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

Second Opinion
Processing Policies
Enrollee Complaint Procedure
Standing Committee on Public Policy
Organ and Tissue Donation

 
 
 
PROCESSING POLICIES  
 

The dental care guidelines for the DeltaCare USA Program explain to Contract Dentists what services are covered under the dental Contract. Contract Dentists will use their professional judgment to determine which services are appropriate for the Enrollee. Services performed by the Contract Dentist that fall under the scope of Benefits of the dental Program are provided subject to any Copayments. If a Contract Dentist believes that an Enrollee should seek treatment from a specialist, the Contract Dentist contacts Delta Dental for a determination of whether the proposed treatment is a covered benefit. Delta Dental will also determine whether the proposed treatment requires treatment by a specialist. An Enrollee may contact Delta Dental's Customer Service department at (800) 422-4234 for information regarding Delta Dental's dental care guidelines.

 
 
 
 
HIPAA Notice of Privacy Practices | Web Site Privacy Notice
© 2006 Delta Dental