Dental care while outside the U.S.

If you are out of the country and an emergency occurs, seek treatment immediately. You can see any licensed dentist anywhere in the world for emergency dental services.

Delta Dental Premier® or Delta Dental PPOSM enrollees

You may receive regular or emergency dental care from any licensed dentist, anywhere in the world.

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 the cost of the of service. If possible, have the billing statement translated into English. This helps us to process your claim in a timely manner. The currency is converted by Delta Dental.

When you return home, forward the statement to Delta Dental, attached to a claim form.

DeltaCare® USA enrollees

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).

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 the cost of the service. If possible, have the billing statement translated into English. This helps us to process your claim in a timely manner. The currency is converted by Delta Dental.

Send the statement to DeltaCare USA's Customer Service department:

DeltaCare USA Claims

Mailstop CL710
12898 Towne Center Drive
CerritosCA  90703-8546

Online Services

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Forms

Claim Forms

Delta Dental PPO and Delta Dental Premier claim forms by administrator.

DeltaCare USA claim and encounter forms.

Claim forms for AARP Dental Insurance Plan.

Tip

How To File
A Dental Claim

Dentists who accept Delta Dental will file claims for you. You only need to file a claim when visiting a non-Delta Dental dentist.

Customer Service Forms

For fastest response, select the form for the company through which you receive benefits.

Grievance Forms by Program

We urge you to communicate directly with your dentist. If you cannot obtain a satisfactory resolution, file an online grievance report or call customer service.