Q. How can I find a participating dentist in my area?
A. Our dentist search tool allows you to search for dentists in your area by address or zip code. You’ll need to know which network(s) your plan allows access to in order to search. Our tool also gives you the option to search by additional criteria such as dentist or practice name, specialty, languages spoken, gender and hours of service.
Q. Is my dentist in Delta Dental’s network?
A. Delta Dental has four out of every five dentists as members of our network, so it’s likely that your dentist is in one of our networks. Our dentist search tool will help you find out if your dentist is part of our networks. You’ll also want to check your benefits to see which networks you have access to. In most cases, you can continue to visit your dentist even if he or she isn’t in our network, but you’ll save more money if you choose an in-network dentist.
Q. What are the benefits of visiting a Delta Dental network dentist?
A. When you visit a network dentist, you’ll enjoy the following benefits:
- Lower out-of-pocket costs than if you received care from a non-participating dentist because our network dentists have agreed to accept reduced fees.
- Balance billing is not allowed, because participating dentists agree to accept Delta Dental’s fee and the patient co-payment or deductible (if applicable) as full payment.
- There are no forms for you to fill out because participating dentists submit claims directly to Delta Dental.
- We pay the dentist directly, so you don’t have to pay the dentist and wait for a reimbursement check.
- You can have confidence that we have an ongoing relationship with our participating dentists and have ensured they meet national credentialing standards.
Q. Can I visit a non-participating dentist?
A. Many of our plans allow you to visit any dentist you choose, while others require you to visit a network dentist in order to receive benefits. However, even for plans that do allow subscribers to visit out-of-network dentists, services performed by out-of-network dentists are covered at a lower benefit level and out-of-pocket costs may be higher. Overall, subscribers receive the greatest value when they visit a participating dentist.
Q.How can I get a replacement ID card?
A. Many Delta Dental member companies offer printable ID cards on their websites, or the ability to request a new ID card through the mail. Connect with your Delta Dental member company to find out more information. However, in most cases you do not need an ID card to visit the dentist.