Find a listing of more than 1,000 Delta Dental PPO provider locations in Colorado and hundreds of thousands of Delta Dental network providers nationwide at www.DeltaDentalCoversMe.com, or call 888-899-3734. get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that 368 0 obj <>/Filter/FlateDecode/ID[<9CBCF151ED38014EB2A0AB26D20255F5>]/Index[348 33]/Info 347 0 R/Length 96/Prev 546855/Root 349 0 R/Size 381/Type/XRef/W[1 2 1]>>stream 155 0 obj <>/Filter/FlateDecode/ID[<11D0ED0D772846A5BDACC2E76C6D3585>]/Index[148 13]/Info 147 0 R/Length 54/Prev 390647/Root 149 0 R/Size 161/Type/XRef/W[1 2 1]>>stream The American Dental Association may periodically change CDT codes or definitions. Individual applications are subject to eligibility requirements. DeltaCare USA plans are underwritten in these states by these entities: CA Delta Dental of California; DC(Policy I-P-DC-dc-20) and FL Delta Dental Insurance Company; MD and TX Alpha Dental Programs, Inc.; UT Alpha Dental of Utah, Inc.; NY Delta Dental of New York, Inc.; NV Alpha Dental of Nevada, Inc.; PA Delta Dental of Pennsylvania. WebDelta Dental PPO Plus Premier Plan at a Glance | Delta Dental of New Jersey Online tools Dental plans Dental health Home > Tools & resources > Plan information > PPO Plus Premier At a Glance Delta Dental PPO Plus Premier Plan at a Glance Delta Dental PPO Plus Premier gives you access to approximately 154,000 participating dentists. By clicking, you agree that you have read the informationbelow,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. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. 0000010743 00000 n Delta Dental has the largest network of dentists nationwide. The plan gives you a broad range of coverage with no waiting period, annual maximum or deductible. 2022 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) How to access and interpret information provided on remittances Webplan offered exclusively to patients at Coast Dental & Orthodontics Specialist services available in select locations and may change without notice Contact your local office to Click on the specialty link for the location you want to view. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. @Ed^H?h*fd| d100Fg /TA endstream endobj startxref hWF+HYr :1U`vh$~#_EJC $!yo70EN3"&IHC" !#_BD,'>nN"~.O_EHiL How often is the Delta Dental PPO fee schedule reviewed and updated? WebDelta Dental has affordable individual dental plan options available for you. %PDF-1.6 % Both dental plans provide the same services. WebPlease note: This fee schedule applies to procedures performed by a General Dentists only. tqX)I)B>== 9. Patients covered by a Humana Dental commercial group plan have the convenience of a digital member ID card and may no longer need to present a physical member ID card. Webdelta dental ppo fee schedule 2022 pdf delta dental fee schedules delta dental fee schedule pdf delta dental fee schedules by zip code delta dental out-of-network fee U%}TLfRSt|I'_p:Z9T@p\}$1*4f~y The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. Qf Ml@DEHb!(`HPb0dFJ|yygs{. None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Copyright 2023 Delta Dental Plans Association. For a complete description of the details of your coverage, please refer to your coverage documents. If so, please visit Humana Medicare Advantage Supplemental Dental Benefits Information to find the most recent dental office handbook, Humana Medicare Advantage dental benefit descriptions and member-specific dental plans. PPO dentists offer the greatest discount off their fees, so youll pay less than with a Premier dentist. 0 lowest cost network in which your dentist Refer to your benefit plan to determine whether these requirements apply to you. Here are some examples. DIAGNOSTIC SM Box 14283 0000023974 00000 n Please note that the benefit payments made by Delta Dental to dentists, other dental care providers or . We automatically pay the claim based on the 4. Know your costs for covered procedures up front. