Delta Dental Plans Association’s earns a 2.7-star rating from 24 reviews, showing that the majority of dental insurance policyholders are somewhat satisfied with their coverage and service.
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Dental insurance claims
On June 8, received dental services from an out of network provider and submitted bills in June 2023. According to the Delta Dental, they issued a check for the claim to me, which I never received. Since then, I have called them 5-6 times. The customer service told me, that the original check was never cashed and Delta cancelled the check, and a new check for the claim would be mailed to my address in August 2023. To this date 9/25/2023, the check has not been issued by Delta Dental and I have not received the new check for the original refund due. It is very frustrating even after making repeated calls over the last three months.
Desired outcome: Send my refund Delta owes to me.
Delta Hmo Kaiser Medicare
Delta refuses to provide a EOB to me in order to file for reimbursement with my secondary provider. They lie and contradict themselves. First they tell me that they do not produce EOB’s and then they tell me to ask the provide for a copy of the EOB because they send one to the dentist. So do they or don’t they produce an EOB? Well, my dentist told me that they do produce an EOB but they told me it is not their practice to provide the document to me and I need to obtain the documents from Delta. Again, Delta refuses. They tell me to provide a print screen to my secondary insurance to attempt to get reimbursed. This document is not sufficient to submit to the secondary insurance. Delta HMO dental is not an insurance provider. It is a “discount” program and it misrepresents itself and also does not provide any type of member service or support.
Desired outcome: Delta HMO dental for Medicare members should not be allowed to declare itself as a dental insurance. It needs to be identified as such so I can bill my real dental insurance.
Removal of crown and replacement of three with anesthesia
I had a procedure done on March 23,2023 for $4715 which I had to pay for up front out of pocket for three teeth. There have been three claims filed for the same procedure. When I got the explanation of benefits it said local anesthesia wasn't covered. Okay I get that. My dental office resubmitted the claim and it looked like it was going to pay $900 and something then just showed it had processed and still paid nothing. I have been back and forth with my dental office and they have sent everything they can. I also have a secondary insurance but waiting until my primary pays first before they will. I am LIVID with this company since they pick and choose what they want to pay! I am SO READY to dump this insurance!
Claim numbers: [protected], [protected] and [protected].
Desired outcome: I would very much like an exclamation and payment on this procedure instead of just showing processed.
Is Delta Dental Plans Association Legit?
Delta Dental Plans Association earns a trustworthiness rating of 100%
Highly recommended, but caution will not hurt.
We found clear and detailed contact information for Delta Dental Plans Association. The company provides a physical address, phone number, and 2 emails, as well as 4 social media accounts. This demonstrates a commitment to customer service and transparency, which is a positive sign for building trust with customers.
Delta Dental Plans Association has registered the domain name for deltadental.com for more than one year, which may indicate stability and longevity.
Deltadental.com has a valid SSL certificate, which indicates that the website is secure and trustworthy. Look for the padlock icon in the browser and the "https" prefix in the URL to confirm that the website is using SSL.
Deltadental.com has been deemed safe to visit, as it is protected by a cloud-based cybersecurity solution that uses the Domain Name System (DNS) to help protect networks from online threats.
Deltadental.com you are considering visiting, which is associated with Delta Dental Plans Association, is very old. Longevity often suggests that a website has consistently provided valuable content, products, or services over the years and has maintained a stable user base and a sustained online presence. This could be an indication of a very positive reputation.
Delta Dental Plans Association as a website that uses an external review system. While this can provide valuable feedback and insights, it's important to carefully evaluate the source of the reviews and take them with a grain of salt.
Several positive reviews for Delta Dental Plans Association have been found on various review sites. While this may be a good sign, it is important to approach these reviews with caution and consider the possibility of fake or biased reviews.
Delta Dental Plans Association website is deemed to be popular and indicating that it receives a high volume of traffic. It is important to be cautious when using a highly trafficked website, as it may be a target for cybercriminals looking to exploit vulnerabilities or steal personal information.
Deltadental.com regularly updates its policies to reflect changes in laws, regulations. These policies are easy to find and understand, and they are written in plain language that is accessible to all customers. This helps customers understand what they are agreeing to and what to expect from Delta Dental Plans Association.
