What if your dentist isn’t a Delta Dental dentist?
Delta Dental Premier® and Delta Dental PPOSM 1 plans allow you to visit any licensed dentist. Although you usually save money with a Delta Dental dentist, there may be reasons why you wish to visit a non-Delta Dental dentist. If you choose to visit a dentist outside of the Delta Dental network, you may have to submit claims yourself and pay the entire bill up front.
If you are enrolled in DeltaCare® USA, our closed network dental plan, you must receive treatment from your selected primary care DeltaCare USA dentist.2 Treatment provided by another dentist, even if he or she participates with the DeltaCare USA plan, usually is not covered, unless the dentist is a specialist referred by your primary care dentist.
So what should you do if you have a great dentist who isn’t in our network? Let us know. If your dentist is not already part of your Delta Dental network, you can recommend him or her for participation by completing an online form, and we'll invite him or her to join.
When we receive a recommendation, we review the dentist's background. Then, we send the dentist participation information and an invitation to join the network.
Recommendation does not always result in network participation. It is each dentist's decision whether or not to join.
Recommend your dentist for one of the following networks:
- 1 Delta Dental offers Dental Provider Organization (DPO) plans in Texas.
- 2 In Alaska, Connecticut, Louisiana, Maine, Mississippi, Montana, New Hampshire, Oklahoma, South Dakota and Vermont, DeltaCare USA is offered as an open access plan in which enrollees can obtain treatment from any licensed dentist. However, deductibles and maximums may be applied to out-of-network treatment. Be sure you understand your plan prior to receiving treatment.