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. |w&Vk2JIUQ kpbU}$qYs#]NflzSC%M_y WIm{SGn>95xfi'c]r_5\}GW:muM'|KC#{oG$tnRw[GU@u/l7{8;}cEl>c7% GsF 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). Connect with your Delta Dental company to learn more. "Iy"`v>o5@?" Lr) I8 COVID-19 resources Click Here . Here are some examples: 348 0 obj <> endobj If You are not satisfied, You may return the Policy within 10 days after You received it. (This fee is non-refundable as allowed by state). WebDelta Dental of Minnesota Experience the Delta Dental Difference No waiting periodsyou have full benefits the day your coverage begins. 0000001055 00000 n Can I go to any dentist I want with this plan? If your dentist participates in both Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). 3. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using To begin using the Dental Care Cost Estimator tool, click the Agree button below. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. WebDelta Dental of Minnesota 1 -877 631 8954 . Webfull dental arch - mandible .. $110.00 D0366 Cone beam CT capture and interpretation with field of view of one full dental arch - maxilla, with or without cranium .. $110.00 D0367 Cone beam CT capture and interpretation with field of view of both With Delta Dental as the programs administrator, these two options are known as the Delta Dental PPOTM plan and the DeltaCare USA (DHMO) plan. HumanaDental claims office WebDelta Dental of Oregon at no charge to the patient. NAI-1502064614v2 1 Introduction We are pleased to welcome you to the dental plan for BRAND NEW DAY. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. You may be responsible for the cost of procedures or services not covered by your plan. Learn about how to confirm Humana members benefits, how to submit claims or requests for pre-treatment estimates, and information about the Evidence of Remittance (EOR). WebKpic Delta Dental Fee Schedule 2014 below. $O./ 'z8WG x 0YA@$/7z HeOOT _lN:K"N3"$F/JPrb[}Qd[Sl1x{#bG\NoX3I[ql2 $8xtr p/8pCfq.Knjm{r28?. WebDelta Dental Ohio - Fee schedule Delta Dental of Ohio Careers Find a Dentist Log In /Register I am a: Member Benefit Manager Producer Dentist Our Plans Tools and hwTTwz0z.0. Medical Assistance Program Dental Fee Schedule May 2, 2022. Find a dentist near you. No more claims to file or 0000040598 00000 n 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. Plan ahead and stick to your budget with DeltaCare USA,anHMO-type plan. Click View contracted fee reports 2. hb```b``se`e` @16L@P iS;~1fm,Jxo0~e d {@ O ka$31b0;p7AyFCt+?:ro@MoCOW{\\uKs[Y. WebProtect your smile and wallet with a DeltaCare USA plan from Delta Dental. 0000002677 00000 n HumanaDental ID: 73288 WebKY Medicaid Dental Fee Schedule 2022 Revised 3/17/2022 Proc Code Procedure Description UNDER AGE 21 Rate 21 and OVER Rate Notes D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE (3) YEARS OF AGE AND COUNSELING WITH THE PRIMARY CAREGIVER. V*T/` C1H? b@AT 1z* I2~ You have remained in right site to start getting this info. Lexington, KY 40512-4611, CompBenefits claims office 0 the SingularDental fee schedule for pricing details. This is just one of the solutions for you to be successful. You have remained in right site to start getting this info. DeltaCare USA, View plan provisions or check with your sales representative. q>^{N:c0 '5xY*/KC9Nk#qw2G:_uxPb~m:$=fLW \1eaH^XBG49;k"g t=wMW$u d:eCm&GNbYkqVpI_ endstream endobj 149 0 obj <> endobj 150 0 obj <> endobj 151 0 obj <>stream To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service, and value. The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to help you identify opportunities to improve clinical outcomes and reduce medically related costs. WebConfidential Filed Fee Schedule (Updated to include CDT 2015 code terminology) Statement of Intent: I agree that each fee submitted to Delta Dental on a claim for dental services I provide to any Delta Dental patient will be these pre-filed fees or the fees actually charged and accepted as payment in full, whichever is less, consistent with the The secure version (available only after you sign in) uses procedure costs or cost ranges as reflected in provider fee schedules and aggregated historical cost data. hbbd``b`$B@D; H0 | A$Dg` Claims will be processed when received according to your plan provisions. 