Frequently Asked Questions
1 . Am I required to visit a Delta dentist to receive reimbursement of my dental expenses?
No, if you are enrolled in one of the plan options administered by Delta Dental, you can visit any dentist. However, the plan pays more when you receive care from a Delta dentist.
2. What are the advantages of receiving care from a Delta
dentist?
The advantages are:
- Delta dentists agree to charge Delta patients their
lowest fees.
- Delta negotiates fees with dentists, so there are no
unexpected out-of-pocket charges.
- Delta pays Delta dentists directly. You do not have
to pay the bill and wait for a reimbursement check.
- There is no balance billing. Delta dentists charge you
only the amount that Delta determines is your portion
of the bill.
- There are no claims hassles. Delta dentists submit your
claims for payment.
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3. How do I find a Delta dentist?
Call Delta's toll-free directory service at 1-800-4-AREA-DR
(1-800-427-3237) for a list of Delta dentists in your area.
Approximately two-thirds of all dentists in the United States
belong to the Delta Dental network. Or click
here for more Delta information.
4. Under the Delta Dental plan options, do my benefits change
if I move to another state?
No, your benefits are the same regardless of where you
live in the United States. Even if your dependent child
attends school in a different state, benefits for you and
your enrolled family members are the same.
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5. What if I have a problem with the treatment that a Delta
dentist provides?
When a dentist signs a contract to join the Delta Dental
network, he or she promises to provide care that meets the
quality standards of the profession. If you experience a
problem that your dentist cannot correct, call Delta Dental.
Because Delta dentists sign a contract, Delta Dental often
can resolve problems quickly.
6. Do I submit a claim for reimbursement under the Delta
dental plan options?
Delta dentists submit any necessary paperwork for you.
However, if you visit an out-of-network dentist, you may
be responsible for submitting the claim. The address for
sending claims is:
Delta Dental Insurance Company
PO. Box 1809
Alpharetta, GA 30023-1809
7. Is there a special claim form under the Delta dental
plan options?
No, Delta Dental accepts any standard claim form. Most
dental offices have a preprogrammed form on their office
computer.
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8. How can I be sure I can afford the treatment my dentist
recommends under the Delta dental plan options?
Your dentist can send your treatment plan to Delta Dental
before treatment begins. Then, Delta informs your dentist
of your share of the cost. This free service is called "predetermination
of benefits."
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