Delta Dental refusal to pay claim over an over again despite of provided requested information
Delta Dental is my secondary dental insurance. For multiple occasions I submitted a claim for a tooth implant and 4 times I got the same denial even after I sent all of the required documents voa certified mail returend receipt.
I even submitted a verbal grievance via the agent and just received the letter that Delta Dental does not accept verbal grievance and I need to have a written one. This is beyond frustrating to deal with this company. I made several calls and every time I hear different stories. One agent said that my claims were not processed correctly and that they have all necessary information but claims still got denied for the same reason - missing promary insurance information. Second tine I called - the agent did not speak clear English. Third time I got an agent on the call that gaveme an e-mail to send a package that was sent to the insurance together with the claim and she said she mailed it to the Claims department directly. Stil nothing is happening on my patient portal. How could I get this company to do their job?
Desired outcome: Compensation for my claim
Insurance
Refused to cover an implant on the grounds that they "do not have a record of extraction and, therefore, it's a defect the patient was born with." They even supplied a conclusion from a "doctor", someone who doesn't know that if the tooth has never existed, the adjacent teeth would move/expand, and the gap would close which would not allow to install an implant.
Crooks.
Desired outcome: Quit playing games and fulfill your obligations
Customer service
Signed up for the Premium Dental plan. I required dental surgery rather quickly after moving to a different state and in my hunt for an insurance plan without a waiting period, a website claimed delta dental was offering such a deal. I spoke to supposedly a 3rd party phone service that said "Yes this is a current deal. Most companies don't offer no-wait periods to prevent people taking advantage. How we get around that is we offer 40% coverage for the first 6 months and after 12 months can be as high as 80%." I signed up, scheduled my surgeries and found out the day before I wouldn't be covered at all, $1400 out of pocket. I'm keeping the insurance to show I'm not trying to take advantage. I've already written two grievances with the company and for both they took no responsibility for the blatant misinformation and was unable to give me information on the employee since it was a 3rd party registrar. It concerns me that he had such a pitch put together on it that maybe they're being trained this way and possibly scamming more people. I know things are tough these days but too many companies are getting away with lacking accountability, this whole situation makes me uncomfortable and I rarely get involved with disputes.
Desired outcome: I'd like to know what's being done to stop the spreading of misinformation and see if I can work out a deal where if I stay the 6 month wait period if I can have some sort of reimbursement for my surgery I was promised coverage on.
Some of their customer service agents act like they have some behavioral issues
While I appreciate the customer agents who handled my inquiry properly, I disappointed that I had to deal with agents with some behavioral issues. One female agent was really emotionally unstable, and made me scared to call their service again. Delta Dental looks like they want their customers to contact them by email, rather than calling them and I like this email-based communication, especially if their customer service agents have some health issues.
Customer Representatives poor service
I am a very unhappy 😒 customer who have had some negative dealing with your associates. It started when I tried to re-enrolled in an individual dental plan after being a client since 1980. I just retired from my job in November and filled out an application on line with the help of Melissa on February 2, 2022. That went well but the calls after was like a runaway train. No one understands what I was talking about or what my need was. I had four individuals with your company passing me from one representative to another. Each had no knowledge of providing me with needed information, an id card, or any person who can answer my question. I was disconnect from another Melissa a few minutes ago after being on hold for more than 45 minutes waiting for some, because she could not find a Manager or Supervisor. I filled out an application in February and bank information. I need an id card. I know we are experiencing a pandemic but the web is not. Clients should be respected and treated as such. If you have an answer please respond. Thank you.
Desired outcome: I need my dental insurance to be re-instated. I need my id card for the old one is not usable. I need to booklet or information as to the dentist that is covered in my area.
Coverage
Deceptive and very misleading policy coverage of Delta Dental...
Let me put this into perspective. I paid almost 2k out of pocket for a dental crown/build up, as I had to see a prosthodontist because the tooth was a front tooth. Because I had to see this specialist and this specialist does not work with insurance. However, I can submit a claim. Fair enough. I called Delta Dental and was given quotes and amounts for the coverage my policy provides. Had the work done and then submitted my claim.
