Glossary of Terms
Delta Dental logo
 
Getting Started My Costs My Benefits
My Dentist Claims Policies/Legal Enroll/Renew
 
My Benefits
 
 

Emergency Services
Specialist Services
Benefits, Limitations and Exclusions
Renewal, Cancellation and Termination of Benefits
Entire Contract
Schedule A
Description of Benefits and Copayments

Schedule B
Limitations and Exclusions

 
 
 
EMERGENCY SERVICES  
 

Your assigned Contract Dentist maintains a 24-hour Emergency Service system seven days a week. The Contract Dentist will provide Emergency Services for covered dental procedures whenever possible. If you require Emergency Services and are 35 miles or more from your Contract Dentist's facility, or you are unable to reach your Contract Dentist, you may seek treatment from a Dentist other than your assigned Contract Dentist. Benefits for emergency treatment provided by an out-of-network Dentist are subject to a $100.00 maximum, per Enrollee, per emergency. You will be responsible for the Copayment(s) as well as any charges over the $100.00 benefit maximum.

Once we receive your claim, we will reimburse you subject to the terms and conditions of your DeltaCare USA coverage. Reimbursement is based on the out-of-network emergency benefit provided through your plan, noted above. As with any dental plan, this reimbursement may not cover the entire cost of the treatment rendered.

 
HIPAA Notice of Privacy Practices | Web Site Privacy Notice
© 2011 Delta Dental