What is a predetermination?
A predetermination informs you and your dentist, before the procedure is performed, if it is a covered procedure and what the reimbursement for the covered procedure will be. A predetermination, or pre-approval, is recommended for any non-emergency treatment plan of $300 or more. You will receive an estimated dollar amount of how much Delta Dental will cover for the planned procedure. A predetermination is valid 12 months from the issue date, and is subject to eligibility, benefit maximums, coordination of benefits (if applicable) and group and dentist status at the time services are provided.
What is a predetermination?
A predetermination informs you and your dentist, before the procedure is performed, if it is a covered procedure and what the reimbursement for the covered procedure will be. A predetermination, or pre-approval, is recommended for any non-emergency treatment plan of $300 or more. You will receive an estimated dollar amount of how much Delta Dental will cover for the planned procedure. A predetermination is valid 12 months from the issue date, and is subject to eligibility, benefit maximums, coordination of benefits (if applicable) and group and dentist status at the time services are provided.