I expected around a certain amount to be covered with the information I had received and what is listed as my coverage. To my surprise my "covered services" really were not as such. I received a check in the mail for 446$ This is what Delta dental paid out of the $2, 000.
Since this encounter I have spoken to Delta Dental and was given more detailed information and explanations as to why the insurance check was minimal.
Come to find out that when my insurance coverage says that the insurance pays such/such % for out of network providers...it does not really mean they cover such/such % for out of network providers. I have learned what this means is that "if you use an out of network providers the insurance company will only cover the "average" cost of service in your area. "
Doesn't sound too bad right?
Wrong- the insurance ( Delta Dental) will really only pay a "portion" of the average cost of services...
I ask: How do they get the "average cost of services in the area?"
Great question was answered as such, Delta Dental gets the average cost of services by comparing in-network contracted cost for services to what the out of network provider has billed for services.
Hmmm, this does not sit well. This means the insurance company (Delta Dental) takes the "average" cost of services from the fixed contracted prices Delta Dental has already has set with the providers.
Bottom line is Delta Dental not only gets to set the contracted prices for services (which are typically an lesser cost) but Delta Dental gets to use their own "contracted prices" to determine the "average" for cost of services with an outside provider.
So is this considered a monopoly or double dipping ?
Desired outcome: Clarity of policy needs to happen. Delta needs to use averages of all providers not just their own contracted ones.
Delta Dental Dentist Reimbursement Fees
Outdated, Stagnant Reimbursement fees over 10 years old are still in place, without the option to negotiate an increase. Dental service reimbursements have improved from other networks to help with the huge increased costs in operating a dental office and providing dental care to patients. The huge, huge recent cost barrier trend now is the hourly rates being requested for auxiliary staff such as dental hygienists, assistants, and office personnel. We need an increase in the reimbursements to help support the requirements to staff a dental office in order to continue providing dental benefits to the beneficiaries of Delta Dental. Delta Dental refuses to negotiate and/or increase their PPO fees. Our office is writing off on average over 50% on each claim sent and received, and we are meticulously price set in the lower 25-33-50th percentiles, provided from national statistical data for our industry and geographies. We are unable to get temporary RDH coverage for our offices to even cover our preventative hygiene schedule load. If you are able to arrange for a temp, the going rate is $60-$66+ an hour, when RDH's are requesting 1 hour appointments, and Delta Dental is reimbursing $43 for a prophylaxis/cleaning. In due fairness, an RDH may take Bite-wing X-rays on 50% of recall patients, and maybe provide a Fluoride treatment to 50% of Pediatric patients additionally, which are also very small reimbursements for the dental services coming from Delta Dental. This will not work for much longer, why does Delta Dental refuse to negotiate these decade old reimbursements, especially NOW, when they are aware of what is going on in the industry . There are many additional costs involved with providing these benefits other than an RDH's hourly rate, Front Office Staff, Office Managers, supply costs, technology and instruments, X-ray equipment and systems, buildings, insurance, IT, systems, maintenance and repairs. Delta Dental has to reimburse more than the decade old+ contract that they refuse to raise. Additionally as an auxiliary complaint, their Provider relations department says they do not negotiate, and that the only means to further request a complaint is to utilize their Provider Dispute Form, Now called a Provider Inquiry Form, and to send it in with a request of a maximum of 20 identified priority codes you are asking to be reviewed. This process has been utilized more than one time, AND THEIR DUTY, AS THEY HAVE STATED ON THE FORM ITSELF, "DELTA WILL ACKNOWLEDGE RECEIPT OF YOUR DISPUTE WITHIN 15 WORKING DAYS AND SEND A WRITTEN RESOLUTION TO YOUR DISPUTE WITHIN 45 WORKING DAYS.", has NOT been afforded and upheld by Delta Dental. They have not responded one time to the complaint forms sent either, which we were advised as the only means.
Desired outcome: An increase in dental MAC agreements to reflect other market rates & response given to complaints filed
delta coverage or non-coverage as it were
I have cancelled my Delta Dental plan because (1) their network is virtually non-existent in the DFW metroplex and (2) their reimbursement rate is so low that its cheaper for me to put the premiums in a savings account and just pay cash for services. I have no doubt that the reasons that the Delta network is small in our area is because they pay providers so poorly!