2020 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) Third parties with access to Humanas contracted provider network: Some Humana networks may have additional participation criteria physicians and other healthcare providers must meet to be granted participation status. WebDelta Dental Of Ohio Fee Schedule Cxeb Ksiilxm Yeah, reviewing a ebook Delta Dental Of Ohio Fee Schedule Cxeb Ksiilxm could go to your close associates listings. Like all Dentists, PPO Dentists are allowed to charge for any applicable Co-payments, Deductibles, or non-covered services. I receive dental insurance through my employer. The provider agreement that dental providers enter into with Humana allows Humana to provide such third parties with access to Humanas contracted provider network and in turn Humanas contracted dental providers services. Preventive services are included in this tool. 0000002090 00000 n Getting affordable dental coverage is easier than ever with a Delta Dental PPO plan. The plan covers a wide array of services. Get 100% coverage for essential preventive care, like routine cleanings and exams. Maximize your savings and keep your options open with our PPO plan. For more information, refer to these frequently asked questions and answers. 380 0 obj <>stream You also may contact Delta Dental PPO customer service at (800) 626-3108. %%EOF The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. The Content on this website is not medical advice. Previous Next. endstream endobj 85 0 obj <>stream Payment is based on the SPEEA fee schedule with Delta Dental. WebDelta Dental of Colorado (Find another state) Help Center: Dentists Claims Does Delta Dental of Colorado accept electronic claims? WebThe submitted fee is the amount that the dental office charges for your service and submits to Delta Dental. endstream endobj 152 0 obj <>stream The Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. Box 14611 Np0(Ix8'A1F,-y|y Z8%TY9`GuZgITm06=8pC=C!Iz$KE! l$yv<8)u ^e\0n3` P Enter the Humana Dental Payer Space and access the ERA/EFT Enrollment application. Delta Dental of New Jersey is a part of Delta Dental Plans Association. WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. Available free to members or for purchase through the ADA Store, the ADAs 2022 Survey of Dental Fees also features: 5 tips for marketing your dental practice, National average fees broken down for both general practitioners and each of the six specialties, National level statistics for fees for more than 200 commonly performed dental procedures, Average fees charged by general practitioners broken down into nine regional areas, based on U.S. Census divisions, Standard deviation and percentiles for each fee, Dental procedures identified by procedure code and nomenclature from the Code on Dental Procedures and Nomenclature as published in the ADAs CDT 2022. It is a nationwide network for MA members who bought their plan in Florida. ;vDvrV#IaZ_Zg1/V># l$O%$kA~-[4GJ"9A,Qe'zaA4}iclygRny7n"`m*d@4XyDn The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. %PDF-1.5 % SPEEA Scheduled Dental Plan Group # 04360. 7913 0 obj <>stream The national network of Delta Dental companies protects more smiles than any other insurance company. My Contracted Fees 1. 0000031542 00000 n Check out Virtual Consult, Check out our new DeltaVision plans As understood, achievement does not suggest that you have fabulous points. ]xl8/K"Xg%`tp2e JjkK/?0vH>^GHc`Y6{E9cioJX8 qZiu_'-z``MYG%=$Te+X^pGZbu6I Humana legal entities that offer, underwrite, administer or insure insurance products and services. hU[k0+zl. What if I use a clearinghouse not included in your list of accepted clearinghouses? WebSCHEDULE A Description of Benefits and Copayments The benefits shown below are performed as deemed appropriate by the attending Contract Dentist subject to the WebSchedule A - Description of Benefits and Copayments.. 13 Schedule B - Limitations and Exclusions of Benefits.. 37 . delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company [r 81 0 obj <> endobj Search for in-network dentists in your area using your current location or ZIP code with ourFind a Dentisttool. FAQs About Participation with Delta Dental Patient Direct. 