Everything You Need to Know About Delta Dental Insurance for Providers

Delta Dental insurance is one of the most popular dental insurance providers in the US. Their comprehensive dental insurance plans provide coverage to millions of people, including individuals, families, and businesses. In this article, we will explore everything there is to know about Delta Dental insurance for providers.

What is Delta Dental Insurance?

Delta Dental Insurance is a dental insurance provider that offers comprehensive coverage to individuals, families, and businesses. Delta Dental has been in business since 1954 and has grown to become one of the largest dental insurance providers in the US. With a network of over 156,000 dentists, Delta Dental is committed to providing quality dental care to its members.

What Kind of Coverage Does Delta Dental Insurance Provide?

Delta Dental provides a variety of dental insurance plans to meet the needs of individuals, families, and businesses. Some of the coverage options available with Delta Dental insurance include:

Delta Dental insurance also offers customized dental insurance plans for businesses of all sizes. These plans can be tailored to meet the specific needs of each business and can include additional coverage options such as vision and hearing coverage.

How Does Delta Dental Insurance Work?

Delta Dental insurance works by providing coverage for dental services at a network dentist. Members pay a monthly premium for their coverage, and then a portion of the cost of their dental services is covered by Delta Dental insurance. Members are responsible for paying any remaining costs not covered by their insurance plan.

When visiting a network dentist, members will be asked to present their Delta Dental insurance card. The dentist will then submit a claim to Delta Dental on behalf of the member for any covered dental services. Delta Dental will then pay the dentist directly for the covered services.

What Are the Benefits of Delta Dental Insurance for Providers?

As a dental provider, there are many benefits to accepting Delta Dental insurance. Some of the benefits of Delta Dental insurance for providers include:

• Access to a large network of patients
• Streamlined claims process
• Guaranteed payment for covered services
• Marketing support to attract new patients

Delta Dental also offers a variety of resources and tools to help dental providers manage their practices, including online provider portals and continuing education opportunities.

Becoming a Delta Dental Provider

How Can Dental Providers Become Part of the Delta Dental Network?

Joining the Delta Dental network as a provider is a straightforward process. Dental providers can visit the Delta Dental website and complete an online application to become a Delta Dental provider. Once approved, providers can begin accepting Delta Dental insurance and treating Delta Dental members.

What Are the Requirements for Becoming a Delta Dental Provider?

The requirements for becoming a Delta Dental provider vary depending on the state in which the provider practices. Generally, providers must meet the following requirements:

• Hold a valid dental license
• Be in good standing with state and federal agencies
• Have no history of fraud or abuse
• Meet any additional state-specific requirements

Additionally, Delta Dental requires all providers to participate in ongoing continuing education to maintain their status as a Delta Dental provider.

FAQ

Does Delta Dental Insurance Cover Cosmetic Dentistry?

Delta Dental insurance generally does not cover cosmetic dentistry procedures such as teeth whitening or porcelain veneers. However, some Delta Dental plans may provide coverage for cosmetic procedures that are considered medically necessary, such as certain orthodontic treatments.

What Happens if I See a Dentist Who is Not in the Delta Dental Network?

If you see a dentist who is not in the Delta Dental network, you may be responsible for paying the full cost of your dental services. Delta Dental only provides coverage for dental services received from network dentists.

What If I Have a Dental Emergency and I’m Out of Town?

If you have a dental emergency while traveling and need to see a dentist who is not in the Delta Dental network, you may be able to receive coverage for your services. Delta Dental has agreements with other dental insurance providers that allow members to access care from network dentists when traveling.

How Do I Find a Delta Dental Provider?

Delta Dental members can use the Delta Dental website to find a network dentist in their area. Simply enter your zip code and select your coverage plan to find a list of network dentists near you.

What if My Dentist Recommends a Procedure That is Not Covered by Delta Dental?

If your dentist recommends a procedure that is not covered by Delta Dental, you will be responsible for paying the full cost of the procedure. However, you may be able to negotiate with your dentist to find a more affordable alternative or payment plan.

Can I Switch to a Different Delta Dental Provider?

Yes, Delta Dental members can switch to a different network dentist at any time. Simply use the Delta Dental website to find a new network dentist in your area and contact Delta Dental to update your coverage information.

Conclusion

Delta Dental insurance provides comprehensive dental coverage to individuals, families, and businesses. As a dental provider, accepting Delta Dental insurance can provide you with access to a large network of patients and a streamlined claims process. If you’re interested in becoming a Delta Dental provider, visit the Delta Dental website to learn more about the application process.