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Free choice of
dentists
Non-Delta Dental
dentists
Referrals
to specialists
Locating
a Delta Dental dentist
We recognize that many factors
affect your choice of dentist and therefore we support
your freedom to choose any licensed dentist, which
assures that you will have access to the dental treatment
you need.
In addition, you and your family
members can visit different dentists.
Your dentist
may refer you to another dentist for a consultation
or specialized treatment, or you may elect to see
a specialist on your own. If this is done, be sure
that the dentist you are referred to is a Delta dentist.
You can do this by simply asking the specialist when
making an appointment. Visiting a dentist who has
agreed to participate in the Delta program can save
you money, time and paperwork. Remember, if the dentist
is a Non-Delta Dental dentist, you may be required
to pay all of the treatment cost at the time of service
and submit a claim to Delta Dental for reimbursement.
Remember, you enjoy the greatest
benefits—including out-of-pocket savings—when
you choose an Access Plan dentist. However, you are
also free to visit a Delta Dental Premier
dentist or a Non-Delta Dental
dentist.
If you go to a Non-Delta Dental
dentist, Delta Dental pays the same percentage for
covered services based on the dentist's fee up to
the Maximum Plan Allowance. But since we cannot guarantee
the dentist's fees, your share of the cost may be
significantly higher than the percentage shown in
the Benefits Summary Chart.
When dental
services are received from a Non-Delta Dental dentist,
reimbursement for the services will be paid directly
to you. Non-Delta Dental dentists will bill you for
their normal charges, which may be higher than the
allowed amount for the service. You will need to pay
the dentist yourself and then submit a claim to Delta
Dental for reimbursement, less any deductible and/or
coinsurance (click
here to download the claim form). Since the Maximum
Plan Allowance for services you receive from a Non-Delta Dental
dentist may be less than the Non-Delta Dental dentist's
charges, your out-of-pocket cost may be significantly
higher.
There are
two ways in which you can locate a program dentist
near you:
- Access
the online dentist directory. Remember, if you
wish to receive maximum benefits, be sure to select
the Access Plan.
- You may
also call our Customer Support Center toll-free
at (866) 583-2085from 7 a.m. to 5 p.m. EST and
one of our customer service representatives will
assist you. He/she can provide you with information
regarding a dentist's membership status, specialty
and office location.
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