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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 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 patient information for groups administered by SKYGEN into Provider Tools in the first half of 2026. We will contact you once you can begin using Provider Tools for these new groups. Until then, you have the option to use your clearinghouse or 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

Payment delivery

  • You’ll receive a notice with your paper check payment that outlines the available payment methods, giving you time to review your options. You’ll need to select how you would like to receive future payments. Please review these options carefully, as some payment methods include fees if you are currently enrolled with Zelis, a payment solutions company used by SKYGEN.
  • The payment method you select will apply to all future payments for these groups, including capitation (DeltaCare USA) and claims.
  • Patient rosters for DeltaCare USA providers will be sent monthly via mail and accessible digitally via the Dental Hub.

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 patient information for these groups into Provider Tools, you can verify coverage, view benefit details and submit claims electronically on SKYGEN’s Dental Hub. To register, review the Quick Start Guide or call 855-609-5156.

Frequently asked questions (Updated March 2026)

DeltaCare USA supplemental handbook (Updated March 2026)

Delta Dental PPO supplemental handbook (2026)

DeltaCare USA supplemental handbook change summary (coming soon)

Contact us

For patient administration support:
Call 866-760-2538

For Delta Hub support:
Call 855-609-5156

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.