Compare your options PPO vs DeltaCare

Class I – Diagnostic and Preventive(exams, x-rays, cleanings)PPO In-NetworkPlan pays: 100%You pay: 0%PPO Out-of-Network **Plan pays: 100%You pay: 0%DeltaCare USA (DHMO) ****No costClass II – Basic Restorative(fillings, root canals, simple extractions)PPO In-NetworkPlan pays: 80%*You pay: 20%*PPO Out-of-Network **Plan pays: 80%*You pay: 20%*DeltaCare USA (DHMO) ****Copayments range from $0 - $380Class III – Major Restorative Care(crowns, wisdom teeth extractions, partials, dentures, implants)***PPO In-NetworkPlan pays: 60%*You pay: 40%*PPO Out-of-Network **Plan pays: 60%*You pay: 40%*DeltaCare USA (DHMO) ****Copayments range from $12 - $415Optional treatment: limited to implant/abutment supported crowns and denturesClass IV – OrthodontiaPPO In-NetworkPlan pays: 60%You pay: 40%PPO Out-of-Network **Plan pays: 60%You pay: 40%DeltaCare USA (DHMO) ****Copayments range from $1,150 - $2,100Authorization for specialty care treatmentPPO In-NetworkPreauthorization is not requiredPPO Out-of-Networ...