FAQs

Delta Dental PPO and Delta Dental Premier dentists

• Submits claims for you
• Only charges you for your copayment and deductible, if any; no balance billing
• Out‐of‐pocket costs are likely to be lower

Nonparticipating dentists

• May require you to submit your own claims
• May charge you the full cost of a procedure
• May ask for payment in full up front

Delta Dental PPO and Delta Dental Premier dentists

Payment will be sent directly to your dentist.

Nonparticipating dentists

You will be responsible for making full payment to your

dentist and then Delta Dental will send you the check

for covered service.

Delta Dental PPO providers accept a lower fee (in other words, they’ve agreed to a larger claim discount) than Delta Dental Premier dentists would accept. This means that your out‐of‐pocket costs will likely be less when visiting a Delta Dental PPO dentist, because your copayment percentage (if any) will be applied to a lesser amount. Please see our attached pricing samples for a detailed example.

You can find participating dentists online or by calling Delta Dental’s customer service department at 800-524‐0149.

If your dentist is not a participating dentist you can request that we recruit them by visiting our website at and completing the Refer Your Dentist form or by calling or emailing our customer service department. You can also talk to your dentist about joining a Delta Dental network.

Yes! Please tell your dentist that Delta Dental is providing you with coverage under a Delta Dental PPO (Point-of‐Service) plan. See enclosed benefit highlights for your dental plan benefits.

Once you are enrolled with Delta Dental, you can review your eligibility status, claims information and benefits anytime using our Member Portal. Member Portal will also enable you to print your own ID cards and can provide you with oral health tips.

We encourage you to complete multiple‐step procedures in progress (like crowns, bridges or dentures) prior to your effective date with Delta Dental. However, Delta Dental will cover services that are completed after your effective date where applicable.

If orthodontic treatment is currently in progress for you or one of your dependents, please ask your dentist to submit a new treatment plan to Delta Dental. The remaining liability of the claim will be recalculated based on the number of months left in the treatment plan.

If you have other questions about your dental benefits, please contact Delta Dental’s customer service department at 800-524‐0149.

For dental services rendered, your dentist should send all claims to:

Delta Dental
PO Box 9085
Farmington Hills, MI 48333‐9085