Benefits For US Employees

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Dental Questions and Answers

Is there a deductible for dental coverage?
No deductible is required for preventive care such as check ups and x-rays. For preventive care, the plan pays 100% of the covered charges. There are, however, certain covered dental services that are subject to a combined annual deductible per calendar year of:

  • $50 per individual (employee only)
  • $100 per family (employee plus one and employee plus two or more).


When receiving services for basic restorative care, oral surgery for impacted and unimpacted teeth or major restorative care, the participant pays the first $50 per individual or $100 per family of the combined charges from these categories.

Why should I use a participating dentist?
Using a participating dentist saves you money because participating dentists have agreed not to charge you for any amount over Delta Dental's allowable fee and they will file your claims for you.

How do I know if my dentist is a participating dentist?
Contact your dentist and ask if he or she participates in the Delta Dental Premier program or visit the Delta Dental web site, select Delta Dental Premier Dentist Search, and enter the required data. If you would like to request a list of all participating providers in your area, contact a Delta Dental Customer Service Representative at 800-995-5120 (in St. Louis 314-656-3001).

What if I choose to visit a dentist that is not in the Delta Dental Premier network of participating providers?
You are free to visit the dentist of your choice to receive treatment. If you receive services from a non-participating dentist, you are responsible for paying the dentist up front and filing your own claim forms. The benefit payment is reimbursed directly to you. Benefit payments are based on the average fee charged by the majority of dentists in your area and you are responsible for any difference between the dentist's charge and Delta Dental's benefit payment.

How do I get claims forms? Where do I submit completed claim forms?
Here is a claim form (PDF). Delta Dental also accepts the standard (universal) ADA claim form that your dentist may use. *Submit Delta Dental Premier claim forms to: Delta Dental of Missouri, P.O. Box 8690, St. Louis, Missouri 63126-0690.

Can I contact Delta Dental by phone?
Benefit24, Delta Dental's 24 Hour Automated Information Retrieval System (PDF) at 800-995-5120 (in St. Louis 314-656-3001) is available to you or your dentist, toll-free, 24 hours a day, seven days a week. Follow the system prompts to receive detailed benefits information by phone or fax. Opt out to speak to a customer service representative Monday thru Friday from 7:00am to 5:00pm CST.

How do I get a new I.D. card?
Go to the Delta Dental web site , click on “Your Info,” and then “View General Benefits.” Enter required information and select “View Benefits” and “Printable ID Card” or “Request an ID Card.”

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Forms:
Dental Claim Form (PDF)

Claim Problem Resolution
Request Form (PDF)

Delta Dental Automated
Information Retrieval System (PDF)

Notice of Privacy (PDF)

Questions and Answers

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Delta Dental
1-800-995-5120

Related Information:

Delta Dental Web site More About the Dental Plan