... Non-PPO: PPO: Non-PPO: PPO: Non-PPO Plan Maximum Benefit Per Insured $4,000 $4,000 $5,000 $5,000 $10,000 $10,000 : Within this Maximum, the Following Limits Apply

Premier Participating Dentist (Non-PPO) If you see a Premier dentist: Dentists submit claim forms directly to Delta Dental. You are responsible only for applicable deductible and ...

Benefits Plan name: You Pay: Plan Pays: Plans open to all: Alliance: Non-PPO $300 $250 $3,000 $3,000: 70% 70% 70% 70% 70% 70% 70% 100% PPO $100 $150 $2,000 $2,000: 90% 90% 90% 90 ...

Likewise, physicians often utilize non-PPO providers for laboratory and diagnostic services. Under these circumstances, the PPO level of benefits may not apply.

You may choose between a Blue Cross PPO provider and a non-PPO provider (a provider who does not belong to the Blue Cross PPO network).