Cost matters
Cost Estimator Terms of Use
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Information regarding the Cost Estimator content
If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911."
To begin using the Dental Care Cost Estimator tool (the “Cost Estimator”), please click the Agree button below. By clicking the Agree button, you agree that you:
- have read the information below,
- are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and
- will not use the information in this tool for a commercial or anti-competitive purpose.
The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Your actual cost may be higher or lower than the estimate for various reasons.
General information regarding your health care
The information and content on this website (collectively, the "Content") is for your general educational information only.
The Content:
- cannot, and is not intended to, replace the relationship that you have with your health care professionals.
- is not medical advice. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you.
- does not represent or warrant that any particular drug or treatment is safe, appropriate or effective for you. Health information changes quickly. Therefore, it is always best to confirm information with your health care professionals.
The Cost Estimator tool may group, into "treatment categories," services that are often delivered together to address a particular dental problem. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not advice that any particular treatment category is the right treatment for you nor that you should obtain any particular treatment. All of those matters are things that you should decide in consultation with your dental care professionals. The Cost Estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories, and no Content is provided for dental services outside the U.S..
General information regarding your dental benefit
- Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. For a complete description of the details of your coverage, please refer to your coverage documents. Estimates may vary depending on your benefit plan and the state you live in. Claims will be processed when received according to your plan provisions.
- You may be responsible for the cost of procedures or services not covered by your plan.
- Use of this website in no way increases or decreases the benefits available under a dental benefit plan. If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control.
- Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Refer to your benefit plan to determine whether these requirements apply to you.
- Preventive services are included in this tool. Preventive care coverage varies by plan and by demographic considerations such as age. Refer to your benefit plan to determine whether preventive services are covered for you.
General information regarding cost estimates
- Do not avoid getting dental care based on the cost information provided on this website.
- This website shows estimates of certain dental care costs.
- Except for members of the Delta Dental companies mentioned at the bottom of this page, the figures shown are estimates of the amounts to be charged by the dentist, and not the amounts you can expect to pay after accounting for the payments that may be made by your dental plan.
- The Cost Estimator uses procedure costs or cost ranges, as reflected in dentist fee schedules and aggregated historical cost data.
- The estimates generated by the Cost Estimator may be different from the amount charged by your dentist for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the benefits provided under your particular plan.
More information regarding how cost estimates are calculated
- Cost estimates for services listed as “Cost without insurance” are based upon submitted claims data for out-of-network dentists. The data is based on actual, non-discounted charges that dentists have billed.
- The Cost Estimator calculates cost estimates for services based upon specific geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123).
- For members of Delta Dental of New Jersey, Delta Dental of Connecticut and Delta Dental of Idaho: You will see an estimate of your out of pocket cost, which is based on the amounts charged by the dentist for the procedures in question and the amounts to be paid by your dental plan.
Please scroll down and accept to proceed.
Information regarding the Cost Estimator content
If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911". To begin using the Dental Care Cost Estimator (the “Tool”) click the Agree button below. By clicking, you agree that you have read the information below, and that you are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and you will not use the information in this Tool for a commercial or anti-competitive purpose. The costs provided in this Tool are estimates only and are not a guarantee of payment or benefits. Your actual cost may be higher or lower than the estimate for various reasons.
General Information Regarding Your Health Care.
The information and content generated by interacting with the Tool (collectively, “Content”) is for your general educational information only. The Content cannot, and is not intended to, replace the relationship that you have with your dental care professionals. The Content is not medical advice. You should always talk to your oral health care professionals for diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you.
In using the Tool and generating Content from it, we do not represent or warrant that any particular drug or treatment is safe, appropriate or effective for you. Health information changes quickly. Therefore, it is always best to confirm information with your health care professionals.
The Tool sometimes groups together, into treatment categories, services that are often delivered together to address a particular dental problem. The description of different treatment categories, and the inclusion of particular services in a treatment category, is not dental advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. All of those matters are things that you should decide in consultation with your dental care professionals.
Use of the Tool does not constitute an endorsement, recommendation, or guarantee of any dentist, dental practice, or dental care provider.
This Tool is intended for use in all 50 states, the District of Columbia and Puerto Rico only. If you live outside the U.S., you may see information using this Tool about products or services that are not available or authorized in your country.
General Information Regarding Your Dental Benefits.
No Content generated by the Tool guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. For a complete description of the details of your coverage, please refer to your coverage documents. State variations in your benefit plan may impact the estimates on this site. All claims will be processed when received according to your specific plan provisions. You will be responsible for the cost of procedures or services not covered by your plan.
Use of the Tool in no way increases or decreases the benefits under your dental plans or employer's benefit plan. If there is any conflict or discrepancy between the Content and your coverage documents, your coverage documents will control. Pre-authorizations or referrals are required for certain benefit plans and certain dental care providers. Refer to your benefit plan to determine whether these requirements apply to you. Preventive services are included in this Tool. Preventive care coverage varies by plan and by demographic considerations such as age. Refer to your benefit plan to determine whether preventive services are covered for you.
General Information Regarding Cost Estimates.
The Content and cost estimates are based on information available at the time the estimate is generated and may not reflect recent changes to provider fees, plan design, eligibility, or coverage.
Do not avoid getting dental care based on the cost information generated by the Tool. You should not rely solely on the Tool or its estimates when making decisions about your dental care. This Tool shows estimates of certain dental care costs.
Cost estimates are based on aggregated data and do not reflect the specific amounts that may be charged by a particular provider. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, and deviations between the anticipated scope of services and the services actually provided.
Actual costs and benefits may also vary based on the procedure codes submitted by your dental provider, clinical documentation, and how claims are processed under your benefit plan.
The Tool will provide cost estimates for PPO, Premier, and PPO+Premier plans, and limited or no information for DeltaCare USA, Delta Dental Patient Direct and Delta Dental EPO plans.
We do not guarantee that the Tool will be available at all times or that it will operate without interruption, error, or omission.
More Information Regarding How Cost Estimates are Calculated.
In most cases, the Tool will generate an estimate based on benefit and eligibility information and the contracted fee schedules or rates that are applicable to your plan.
Cost estimates for services listed as “Cost without insurance” are based upon submitted claims data for out-of-network dentists. The data is based on actual, non-discounted charges that dentists have billed.
The Tool calculates cost estimates for services based upon specific geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123).