Coverage Details

Understanding your dental benefits shouldn't be complicated. At Clove Dental, we make it easy to know what’s covered under your Delta Dental PPO plan so you can feel confident about your care choices.

1. Preventive Care – Covered at 100%

Preventive care is the cornerstone of good oral health. Most Delta Dental PPO plans cover preventive services in full, meaning you can enjoy essential treatments without worrying about out-of-pocket expenses. Services typically covered include:

Routine cleanings (twice a year)
Comprehensive exams
Fluoride treatments for children
Protective sealants for kids

These treatments are designed to keep your teeth and gums healthy, catching potential issues early and avoiding costly procedures later.

2. Basic Care – Covered at 70%-80%

Basic dental care addresses common oral health issues. Delta Dental PPO plans often cover a significant portion of these services, including:

Fillings to treat cavities
Tooth extractions
Deep cleanings for gum health (scaling and root planing)

For most patients, this translates to affordable treatment that protects your smile from further damage.

3. Major Care – Covered at 50%

For more complex procedures, Delta Dental PPO plans typically cover half of the costs. While these treatments involve higher investment, our team ensures you understand every detail before proceeding. Covered major services may include:

Crowns and bridges to restore damaged teeth
Dentures for missing teeth
Root canals to save infected teeth

4. Orthodontics – Lifetime Maximums Apply

If you're considering orthodontic treatment, Delta Dental PPO plans often offer partial coverage for braces or clear aligners. However, benefits for orthodontic care usually come with a lifetime maximum, so it’s important to verify your plan specifics.

Steps to Verify Your Benefits

Contact Us: Call or visit us before your appointment. Share your Delta Dental insurance details so we can assist.
We Verify: Our team will review your specific policy to confirm what services are covered and any associated costs.
Review with You: We’ll provide a clear breakdown of your coverage, including deductibles, copays, and out-of-pocket estimates.

Transparency is key to a stress-free dental experience. Our goal is to ensure no surprises when it comes to your bill.

What Information Do You Need?

To streamline the process, have these details ready:

Your Delta Dental insurance card
Policyholder information (e.g., name, date of birth, employer)
Any questions about specific treatments

Delta Dental PPO Partners and Cost Transparency

At Clove Dental, we believe in building trust through clear communication. Being in-network with Delta Dental PPO means you receive the most cost-effective care, but we also work hard to make every expense clear upfront.

How Delta Dental PPO Works for You

Lower Rates: In-network dentists agree to negotiated rates, saving you money compared to out-of-network providers.
Direct Billing: We handle claims directly with Delta Dental, so you don’t have to.
Transparent Costs: You’ll always know what to expect before treatment begins.

What Sets Us Apart?

We go beyond offering excellent dental care by simplifying the insurance process. From personalized consultations to detailed cost estimates, you’ll never feel left in the dark about your benefits or costs.

The Clove Dental Difference

At Clove Dental, your comfort and satisfaction come first. We’re proud to be a preferred partner for Delta Dental PPO in Illinois, ensuring our patients enjoy top-quality care with maximized benefits.

Why Choose Us?

Family-Friendly Care: From toddlers to seniors, we cater to patients of all ages.
State-of-the-Art Technology: Our advanced equipment ensures precise, effective treatments.
Compassionate Team: We’re dedicated to making your dental visits as stress-free as possible.

Whether you’re here for a routine cleaning or a transformative smile makeover, we’ll ensure every step is smooth, affordable, and tailored to your needs.

FAQs About Delta Dental PPO Insurance

What does PPO mean?

PPO stands for "Preferred Provider Organization." With Delta Dental PPO insurance, you enjoy the freedom to choose your dentist but save the most when you visit an in-network provider like Clove Dental.

Are all services covered at the same percentage?

No, coverage percentages vary based on the type of service:

Preventive care: Often 100%
Basic care: 70%-80%
Major care: 50%

Orthodontics and some specialized treatments may have separate rules or caps.

Do I need pre-authorization for treatments?

For routine care, pre-authorization isn’t usually required. However, for complex procedures like crowns or orthodontics, Delta Dental may request a review. We’ll handle this process for you, ensuring a smooth experience.

What are deductibles and maximums?

Your deductible is the amount you pay before your insurance starts contributing. Delta Dental PPO plans often have annual maximums, which is the total amount they’ll pay for your dental care within a year.

What if I need treatment not fully covered by my plan?

We’ll work with you to explore options, including financing plans or alternatives to fit your budget. Your oral health is our priority, and we’re committed to finding solutions that work for you.

Save up to 60% by joining the Clove Care Plan

Concierge dentistry at affordable prices, paid monthly or annually for flexibility.

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Delta Dental in Illinois

Comprehensive Coverage at Clove Dental