Skip to main content

Managing patient care for new Medicare Advantage groups

Here’s what you need to know.

  • Delta Dental is partnering with SKYGEN, an expert in Medicare benefits administration, to help manage new 2026 Medicare Advantage groups. This partnership will help us streamline the overall patient experience.

What you need to know

As part of this partnership, there are new processes that affect patient and benefit administration for the following groups. Providers who treat patients from these plans need to take action. Visit the individual sites for these groups to learn more about these new partners and patient dental benefits.

California:

Nevada:

What’s new

  • Updates to the Delta Dental PPO™ and DeltaCare USA provider handbooks  
  • Call SKYGEN for patient eligibility at 866-760-2538 or use your clearinghouse.
  • We are working on integrating these groups in Provider Tools in the first half of 2026. Until then, you have the option to use the Dental Hub, a SKYGEN portal to verify coverage, view patient benefit details and submit claims digitally for these groups. Find information on how to register in the Resources section on this page.


Submitting claims

  • Submit claims via your clearinghouse, the Dental Hub or via mail.

DeltaCare USA Medicare Advantage claims:

DeltaCare USA

P.O. Box 1810
Alpharetta, GA 30023

Electronic claim payer ID: #DDCA2 (Claims) and #DDCA3 (Encounters)

Delta Dental PPO Medicare Advantage claims:

California: Delta Dental of California
P.O. Box 997330
Sacramento, CA 95899-7330

Electronic claim payer ID: #77777

Nevada: Delta Dental Insurance Company
P.O. Box 1809 

Alpharetta, GA 30023-1809

Electronic claim payer ID: #94276

For UCLA Health Medicare Advantage Plan claims: Starting in 2026, use the DeltaCare USA Medicare Advantage claim address listed above. Use the address below through December 2025:

SKYGEN c/o Delta Dental Insurance Company
P.O. Box 2049
Milwaukee, WI 53201

Electronic claim payer ID: #DDCA2 (Claims) and #DDCA3 (Encounters)

Updates to payment delivery options:
 

  • SKYGEN will send patient rosters and payments.
  • For DeltaCare USA: SKYGEN will mail you a paper check for your capitation payments along with your patient roster. An electronic option may be available in the near future.
  • For both PPO and DeltaCare USA: We’ll issue your first claims payment by check along with a notice outlining other payment methods (check, ACH or virtual card). We have worked with SKYGEN to offer many options, including free ACH. Some options have fees so please make sure to review closely.


    Once you choose your payment method, all future payments will be processed that way. If you’re enrolled with Zelis and take no action, your claim payments will continue through Zelis. If you aren’t enrolled with Zelis and don’t choose any other option, you will continue to receive paper checks.

 

What stays the same

  • Your Delta Dental PPO and DeltaCare USA compensation won’t change.
  • Use Provider Tools to manage patients for all other Medicare Advantage plans and groups.
  • Use Provider Tools or call Delta Dental for any demographic changes for your practice.
  • Delta Dental will continue to manage your credentialing and recredentialing.

Resources

While we integrate these groups into Provider Tools, you can verify coverage, view benefit details and submit claims on SKYGEN’s Dental Hub.
To register, review the Quick Start Guide or call 866-760-2538.

Frequently asked questions (Starting January 1, 2026)

Frequently asked questions (2025 pilot)

DeltaCare USA supplemental handbook (2025 pilot)

Delta Dental PPO supplemental handbook (2026, coming soon)

DeltaCare USA supplemental handbook change summary (coming soon)

Contact us

For patient administration or Dental Hub support:
Call 866-760-2538

For any questions, feedback or comments on this program:
yourvoicemedicarepilot@delta.org

Delta Dental PPO is underwritten by Delta Dental Insurance Company in AL, DC, FL, GA, LA, MS, MT, NV and UT and by not-for-profit dental service companies in these states: CA – Delta Dental of California; PA, MD – Delta Dental of Pennsylvania; NY – Delta Dental of New York, Inc.; DE – Delta Dental of Delaware, Inc.; WV – Delta Dental of West Virginia, Inc. In TX, Delta Dental Insurance Company provides a dental provider organization (DPO) plan.

DeltaCare USA is underwritten in these states by these entities: AL — Alpha Dental of Alabama, Inc.; AZ — Alpha Dental of Arizona, Inc.; CA — Delta Dental of California; AR, CO, IA, MA, ME, MI, MN, NC, ND, NE, NH, OK, OR, RI, SC, SD, VA, VT, WA, WI, WY — Dentegra Insurance Company; AK, CT, DC, DE, FL, GA, KS, LA, MS, MT, TN, WV — Delta Dental Insurance Company; HI, ID, IL, IN, KY, MD, MO, NJ, OH, TX — Alpha Dental Programs, Inc.; NV — Alpha Dental of Nevada, Inc.; UT — Alpha Dental of Utah, Inc.; NM — Alpha Dental of New Mexico, Inc.; NY — Delta Dental of New York, Inc.; PA — Delta Dental of Pennsylvania. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.