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You may change your assigned Contract Dentist by directing a request to the Customer Service department or by visiting our web site at www.deltadentalins.com/deltacareusa. In order to ensure that your Contract Dentist is notified and our eligibility lists are correct, a change in Contract Dentist must be requested before the 21st day of the month to be effective on the first day of the following month. We will provide an Enrollee written notice of assignment to another Contract Dentist facility near the Enrollee's home, if (a) a selected facility is closed to further enrollment, (b) a chosen Contract Dentist withdraws from the Program, or (c) an assigned facility requests, for good cause, that the Enrollee be re-assigned to another Contract Dentist.
- a selected facility is closed to further enrollment,
- a chosen Contract Dentist withdraws from the Program, or
- an assigned facility requests, for good cause, that the Enrollee be re-assigned to another Contract Dentist.
All treatment in progress must be completed before you change to another Contract Dentist. For example, this would include
- partial or full dentures for which final impressions have been taken,
- completion of root canals in progress and
- delivery of crowns when teeth have been prepared.
If your assigned Contract Dentist terminates participation in this Program, that Contract Dentist will complete all treatment in progress as described above. A Contract Dentist who terminates his or her agreement with ALPHA shall continue to provide dental services to each Enrollee:
- who was receiving dental services from the Contract Dentist before receiving notice of the termination; and
- who, after receiving notice of termination, requests to continue receiving dental services from the terminated Contract Dentist.
Such continuing treatment will be for at least 90 days after the date of the notice of termination as long as the termination was unrelated to fraud, patient abuse, incompetency, or loss of licensure status. |
