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Delta Dental Premier Plan

Frequently Asked Questions

What is a Delta Dental Premier dentist?

A Delta Dental Premier dentist has agreed that their charges will not exceed the plan allowance. For a list of participating Delta Dental Premier dentists, view our directory. A Delta Dental Premier dentist has also agreed to submit any necessary claims to ODS.

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What dentist can I see?

Most Delta Dental Premier plans give you the option of seeing any licensed dentist; however, a nonparticipating dentist may charge more than the plan allowances, and you will be responsible for any charge above that amount.

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Can I see a specialist with my plan?

Specialist services are a covered benefit under most plans, and the same Delta Dental Premier agreements apply. For a list of participating Delta Dental Premier specialists, view our directory. You may want to have the specialist submit a preauthorization to determine how much of a benefit you can expect to receive.

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How can I find out what my remaining benefits are for this current benefit year?

Contact Customer Service and we will review your claims history to determine how much you have remaining.

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What are the benefits and covered services under my dental plan?

Refer to your Member Handbook for general information. If you have further questions about a specific service, contact Customer Service.

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What do I do if I have a dental emergency and I'm out of town?

Most of our plans allow you to see any licensed dentist. Refer to your Member Handbook for any specific limitations.

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How long are my children covered under my dental plan?

Refer to your Member Handbook for the specific age limits under your plan.

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My former employer is allowing me to pay for continued insurance coverage on my own. How long will my COBRA plan be effective?

The length of time COBRA is offered may vary. You may contact your employer or the 3rd party administrator that handles the plan.

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What does the term "least costly" mean?

If a tooth can be restored with a procedure that is less expensive than the procedure rendered, benefits paid will be based on the procedure that costs less.

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