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:
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.
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. Free pre-treatment estimates from Delta Dental are an easy way to predict your out-of-pocket costs for a procedure. (Note: pre-treatment estimates are not available to DeltaCare® USA members.)
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.
Most Delta Dental plans include coverage for emergency care. This makes it easy to access the services you need if you experience an emergency when you are traveling or otherwise unable to visit your dentist. 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. Depending on the severity of your emergency, it may be best to head to the emergency room or hospital for immediate attention. 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.
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 LAP 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:
You can report suspected fraud by calling Delta Dental’s anti-fraud hotline at 800-526-1852.