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We have a plan design to fit your
needs.... with a choice of six different
dental programs offered through
Delta Dental Plan of New Jersey,
Inc. Delta Dental Plan of New Jersey is New Jersey’s
largest dental health carrier. Delta Dental is a not-for-profit service
corporation, and has led the industry in offering innovative programs
designed to control costs while ensuring quality of benefits since 1969. The
Delta Premier participating network consists of 4,725 dental professionals in
New Jersey while the Delta Preferred network has 1,880 dentists are enrolled
in New Jersey as of July 31, 2001. DELTA
PREMIER (4 Plan Designs Available) Participating Dentists and Participating
Specialists agree to pre-file their usual fee for each procedure
commonly performed, and accept the least of their actual charge, their filed
fee, or Delta Dental's established UCR as payment in full. This provides
guaranteed copayment levels and a consistent level of charges to eligible
patients. Claims for non-network providers’ services are paid based on the
lesser of the dentist’s actual charge or the prevailing fee as determined by
Delta Dental. DELTA
PREFERRED (2 Plan Designs Available) Participating dentists have agreed
to accept the applicable schedule of maximum allowable charge(s) as payment
in full, offering guaranteed copayments to eligible patients using network
dentists. These fees generally mean lower copayment costs to the employee.
Your employees may also select a Premier dentist who is not a Preferred
dentist. DeltaPremier participating dentists agree to pre-file their usual
fee for each procedure commonly performed, and accept the least of their
actual charge, their filed fee, or Delta Dental's established UCR as payment
in full; however, Delta Dental’s payments will be based on the applicable
DeltaPreferred Option schedule. Claims for services provided by participating
specialists are paid based on the lesser of their usual fee, their actual
fees, or Delta Dental’s UCR fee for the procedure. Claims for non-network
providers’ services are paid based on the lesser of the dentist’s actual
charge or the applicable Preferred Table of Allowance. |

