Delta dental has a group plan that reads that it will pay 50% coverage for orthodontic work but it will only pay a lifetime of $1500 per patient. Delta cannot provide one orthodontist name that charges are approximately in the $3000 range which would be equal to the lifetime maximum payment of $1500.
They do infact state they do not know of any ortho's that charge in the $3000 range and patients should anticipate to pay out of pocket $4-10000 and their 50% does not correlate to any actual charges.
Delta cannot explain the reason for the maximum payout vs. a 50% payout of actual charges.
If a company is going to provide an explanation of benefits they should be able to back their numbers with facts and doctors that are in their network and they base their payouts on.
Review about: Delta Dental Dental Insurance.