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Using your Coverage at the Dentist

January 15, 2015 By Delta Dental of Virginia

Do you have a dental visit scheduled for 2015? Kudos for planning ahead!

Maybe your coverage changed with the New Year, or maybe you’re seeing a new dentist. Either way, plan arriving a little early so you can fill out the office’s paperwork.

Are you concerned about what you’ll have to pay?

Before you schedule your visit with the dentist, make sure he/she participates in the network covered by your plan. This will ensure you experience the lowest out-of-pocket costs possible.

If you have Delta Dental of Virginia coverage, find out how to find a dentist that participates in the network covered by your plan. Then find a participating dentist near you. You can also log into our secure subscriber site and we’ll show you the dentists closest to you that participate in the network(s) covered by your plan.

Delta Dental participating dentists will: 

  • Submit claims to Delta Dental. That means less paperwork for you!
  • Get paid directly by Delta Dental. That means you don’t have to pay for the entire visit and wait for a reimbursement check.
  • Not balance bill you. What does that mean? Balance billing occurs when your dental plan doesn’t cover the total amount the dentist charges for a particular service. The dentist then bills you for the difference. You don’t have to worry about this when you visit a dentist that participates in the network covered by your plan, because our participating dentists have agreed to accept lower fees as payment in full.

    That means there will never be a question about how much you owe. You will only be responsible for your deductible (if applicable) and any co-insurance and cannot be billed for a balance above the Delta Dental plan allowance. The Delta Dental plan allowance is the amount that the participating dentist has agreed to accept as payment in full for the service provided. To see an example of how much you can save by visiting a participating dentist, visit our Delta Dental Networks page, choose your plan from the dropdown, and click on the payment example link at the bottom of the page.

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At Delta Dental, we believe in the power of a healthy smile. That's why it's our mission to help create more smiles and healthier people in our communities. Our … Read More...

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