0000008139 00000 n WebMHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and 0000016709 00000 n 0000077030 00000 n This exclusive survey provides you with an analysis of self-reported fees by procedure from a nationwide, random sample of dentists. Medical Assistance Program Dental Fee Schedule May 2, 2022. WebLearn how to identify members and verify their dental coverage, easily submit claims and receive payment for services and supplies. WebMedicaid has two dental plans. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. You'll have a list of copayments for every covered procedure so you know all your costs for preventive, basic and major services up front. In the event of any disagreement between this communication and the plan document, the plan document will control. Your benefit dollar goes furthest with Delta Dental PPO dentists; they offer the greatest discounts. 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. The accepted fee is the amount your dentist agrees to accept from Delta Dental as full payment for your dental service. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. Find the one that's right for you. ` g/ WebIf you see a provider that is not in the Delta Dental Premier or Delta Dental PPO networks, you will be responsible for all charges incurred. ,B_tx,?_BU-AdM#B?Y|k:7faNH >dW gj Search. Mail it to Delta Dental at the address shown below.. Any Subscription Charges This is just one of the solutions for you to be successful. endstream endobj startxref *Not sure where your company is headquartered? P.O. WebDDNJINDFC14/2012 Underwritten by Delta Dental of New Jersey, Inc. 2 10DAY RIGHT TO REVIEW AND RETURN THIS POLICY Please read this Policy carefully. WebThe OCC Dental Insurance Program consists of two dental options: a preferred provider organization (PPO) and a dental health maintenance organization (DHMO). Click View ,9g4crDe`py:0ocnjvl)tDh}.~K m=_ 0000018554 00000 n WebThe 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 Accept Delta Dental of Oregon benefit payments for services provided. For example, if the dentists usual fee for a filling is $200 and the discount dental plan has provided a 40% discount, then you will end up paying $120 to the dentist directly. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. WebDelta Dental PPO plan through California State University. 4993 37 The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. With your DeltaCare USA plan, when you visit a network dentist, you'll: Save on out-of-pocket costs. 2022 Delta Dental PPO Plan Benefit Summary Dentures and bridges (construction or repair of fixed bridges, partial, and complete dentures) Periodontics (treatment of diseases of the gums and supporting structures of the teeth) $2,000 Calendar year deductible, per member hbbd``b`$WXWk.`l "3A\~n:${. 0000014888 00000 n This functionality is no longer available on the Humana.com portal and has been fully migrated to Availity. Payment is based on the SPEEA fee schedule with Delta Dental. You must go to a dentist that takes your plan. 3R `j[~ : w! $32.50 n/c D0150 COMPREHENSIVE ORAL EVALUATION This website shows estimates of certain dental care costs. Webdental entitys Type 2 NPI (if different) to npi@delta.org Please also include the dentists name, practice name, address and license number. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." M=Jnt^ !|znC~^'%?N\Wap/O11Y/!SzHK 4993 0 obj <> endobj xref Submitting claims - All claims must be Use our Find a Dentisttool to search for PPO dentists identified by the Greater Savings icon." Go365 is not an insurance product. hTP=O0+@PuCH--Ol~z%A7FY/l.8:Cu%IsC]snN|chL}n ' If so, you may want to review these plan summaries. WebDELTA DENTAL PATIENT DIRECT MEMBER FEE SCHEDULE MEMBER PAYS DENTAL SERVICE (Maximum Charge) Delta Dental of Illinois DDIL.PD.FS.0802 Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. Box 9304 . Mandatory Medicare compliance requirements, PDF. 0000007678 00000 n AvN/ [S Benefits described in this comparison are guaranteed only when you select a participating dentist from Deltas networks. Webdentists may bill the difference between their usual fee and Delta Dentals maximum contract allowance. J kujbplc#vv9~KNpxDKXnNd !KdHM2^)}zo"ktD;Y5s6tVH't_h4k,Y@'F6'+t+U;W*D2VFut8E=s!