Please consider a new Dental plan that provides decent coverage - United Healthcare, Aetna, Physicians Mutual, etc. all have them and offer much better coverage for much lower cost. Please don't let what Delta is willing to pay AARP for the abilty to be "the chosen one" to be the reason for selection. Your members deserve better!
erroneous billing... after account closed
I have been in contact with delta dental by phone and email. By phone was a "disaster" as rep on phone tried to talk me out of complaint stating I was not billed and yet bank account shows I was (autopay feature). I complied withier stringent rule: you have to submit a letter in writing via US Postal Service, I did, received a letter back stating confirmation of account closed. Then I filed a complaint with BBB.. got a run-a-round from Delta dental asking me to prove I received a confirmation of account closure and asked to submit a copy of confirmation letter (they have no procedure to search their own records it appears). I did that only to receive a notice they could not read the copy of their cancellation letter. Obviously Delta Dental has implemented procedures to obfuscate complaints.. their over-all rudeness is enough to make one want to stage a sit in protest at their headquarters... just to expose them for their fraudulent billings. There should be a class action suit filed to recover losses with punitive damage awards for stress and frustration rendered by their lack of concern for customers. Delta Dental is just another scamming company.
Pre estimate claim
i have had them since 2 years anypaper work submited.will not come back.If seniors have to deal with them al llong aarp should not consider them at all.I have been dealing with the loyalty team no response.
AARP® Dental Insurance Plan
Delta Dental Insurance Company
P.O. Box 2059
Mechanicsburg, PA 17055-0759My policy nos is [protected].my phone nos is [protected].
this is their address.they dont have a grievance addresal site.
Premium refund
On 10-26-2015 I called AARP Delta Dental to pay my monthly premium of $58.78. The representative took my credit card information over the phone but incorrectly added $117.56 which I did not find out about until the next morning (10-27) when I checked my checking accont online. I immediately called Delta Dental and a rep said she'd get the $117.56 refunded ASAP by sending a request to the supervisor in the billing department. I told her that the extra unwarranted amount had overdrawn my account. She said Delta Dental would pay any overdraft fees. I had been led to believe that a refund check would be sent to me immediately after a supervisor approved the refund. On 11-04 I called back since I hadn't received a check. The reuqest still had not been signed off on by any supervisor and of course no check had been sent to me. I spoke to a member of their "Loyalty Team" who said she knew someone in that department and would try to get the sign off expedited. It is now 11-09-15 and nothing has happened! This is unconscionable! Jofannie Karla Enrollee ID: [protected]
I enrolled for AARP Delta Dental online in January 2016 and authorized a three month premium payment in the amount of 119.58. A week later I received two separate computer generated letters with different account numbers confirming my enrollment effective February 1, 2016.
I called customer service and was told, yes, there were two accounts initiated in my name but she could not tell me if an additional charge was made on my credit card. Customer service said the issue would be corrected and a check would be issued for the over payment for the 2nd account. On January 29 I received a computer generated letter indicating my policy was cancelled per my request. In addition to the letter dated January 29, I received a check in the amount of $119.58. I called customer service once again to check status of my enrollment. Customer service confirmed dental coverage on February 1 and said the check was for amount of charging my credit card a 2nd time. I cashed the check as instructed by customer service but on February 3, my bank received a "stop payment" order on said check which caused my balanced bank account to nearly bounce an outstanding check. My bank charged my account $12.00 in addition for the transaction requested by Delta Dental. I called customer service for status and reason for the stop payment. Customer service said my insurance was effective February 1 but could not explain the stop payment but said my credit card was charged an additional $119.58 for a total of $239.16 for six months instead of three as requested; all without my approval. In the month of January to February 1, I called Delta Dental six times (two extra due to terrible phone connections) to correct their errors in my enrollment. At this time, I am so frustrated and angry. In good faith, I enrolled in Delta Dental approving a three month payment by credit card in January. In the matter of weeks, Delta Dental created two accounts in my name; charged my credit card twice in error. Sent a refund check to me for the amount of $119.58 and days later initiated a "stop payment" on the check causing my bank account out of balance; a charge of $12.00 bank fee was also incurred for the stop payment. Delta Dental then charged my credit card $119.58 for 3 additional months for a total of six months premium without my approval for a total of $239.16. In addition to my frustration, as a senior on a fixed income, the errors made by Delta Dental cost me interest on my credit card, checking account out of balance and a $12.00 fee. I have no confidence in Delta Dental and cancelled "officially" the enrollment on February 4. Customer Service said a refund of $239.16 will be sent to me in 14/21 days. They said I must make a copy of my bank statement with the $12.00 fee and include a letter to ask for reimbursement. No assistance provided to help me. The fiasco of enrolling for dental coverage cost $239.00 I did not approve; $12.00 bank fee; interest charged on my credit card; cost of printing bank statement, time and fee to copy letter to attempt to recoup the fee; stamp. No solution or help was offered with all errors made by Delta Dental. I have no dental insurance. A nightmare experience.
