Benefits Administrators
FAQs - For Employers Considering Delta Dental

Below please find the frequently asked questions for employers considering Delta Dental coverage.

• What type of dental plans do you offer?
• How do I get a quote from Delta Dental of Massachusetts?
• Can we offer more than one dental plan to our employees?
• How can my employees find a participating dentist near where they live or work?
• What are the benefits of receiving care from a participating dentist?
• Can my employees visit a non-participating dentist?
• Some of our employees speak a foreign language; do you have translation services available?
• Do my employees need to bring a claim form with them when they visit their dentist?
• Do you offer individual dental coverage?

What type of dental plans do you offer?

Delta Dental of Massachusetts offers a variety of plans and we can work with you to tailor a dental program to your company's specific needs. We can also provide consistent coverage to your employees located in other states through our National Coverage network. For additional product information please click on any of the plans listed below.

Our most popular plans are:

• Delta Dental Premier - a managed fee-for-service program.
  
• Delta Dental PPO - a preferred provider organization (PPO).
  
• DeltaCare - a managed care program—similar to a dental HMO.
  
• The Value Plan - our small business plan that provides 100% coverage for preventive and diagnostic services and deep discounts on all other types of services.
  
• Voluntary Plans - These 100% employee-paid dental plans will enable your clients to offer great dental coverage—at no cost to them. We offer a choice of two voluntary plans: the Premier Voluntary Plan and our Preferred Voluntary Plan.

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How do I get a quote from Delta Dental of Massachusetts?

Simply contact one of the below Sales Executives based on the location of your company's headquarters. If you employ 10 to 49 employees, please click here to use our on-line Instant Quotes system or contact our Small Business department.

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Can we offer more than one dental plan to our employees?

Yes, depending on the number of eligible employees at your company you can opt for a dual option that allows you to offer two different types of dental plans to your employees. The plan combinations available are:

• Delta Dental Premier and DeltaCare
  or
  
• Delta Dental PPO and DeltaCare

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How can my employees find a participating dentist near where they live or work?

Your employees may check Find A Dentist on our web site. They will need to know which dental plan your company has selected—Delta Dental Premier, Delta Dental PPO, DeltaCare or the Value Plan program. Once enrolled, they may also check their ID card for the name of their plan. Then, they will need to enter in either their zip code or city (not both please). A list of participating dentists will be displayed on the screen that can also be printed out. Your employees may also get a map with driving directions to the participating dentist by clicking on their practice address.

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What are the benefits of receiving care from a participating dentist?

Participating dentists have agreed to accept negotiated fees for services. When an employee receives care from a participating dentist they enjoy:

• Credentialing standards. All participating dentists meet the strict credentialing standards of the National Committee for Quality Assurance (NCQA).
  
• No claims forms to fill out. Participating dentists submit all patient claims, so there's nothing for you or your employees to fill out.
  
• Lower out-of-pocket costs. Participating dentists generally accept reduced fees and your employees' co-payment (if applicable) is based on these reduced fees. As a result, they pay lower out-of-pocket costs than if they received care from a non-participating dentist.
  
• No balance billing. Participating dentists agree to accept Delta's fee and the patient co-payment or deductible (if applicable) as full payment.
  
• Direct payment. Delta Dental pays the dentist directly, so your employees don't have to pay the dentist the covered amount up front and wait for a reimbursement check.

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Can my employees visit a non-participating dentist?

Yes, however services performed by out-of-network dentists are covered at a lower benefit level and your employees' out-of-pocket costs may be higher. Members receive the greatest value when receiving care from a participating dentist.

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Some of our employees speak a foreign language; do you have translation services available?

Yes, we offer a foreign language translation service through our Customer Service department. With the help of the AT&T Language Line, Delta Dental of Massachusetts communicates in 140 different languages. Simply have your employee(s) contact our Customer Service department to request a translator.

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Do my employees need to bring a claim form with them when they visit their dentist?

No, when your employees visit a participating Delta Dental dentist they just need to present their ID card at the time they receive services. The participating dentist will collect any applicable co-payments and take care of everything else for them.

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Do you offer individual dental coverage?

Yes! Now individuals can purchase a Delta Dental plan for themselves and their family. Two affordable dental plan options are available, both giving access to 96% of Massachusetts’ dentists and thousands more across the country through the Delta Dental Premier Network.
For more details, please click here to view option plans.

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