_$bPqvi,f?7HWJ6[QmlgOuAa4j="*-uQqj0mw$)yIZzT]Y$x=zUJJ'zS/DfKN1AWiY~`$sNl]M,t2;zZ4ju ~\)1/\+ER;s? 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. Health information changes quickly. You can change your DeltaCare USA dentist at any time. %%EOF , PDF, Watch a video for helpful tips regarding member benefits and claims. Box 16354 Little Rock, AR 72231 Everyday forms Authorization for Release of Health and Payment Information (PDF, 2 pages, 21kb) This form authorizes Delta Dental of New Jersey to release protected health information. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. You can access your electronic remittance advices (ERAs) from the Humana.com dental provider portal by accessing the Dental Providers menu and selecting View Provider Payments under the Payments menu. Group Dental and Vision Plans (Insurance through your employer). DeltaCare plans give you a broad range of coverage with no waiting period, annual maximum or The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. If you elect to participate in this plan, you'll have a two-tiered fee schedule: Delta Dental Premier and a slightly reduced fee schedule for Delta Dental PPO. PPO fees are posted to the National Provider File and accepted nationally by other Delta Plans. 0 Privacy Statement Terms of Use Social Media Policy. SPEEA Scheduled Dental Plan Group # 04360. How much is it going to cost? 0000022178 00000 n Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company The AMA assumes no liability for data contained or not 0000008809 00000 n hb``e``ZAXX8W``H`ibH CGHcWpajkf 148 0 obj <> endobj Our coverage makes it easy and affordable to protect your smile, Follow snack and alcoholic drinks with water to keep your smile healthy on game day. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. Delta Dental has the largest network of dentists nationwide. hSmk0+qcdz,($m9n%lGrF? For New Mexico residents: Insured by Humana Insurance Company. How do I submit claims to Delta Dental? WebDelta Dental of Washington | PO Box 75983 | Seattle WA 98175-0983 | 877.521.2101 | DeltaDentalWA.com DD LG Premier 2015. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. hUOSWX`}'D_a^1SNp+R"`HP\(J6C[D6\j0sALw__{y H ?WT)h`E!D^d>|fm*aRO3S'_TM-,^Y3TH]9n":iofVG+Ue2Pb 99Nfb=W>N?=QG%Pex??? You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. Virtual Consult pBwOgeU 3)P(K^2FhLv>+SxvU}8F/i~\>cHHQ,/:0B'-ac`T2r68b)!PRJ[&}4v?S`3 Not available with all Humana health plans. Delta Dental Premier Plan . Use of this website in no way increases or decreases the benefits available under a dental benefit plan. Network Overview Take a tour of the Connection ) A?)){BYf)Q$ek:INTVTF!oE+6/$+~-,Wj44["$I"u>DN'$m! For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. Web5. What should be included on claim forms to Delta Dental? hbbd``b`$C`)l 1bL@&3~0 Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. Under a dental discount plan, you pay the dentist directly at the time of service on a pre-negotiated rate. Member perks for your smile and beyond get the CODE DESCRIPTION ENROLLEE PAYS D0100-D0999 I. 0000008367 00000 n Start quoting dental + vision plans for small business, Getting affordable dental coverage is easier than ever with aDeltaCare USA plan. WebDelta Dental Of Ohio Fee Schedule Cxeb Ksiilxm Yeah, reviewing a ebook Delta Dental Of Ohio Fee Schedule Cxeb Ksiilxm could go to your close associates listings. HumanaDental Medicare Network is the name of the nationwide network for Medicare Advantage members who bought their MA plan outside of Florida. Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. Preventive care coverage varies by plan and by demographic considerations such as age. 0000025861 00000 n Can you give me a comparison of my costs in network vs. out of network? If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. The name of the 2023 Humana Medicare Advantage dental network in Florida is the Florida GoldPlus Dental Network. hb```f``R |cf`ah s[3D320d+jPh;@''SZ\55|~=dp0u4X43hL `{x+l8AB6i)]@lp9 SCHEDULE B LIMITATIONS AND EXCLUSIONS OF BENEFITS FAQs About Participation with Delta Dental Patient Direct. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. Refer to the EOC booklet for coverage details and plan limitations.