delta dental wont paid bill owed to dr. clarke's office
My husband and I both had work done at Dr. Clarke's dental office in 2009. Never had a problem with Delta Dental paying. This time in 2009, they didn't pay and never responded to any of my calls or emails. They told the Dental office that they mailed me the checks. I never received any checks. I never stopped paying my premiums, they come directly out of my...
Read full review of Delta Dental Plans Association90 Day Waiting Period for Root Scaling
I had tooth and gum pain that began in mid-May. I have been struggling with it since. My gums are very inflamed, red and swollen, making it very difficult to talk and eat. I have not been feeling well because of it. Sometimes, I feel like I'm running a fever because of it and feel tired a lot of the times. I have also been breaking out into little red hives, which started soon after the mouth pain, so I think they're related. I had an appointment with my periodontist today. I had taken a sick day from work because I did not know what was causing the inflammation and pain, and I expected whatever needed to be done was going to be more extensive than just a regular cleaning. My periodontist first took x-rays, then measured my gum pockets, and did a regular cleaning to determine if I needed a root planing. Based on the results, my dentist said that a root scaling was needed. They could do half the first time, and then the other half the next. I said I am willing to have the first half done today, if they can fit me in their schedule. I have already been in enough pain, and I did not want to wait any longer. They looked and said they did have time today. S0 I ate breakfast, ran a few errands in between appointments. I come back and the receptionist informs me that they have called Delta Dental to see if it was OK to do the root planing today. They told her they wouldn't cover the root scaling today, and that I would have to wait 90 days before I could have it done, if I wanted them to cover it. My root planing without insurance would cost me $800.00. With the insurance, it would have been $140.00. Big difference in cost. I was really disgusted with this decision, and decided to call the Delta Dental myself and complain to them. Delta Dental told me that this was their policy. I asked them what is the basis for this policy, and they couldn't give me an answer. I said the doctor and I have already determined that I need this root planing as soon as possible, so why the 90-day rule. I told them it shouldn't be up to you to decide if and when I receive care, especially when you are not the one who's actually providing the care. I told them this policy allows for negligent care, and that I would complain to the Better Business Bureau, and even sue them if that's what it came down to. Still they would not budge, and only thing they did was provide me with an address I could mail a complaint to. I am so angry with them. What if I had oral cancer and the insurance company just decided that I'd have to wait a year to have anything done about it. Think about that one. What right do insurance companies have in telling patients how long they have to wait before getting treatment? Having to wait for care is just plain ridiculous!
The complaint has been investigated and resolved to the customer’s satisfaction.
Refusal to Pay on Claims
On more than one occasion claims were submitted to Delta Dental of Rhode Island and on more than one occasion there was a refusal to pay with tons of double talk on their part. A claim was made for the balance of orthodontia work. They cover this work, but the work was started by Met Life and they used the excuse that because we started with Met Life, Delta Dental would not pay the remaining few hundred dollars. They said if we had started the work with them they would have paid the balance. Does this make any sense? The next problem was they would not pay for a root canal evaluation because they said I had one this year. It costs $85.00 and my balance for the year is between $600 and $700. What difference does it make if I had one for the year. I have the allowance so why can't I use it? My husband had periodontal scaling done, but they would not cover it because they said he had no history of gum problems. How is one supposed to have a history of something if they cannot begin one? I have never had issues like this with other insurers. I feel that whenever a reasonable claim is made this company is going to throw a monkey wrench in and not pay up. What does one do? We pay premiums and opted for the "best plan" they offer and this is what we get. Unfortunately, we do not have a choice in the matter, as this is what my husband's company offers. What will the next denial be?
