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How do I know if my dentist is a contract dentist?
When you enroll in DeltaCare USA, you select a primary care dentist from the list of participating dentists. With almost 2,600 general and specialist dentist, the DeltaCare USA network is one of the largest in California. Click here for directory.
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My dentist is a Delta Dental dentist but is not on the list of DeltaCare USA dentists. Can I still receive treatment from this dentist?
No, you must receive treatment from your selected DeltaCare USA dentist. Please note that not all Delta Dental dentists are necessarily DeltaCare USA dentists.
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How do I know DeltaCare USA dentist provide quality care?
DeltaCare USA dentists are reviewed for quality, availability and safety before joining the network, as well as periodically thereafter.
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Do my family members receive treatment from the same DeltaCare USA dentist?
Yes, you and all eligible dependents receive care from the same primary care dentist.
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How long does it take to get an appointment with a DeltaCare USA dentist?
Three to four weeks is a reasonable amount of time to wait for a routine, non-urgent appointment, if you can accept the first available appointment. If you require a more specific time, you may have to wait longer.
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I have a pre-existing dental condition. Can I still join DeltaCare USA?
Yes, treatment for pre-existing conditions such as extracted teeth is not excluded under the DeltaCare USA program. However, benefits are not provided for any dental treatment started before joining the program. The exception to this is orthodontic treatment started with another dental HMO program.
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What if I need dental care while I'm out of the country?
You can see any licensed dentist, anywhere in the world for dental services. If you are out of the country and an emergency occurs, you should seek treatment immediately. Pay the dentist for the services rendered at that time. Be sure to ask for a detailed billing statement that includes: treatment provided, tooth number, date of service and amount of service. If possible, have the billing statement translated into English. This helps us to process your reimbursement claim in a timely manner. The currency is converted by Delta Dental. When you return home, forward the statement to our claims department for reimbursement. The reimbursement amount is determined by your benefits schedule's out of area emergency allowance.
Delta Dental of California
Claims Department
12898 Towne Center Drive
Cerritos, CA 90703
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Does my DeltaCare USA program cover specialists' services?
Yes. Your primary care network dentist will coordinate your specialty care needs with an approved network specialist. There is no additional charge to you for receiving covered services from a specialist, other than applicable copayments. If there's no network specialist within your service area, DeltaCare USA will authorize a referral to an out-of-network specialist at no extra cost, other than the applicable copayments for covered services. If you or your dependent is assigned to a dental school clinic for specialty services, those services may be provided by a dentist, a dental student, a clinician or a dental instructor.
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Can I change my primary care network dentist?
Yes. You may call our customer service at 800-422-4234 to change your network dentist. If you contact us by the 21st of the month, the change will take effect the first day of the following month.
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What if I have questions about my DeltaCare USA program?
Call the DeltaCare USA customer service at 800-422-4234. We have multilingual representatives available from 5 a.m. to 6 p.m. Pacific time, Monday through Friday. Our Customer Service representatives have worked in dental facilities and can answer benefits questions, as well as arrange facility transfers and urgent care referrals.
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