With your DeltaCare USA plan, when you visit a network dentist, you'll:
You also have no deductibles, waiting periods or annual maximums (yearly limits on what your plan pays) for covered services.
Prepare for a seamless visit to the dentist by creating an account and becoming familiar with your benefits.
Review your plan information anytime by creating a secure account (you may need to wait 4 hours after enrolling before you can register). You'll need your enrollee ID number — find this in your welcome letter or email. If you can't locate your enrollee ID number, enter your Social Security number with no dashes or spaces. Having trouble? Contact us.
When you log in, you can:
To receive benefits, you must visit a DeltaCare USA general dentist at your selected primary care dental facility. Not sure of your selected facility? Log in to your account or check the welcome letter that was mailed to you.
Review details about your benefits and what's covered by logging in to your account. You can also check your expected costs for covered procedures ahead of time, before you visit the dentist. You're covered for up to 400+ procedures² — including preventive, basic and major services — depending on your plan. Review the list of copayments in your Evidence of Coverage or policy document.
After each dental visit, you'll also be able to view visit details, including treatment information and copayments, in your online account or Explanation of Benefits.
You can visit any DeltaCare USA general dentist at your selected facility. Contact the facility to schedule your appointment, and be sure the general dentist is part of the DeltaCare USA network.
Want to find a new dentist? Log in to your account and search Find a dentist. Be sure to note the facility name your chosen dentist is associated with, and follow the steps in the next section to select or change your dental facility.
To select or change your primary care dental facility, log in to your online account, then:
You can change your facility at any time. If you submit a selection or change from the first through the 15th of the month, you can start visiting the new facility right away. If it's the 16th of the month or later when you submit your change, you can start visiting the new facility on the first day of the next month.
If you have dependents on your plan, you can also select or change their facility in one of two ways:
Note: For adult dependents, they'll need to make their own selection or authorize you first (for more details, see Frequently asked questions).
When you need dental care, contact your selected facility to schedule an appointment with your general dentist³. If you choose to visit a facility other than your selected facility, even if the dentist is a DeltaCare USA dentist, you won’t receive any plan benefits (unless you live in certain states¹).
You must go through your general dentist, who will refer you and coordinate your care. If you visit a specialist without a referral from your general dentist, you'll need to pay out of pocket, even if the specialist is in the DeltaCare USA network (except in certain states¹).
If you experience a dental emergency, your plan provides limited out-of-network benefits to relieve pain⁴. For details, refer to your Evidence of Coverage or plan booklet. In certain states, you can visit any licensed dentist and receive out-of-network benefits¹. Any other out-of-network care is not covered.
Orthodontic coverage varies depending on your plan, so be sure to log in to your account to review your coverage. To begin treatment, you'll need a referral to a DeltaCare USA orthodontist from your general dentist at your primary care facility. Your orthodontist will submit any paperwork that's needed for pre-authorization, and they'll give you an initial estimate of costs with your treatment plan. Whenever you visit your orthodontist, you'll simply pay the copayment for covered services and you won't need to submit any claims.
If you (or a dependent) began orthodontic treatment under a previous dental plan, you may be able to continue treatment with the same orthodontist if banding has already been completed. Not all plans include orthodontic treatment in progress coverage, so be sure to review your Evidence of Coverage or plan booklet. If your plan does include this coverage, ask your orthodontist to complete and mail the DeltaCare USA continuous orthodontic coverage form (PDF, 27 KB). Spanish version: Cobertura continua de ortodoncia con su plan DeltaCare USA (PDF, 36 KB).
Find more information and answers to common questions about DeltaCare USA plans.
Log in to your account. From there you can get your ID card and print it out, or you can show the mobile version to your dentist's office when you go in for treatment. Keep in mind that you don't need an ID card to get care — the dentist office can look you up in the system and they'll know you're covered.
Contact your selected primary care dental facility to schedule your appointment (if you don't have one or need to change it, follow the steps to select or change your primary care facility). You can visit any general dentist at your selected facility, but be sure to confirm that the dentist is in your DeltaCare USA network (some dentists at the facility may not be). If you need to see a specialist, your general dentist will refer you and coordinate all your care.
No, you can select different facilities for different family members⁵. When you log in to your account to select or change a facility, you'll have the option to add other family members to your selection. Or, you can select a different facility for them by choosing their name from the drop-down list on the home page.
Note: Adult dependents must select their facility through their own online account, unless they authorize you to view their information and select or change their facility.
Your adult dependent can print, complete and submit a signed HIPAA authorization form (PDF, 38 KB). They can also log in to their online account (they'll need to register first), select My account and then choose Yes for the statement, Enrollee can view my treatment details. After they select Save, you'll be able to log in to your account and select a facility for your adult dependent, as well as view their treatment details.
Check to see if your dentist is in your DeltaCare USA network. You can use our Find a dentist tool (or log in to your account) to search your DeltaCare USA network by your dentist's name or the practice name.
If the dentist is in your network, before you schedule an appointment, you'll need to log in to select your dentist's facility as your primary care facility¹. If your dentist is not in the network, you'll need to find a new dentist at your selected facility, or search for a new facility by logging in to your account.
Two to four weeks⁶ is a typical amount of time to schedule a routine, non-urgent appointment. If you require a specific time of day for your visit, you may need to wait longer. Most DeltaCare USA dentists are in private group practices, which generally offer better appointment availability and may offer extended office hours.
To look for a facility that has extended hours, follow the steps to select or change a facility and search by ZIP code, then choose View to check out each facility's office hours and other details. You can also search our Find a dentist tool (enter your location, choose your DeltaCare network from the drop-down list and select the search icon) then choose Refine search to filter by extended office hours. Just make sure you've selected that dentist's facility as your primary care facility before you visit.
Your plan covers some diagnostic and preventive services at low or no cost, and other covered services require that you pay set copayments for each. To find out how much a specific treatment will cost at any time, refer to the list of covered procedures and copayments in your Evidence of Coverage or plan booklet. You can also log in to your account and select Benefits details.
For most dental treatment that's in progress when your DeltaCare USA coverage begins, you or your previous carrier are responsible for the cost of completing the treatment. This includes, but is not limited to, root canals, crowns or bridge work.
For orthodontic treatment, some DeltaCare USA plans include a treatment-in-progress provision that may allow active treatment to continue with the current orthodontist at your previous plan's copayments and fees. Find more details in the Orthodontic coverage section on this page.
If your DeltaCare USA plan is through your employer, notify your employer first, then contact us so we can be sure your benefits are up to date. If you purchased your own plan, you can log in to your account to update your address or contact us. Note that moving to another state may affect your premium and the dentist selection process.
If you have other questions or need help finding a facility, contact DeltaCare USA Customer Service by phone. You can also send a web support request.
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, 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; VA — Delta Dental of Virginia. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. These companies are financially responsible for their own products.