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Delta Dental member resources plan your visit to the dentist

Visit the dentist

What to expect before and during your visit to the dentist as a Delta Dental plan member.

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Plan your visit

Want to make sure you’re ready for your visit to the dentist? Log in to your online account to choose the right dentist for your plan type, estimate your potential costs and check your coverage. Remember, you don’t need to bring an ID card with you — but you can if you want to.

As a result of the COVID-19 pandemic, you may notice a number of changes when you visit the dentist. Consider calling your dentist's office if you have questions about the safety procedures in place before your visit. Remember: 

  • Delta Dental network dentists meet our licensing, cleanliness and safety requirements.
  • Network dentists can't charge you for PPE and infection control costs.
  • Teledentistry is covered for diagnostic services, so you may not need an in-office visit. 

Learn more about safety precautions at the dental office during the COVID-19 pandemic. If you encounter any issues, contact us for help. 

You can get to know your Delta Dental plan, check your coverage and see an overview of your benefits by logging in to your online account. Select Benefits overview or View benefits to learn about your plan. 

Find the Cost Estimator by logging in to your online account. Select Plan ahead for a visit > Estimate costs to use the tool. Note that the Cost Estimator tool may not be available to all plan members. 

Budgeting your dental costs is a breeze when you use our Cost Estimator tool. Based on real data, this tool lets you see personalized results based on your benefits. Just select the service you need and answer any additional questions to further customize your results. You can even compare up to five dentists to see potential cost savings. 

For example, if you need a filling, choose "I need a filling." You will be shown a comparison of dentists local to you with a breakdown of the typical cost of a filling, how much your network and plan might save you and what your estimated out-of-pocket cost will be. 

It's not always easy to find time to visit the dentist, which is where virtual dentistry can help. Learn about the virtual dentistry options Delta Dental offers.

If you’re planning dental work that could exceed $300, on a budget or worried that a procedure may exceed your annual plan maximum or not be covered, a pre-treatment estimate can provide peace of mind. Pre-treatment estimates from Delta Dental are a free and easy way to predict your out-of-pocket costs for a procedure. 

To get one, simply ask your dentist. They will send us a proposed treatment plan, including x-rays if necessary, and we will return you and your dentist a copy of the pre-treatment estimate. This includes an overview of services covered, limited or excluded by your dental plan as well as an explanation of how your coinsurance, deductibles and maximums may affect your share of the cost. Log in to your account to access your account details. 

Depending on the severity of your emergency, it may be best to head to the emergency room or hospital for immediate attention. Most Delta Dental plans include coverage for emergency care in the event you are traveling or otherwise unable to visit your dentist. This makes it easy to access the services you need wherever you are. It’s important to always check your plan booklet before seeking treatment from an out-of-network dentist. Log in to your online account to learn what kind of emergency care your plan covers. Contact us if you need help.

To request reimbursement …

If you receive out-of-network dental care, you can request reimbursement by asking the dental office for a detailed receipt or billing statement. Then, fill out and submit a Delta Dental claim form with the detailed receipt attached. Log in to your online account to find claim forms. 

During your visit

Whether you are visiting your dentist for the first time or it's a return visit, confidence in the quality of care that you receive is important. 

A welcoming, clean reception area and facilities, courteous and professional staff members and adherence to health and safety measures all add up to a well-run practice. During your exam, pay attention to whether staff wear appropriate safety equipment (such as gloves and masks) and how thoroughly the exam and any procedures are performed. 

After your exam, the dentist should present a plan for ongoing treatment. It's important to ensure that they explain treatment alternatives, benefits, risks and costs. Your dentist should be willing to answer your questions and respond to your needs. 

If you need professional interpretive services to help you communicate with your dentist, our Language Assistance Program (LAP) can arrange this at no cost to you. Learn about Delta Dental’s language assistance services.

Health care fraud can drive up the cost of claims and premiums, jeopardizing your dental benefits. Some signs of fraud you can look for include:

  • Failure to collect your full copayment or coinsurance (offers to waive the amount)
  • Performing a non-covered service but submitting a claim for a covered service
  • Not disclosing all insurance coverage
  • Misrepresenting dates of service
  • Referring you to a specialist when treatment is not needed

You can report suspected fraud by calling Delta Dental’s anti-fraud hotline at 800-526-1852.