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The Delta Dental Plans Association, also known as simply Delta Dental, is an American network of dental insurance companies composed of 39 independent Delta Dental members operating in all 50 states, the District of Columbia and Puerto Rico. These member companies provide coverage to 85 million people, enrolled in over 157,000 groups.
The company provides medical and dental insurance in Oregon, Alaska and Texas (and in Washington State before 2016). The Moda Center, a sports arena that is home to the Portland Trail Blazers, and Moda Tower, the tenth-tallest building in Portland, are both named after the company. Moda Health is a member of Delta Dental.
With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.
Optional Delta Dental coverage: For an extra monthly cost of $55.31, a person can access various dental services. There is an annual maximum benefit of $1,200 per person. There is an annual ...
A self-funded plan has fixed components similar to an insurance premium; but in contrast, the self-funded plan pays the claims incurred by the plan participants, and the employer's risk is not capped. Even with stop-loss insurance, the employer still retains one hundred percent of the risk of claims payments in a purely self-funded scenario.
Until the middle of 2015 insured individuals paid their premiums to the Washington Health Benefit Exchange, since then payments are made directly to the insurance company. The Exchange is responsible for the creation of Washington Healthplanfinder, the online portal to facilitate the shopping and enrolling in health and dental insurance.
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