, equipment, and technology for reopening their practices. Connect with your Delta Dental company to learn more. All of those matters are things that you should decide, in consultation with your dental care professionals. 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. Northeast Delta Dental is part of Delta Dental Plans Association. Preventive care coverage varies by plan and by demographic considerations such as age. You are responsible to pay any remaining balance directly to the dentist. Have a question about coverage or looking for dental insurance? You are responsible to pay any … 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. The Dartmouth plan offers providers in both the PPO and Premier networks. Explanation of Benefit (EOB) Forms. This article was developed jointly by Delta Dental Plans Association , Delta Dental of Arizona and Delta Dental of Wisconsin. 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. 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. Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. The EOB is different from a bill. Northeast Delta Dental will send you a EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. Connect with your Delta Dental company to learn more. Northeast Delta Dental will issue EOBs electronically via our Benefit Lookup site. The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. Navigating Northeast Delta Dental’s My Benefit Web Page ... refer to the subscriber’s Delta Dental card or contact Customer Service at 1-800-832-5700 for further information. Please enter the e-mail address associated with your user account on this system; Do you have questions? The national network of Delta Dental companies protects more smiles than any other insurance company. To find out if your dentist is within the network, … If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." When you visit a non-Delta Dental … Want to know before you set foot in the dentist’s office? The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. 19. You are responsible to pay any outstanding balance directly to the dentist. An EOB provides essential information, including but not limited to, treatments performed, dentist’s fees, insurance payments, amount you may owe for deductibles, co-pays, or procedures not covered by your policy, coordination of benefits information (if applicable), the portion of your annual maximum that has been used, and the amounts you have paid toward the deductible in the current benefit year. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. A bill for any amounts you may owe will come separately. Address 3400 Squalicum Pkwy #103 Bellingham, WA 98225-1933 . Subscribers who … Please contact your local Delta Dental to manage your Delta Dental benefits. For almost 50 years, we have worked to improve oral health and hygiene by emphasizing preventative care. Present your subscriber ID card to the dentist at the time of your visit. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. It's a quick authentication process. The Content on this website is not medical advice. (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 The EOB shows you how your claim was processed and will tell you if you owe anything to your dentist. Your actual cost may be higher or lower than the estimate for various reasons. 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. Claims for Delta Dental Dentists: Show your ID card to your dentist and he or she will send your claim to Delta Dental for you and any of your covered family members under the ID number on your ID card. Therefore, understanding the different parts of an EOB is critical to finding and avoiding billing errors. Northeast Delta Dental will notify you of any change to software and hardware requirements needed to access the system. Please scroll down and accept to proceed. Explanation of Benefits. What Is an Explanation of Benefits (EOB) statement? 19. Northeast Delta Dental Contact Us; Frequently Asked Questions ; nedelta.com; Explanation of Benefits/Benefit Lookup; Reset Password Reset Password Form. On your local Delta Dental web portal, you can view plan information, download forms, view claims, track dental activity and go paperless! Northeast Delta Dental is part of Delta Dental Plans Association. © Copyright 2020 Delta Dental Plans Association. A bill for any amounts you may owe will come separately. 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 uses a national network of providers. 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. 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. 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. No, an EOB is not a bill. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. 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 … Therefore, it is always best to confirm information with your health care professionals. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Maximum: the dollar amount Northeast Delta Dental will … 18. 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 (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. The data is based on actual, non-discounted charges that providers have billed. See current career opportunities that are available at Northeast Delta Dental Vision Discounts. How much is it going to cost? After you receive your EOB, you will know what, if anything, you owe to your dentist. You can make an electronic payment from your bank account (ACH) on this site. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Member Registration Member Information To ensure security and data confidentiality, you must register to use Benefits Lookup. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Brush up on some of the dental insurance basics: If you have additional questions or require further support, connect with your local Delta Dental. General information regarding your health care. 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. 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. At Northeast Delta Dental, we are passionate about oral health and its importance to families. 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). Do not avoid getting dental care based on the cost information provided on this website. An EOB from Delta Dental will typically include the following information: Other Terms That Your EOB Might Reference. (b) For Eligible Persons who become eligible after orthodontic treatment has commenced, Northeast Delta Dental will pro-rate its liability based on the … Preventive services are included in this tool. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. 2 With dual coverage, your two carriers will make sure that the combined amount paid by the two plans does not exceed the total amount the dentist has agreed to accept from the primary carrier. 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. Non-Delta Dental dentists have no fee restrictions. These terms will not always be used in your Explanation of Benefits, but it is important to know their meaning in case they appear. You are responsible to … 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 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 … The Content cannot, and is not intended to, replace the relationship that you have with your health care professionals. Subscriber must register in order to procure an EOB (Explanation of Benefits) detailing what has been processed under your programs coverage. 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. Understanding your explanation of benefits. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. This website shows estimates of certain dental care costs. The dentist will submit your claim to Northeast Delta Dental. Estimates should not be construed as financial or medical advice. 19. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. An Explanation of Benefits (EOB) is a document that Delta Dental may send you after you receive dental treatment. 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