The complaint has been investigated and resolved to the customer’s satisfaction.
I'm going through a similar experience but through Delta Dental of IL. I've contacted them twice so far just get the run around. Next year we won't be going through this company for dental insurance. What a joke!
Dear Anita,
Thank you for taking the time to contact us, and allowing us the opportunity to respond to you directly. We have researched each of the three issues you described, and contacted you by phone to discuss in more detail. We hope that we have resolved these issues to your satisfaction. Your dental health is very important to us; however, state and federal privacy laws prevent us from directly responding to your concerns via a public forum.
Sincerely,
The Delta Dental of Rhode Island Customer Service Team
refunds
joined delta dental not knowing how they work the system i pd them 99.04 on 11-25-09 then 49.52 a mo i never got my package till jan told them were to send 2x then i found out you still have to pay a bal at dentist office so your not really getting a discount never used any of it i canceled on jan5 10 they never canceled till feb 1 10 so they said sent refund 49.52 only witch i shood got the 99.04 also so they sent ck only 49.52 4wks ago never got called 4xs now they want to trace and cancel ck and send another one witch wiil take another 2to3wks figure that one they can take out acc but cant put it back not right a rip off buyers be were
The complaint has been investigated and resolved to the customer’s satisfaction.
Refusal to assist client
This has been an ongoing complaint with this insurance agency and no matter who you complain to and this includes the state dental board, Nothing changes,
My spouse is a federal employee for the USPO and Delt Dental continues his payroll deductions and has not paid for my Oral surgery by their preferred Surgeon. The surgeon wants his $600 and is threating collections!
Delta dental is aware and not responding and I have no front 4 teeth for almost 2 years now!
The complaint has been investigated and resolved to the customer’s satisfaction.
Ask your insurer this...is the holdup due to medical insurance being primary for extractions? Or is another dental carrier 'thought to be primary'? Insurers may not pay anything until they're sure no other company is
lies about insurance
I have Delta Dental in Calif. I pre-determined Dentist was a Preferred Prov. which allowed me abt $450.00 of coverage. I get bill, turns out they are not, and I am out of benefits, I am charged the FULL amt. Office staff said they did not call Delta before treatment, I feel this tactic is a rip off becuase it's a way of making a lot more money, just make the consumer PAY! Which agency in Calif can help me? Where do I go to report them?
The complaint has been investigated and resolved to the customer’s satisfaction.
Delta Dental Plans Association Reviews 0
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Overview of Delta Dental Plans Association complaint handling
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Delta Dental Plans Association Contacts
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Delta Dental Plans Association phone numbers+1 (630) 574-6001+1 (630) 574-6001Click up if you have successfully reached Delta Dental Plans Association by calling +1 (630) 574-6001 phone number 0 0 users reported that they have successfully reached Delta Dental Plans Association by calling +1 (630) 574-6001 phone number Click down if you have unsuccessfully reached Delta Dental Plans Association by calling +1 (630) 574-6001 phone number 0 0 users reported that they have UNsuccessfully reached Delta Dental Plans Association by calling +1 (630) 574-6001 phone number
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Delta Dental Plans Association emailssupport@deltadental.com100%Confidence score: 100%Supportdirwin@deltadental.com94%Confidence score: 94%communicationgrin@deltadental.com91%Confidence score: 91%eo'brien@deltadental.com89%Confidence score: 89%branduse@deltadental.com77%Confidence score: 77%
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Delta Dental Plans Association address1515 West 22nd Street, Suite 450, Oak Brook, Illinois, 60523, United States
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Delta Dental Plans Association social media
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Checked and verified by Nick This contact information is personally checked and verified by the ComplaintsBoard representative. Learn moreJun 13, 2024
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