When you schedule routine dental care with Delta Dental, you tap into a range of general and preventative services designed to keep your smile healthy and reduce out-of-pocket costs. Preventive dentistry typically includes:
Coverage details depend on your plan type, but most Delta Dental options focus on preventive care to help you avoid more complex—and costly—procedures down the road. For example, you can explore available dental screening services with Delta Dental to stay ahead of any issues (delta dental dental screening services).
Coverage for routine services varies by plan structure. Below is an overview of the four main categories you may encounter in Charlotte-area plans.
With a Delta Dental PPO plan:
A DeltaCare USA HMO plan offers:
If you qualify for Medicaid:
Medicare Advantage dental benefits differ widely:
When your employer provides dental benefits:
Comparing cost responsibilities across plan types helps you choose the best option for your needs. The table below summarizes typical features—your actual benefits may differ, so always check your plan summary.
| Plan type | Deductible | Copayment or coinsurance | Waiting period | Claim process |
|---|---|---|---|---|
| Delta Dental PPO | $25–$50 individual | Preventive 0% after deductible Basic 20%–50% |
None for preventive Varies for basic/restorative |
Dentist files claim |
| DeltaCare USA HMO | $0 | Fixed copays ($0–$20) | None | No forms—provider billing |
| Medicaid | $0 | $0–$5 per service | None | Provider billing |
| Medicare Advantage | Varies by plan | Varies by plan | Varies by plan | Plan handles claims |
| Employer-sponsored PPO/HMO | Varies by employer | Preventive 0%–20% Basic/restorative 20%–50% |
May apply | Dentist files claim |
Choosing an in-network dentist is one of the easiest ways to lower your costs and simplify your experience.
Delta Dental boasts over 155,000 participating dentists nationwide, making it the largest network in the U.S. and ensuring you can find care close to home (Delta Dental).
In-network dentists agree to discounted rates, which translate into direct savings for you. They also handle claims submissions, so you spend less time on paperwork and more time focusing on your oral health (Delta Dental).
Maintaining a consistent cleaning schedule is key to preventing cavities, gum disease and more.
Most people benefit from a cleaning and exam every six months. Professional cleanings remove plaque, tartar and bacteria that brushing and flossing alone cannot address. Twice-yearly visits also allow for early detection of cavities and oral health issues (WebMD).
Certain factors may require more frequent visits:
Consult your dentist to determine if you need cleanings every 3–4 months instead of twice a year.
Getting the most from your routine dental care with Delta Dental means leveraging every available service.
Preventive dental benefits often include:
Review your plan documents so you know which services are fully covered.
Delta Dental members can access two virtual dentistry tools, letting you consult a dentist from home. Virtual visits may cover routine check-ins, post-treatment follow-up or minor concerns (Delta Dental).
If you have more than one dental plan, coordination of benefits ensures you don’t exceed 100% of the bill. Check your employer or plan administrator for rules governing primary versus secondary plan coverage (Delta Dental).
By understanding your plan type, choosing in-network care and using every preventive benefit available, you can maintain a healthy smile without unexpected expenses.
