After-hours and urgent care treatment

As an enrollee in one of our managed fee-for-service, PPO or dental HMO plans, here is what you need to know if you or a family member needs after-hours or urgent care:

• All plans have provisions for after-hours or urgent care. (Check your Evidence of Coverage to learn more about your after-hours and urgent care coverage.)
  
  
• Before an emergency arises, ask your dentist how you can contact him or her if you need urgent care treatment or treatment after normal office hours. Many dentists have made prior arrangements with other dentists to provide care to you if treatment is immediately or urgently needed. You may also call the local dental society that is listed in your telephone directory if your dentist is not available to refer you to another dentist for urgent, emergency or after-hours care.
  
  
• If you or a family member has special needs, you should ask your dentist about accessibility to their office or clinic at the time you call for an appointment. Your dentist will be able to tell you if their office is accessible, taking into consideration your specific needs.
  

Delta Dental Premier and Delta Dental PPO enrollees:

• Routine or urgent care may be obtained from any licensed dentist during normal office hours.
  
• You may seek treatment for urgent or emergency care after normal office hours from any licensed dentist without preauthorization.

DeltaCare USA enrollees:

• Always try to contact your selected network dentist first for urgent or emergency care.
  
• Your network dentist may treat you or provide an authorized referral to another dentist.
  
• If your network dentist is not available, DeltaCare USA ’s Customer Service staff can provide an authorized referral for immediate treatment. Call (800) 422-4234.
  
• If you cannot reach your network dentist or DeltaCare USA for a referral, you may use your out-of-area emergency benefit (typically limited to $100 per emergency, subject to standard plan limitations and exclusions; copayments may apply).