What if your dentist isn’t a Delta Dental dentist?
Depending on your plan, you may be able to continue visiting your current dentist.
Determine your plan and network
The Delta Dental PPOTM and Delta Dental Premier® plans allow you to visit any licensed dentist. You’ll usually pay lower out-of-pocket costs when you choose a dentist from the PPO network, and Premier dentists offer the next best opportunity to save.
Even with the potential cost savings of a Delta Dental dentist, you may decide to visit a non-Delta Dental dentist. Keep in mind that in addition to higher out-of-pocket costs, you may have to pay the full cost of treatment and submit a claim to us for reimbursement.
Under the DeltaCare® USA plan, our fixed copayment, closed network plan, you choose a network dentist when you enroll and visit that primary care dentist to use your benefits.* (You can change your dentist at any time.) This dentist will refer you to a specialist when needed. Treatment provided by another dentist, even one who participates in the DeltaCare USA network, usually is not covered unless the dentist is a specialist referred by your primary care dentist or for limited emergency care needs.
* In WY, you don’t need to select a primary care dentist, but you must visit a DeltaCare USA dentist to receive benefits. In the following states, you can maximize your savings when you visit a DeltaCare USA dentist, although you may visit any licensed dentist and receive out-of-network coverage: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT. Refer to your plan booklet or Policy for details about your out-of-network benefits.
Recommend your dentist for Delta Dental network participation
So what should you do if you have a great dentist who isn’t in your plan’s network? Let us know.
If your dentist isn’t already part of your Delta Dental network, you can recommend him or her for participation by completing an online form. We’ll review your dentist's background, then send participation information and an invitation to join the network.
Recommend your dentist for one of the following networks:
Please note that a recommendation doesn’t always result in network participation. It’s each dentist's decision whether or not to join.