Producer, Broker and Consultant Frequently Asked Questions
Products and Services
Q. How do I become an appointed agent with Delta Dental?
A. The process varies by state. To become an appointed Delta Dental producer, please contact the
Delta Dental member company in your state.
Q. How do I know which Delta Dental member company my client should work with?
A. You will want to select the member company located in the state where your client is headquartered. Our
RFP Assistant can help you find the appropriate contact information and submit a request for proposal for your client.
Q. Where can I find rate information for my clients?
A. Plans and rates vary by location and group size. Your Delta Dental sales representative can assist you in choosing the best coverage and rates for your clients.
Use our RFP Assistant to find local contact information and submit a request for proposal for your client.
Q. How many employees are necessary for enrollment?
Q. Are Delta Dental products available in all states?
A. Yes. Delta Dental offers
dental benefits products in all 50 states and Puerto Rico. Your client's employees are covered no matter where they live or work. In fact, some Delta Dental products even offer coverage for dental emergencies outside of the US!
Q. My client has employees across the country. Is coverage different for employees who live out-of-state?
A. Out-of-state employees have the same coverage as employees who live within the state where your client is headquartered. In fact, because Delta Dental offers the nation's largest network, it's easy to find an in-network provider in all 50 states. Keep in mind that clients in other states may have their benefits through a different Delta Dental member company, and coverage does vary between member companies.
Q. Which Delta Dental network should I recommend to my client, Delta Dental Premier or Delta Dental PPO?
A. The
Delta Dental Premier network provides access to more than 80 percent of the providers nationwide. The
Delta Dental PPO network includes nearly 50 percent of the dentists nationwide. The Delta Dental PPO network offers greater savings to employers and employees, while the Delta Dental Premier network offers greater access to providers.
Q. What are the benefits of visiting a Delta Dental network dentist?
A. When a subscriber visits a network dentist, they enjoy the following benefits:
| |
- They pay lower out-of-pocket costs than if they received care from a non-participating dentist because our network dentists have agreed to accept reduced fees.
- Balance billing is not allowed, because participating dentists agree to accept Delta Dental's fee and the patient co-payment or deductible (if applicable) as full payment.
- There are no forms for you or your employees to fill out because participating dentists submit claims directly to Delta Dental.
- We pay the dentist directly, so your employees don't have to pay the dentist and wait for a reimbursement check.
- They can have confidence that we have an ongoing relationship with our participating dentists and have ensured they meet national credentialing standards.
|
Q. Will my clients have access to non-participating dentists as well?
A. Many of our plans allow subscribers to visit any dentist they choose, while others require them to visit a network dentist in order to receive benefits. However, even for plans that do allow subscribers to visit out-of-network dentists, services performed by out-of-network dentists are covered at a lower benefit level and out-of-pocket costs may be higher. Overall, subscribers receive the greatest value when they visit a participating dentist.
Website
Q. What tools are available on the Producer section of deltadental.com?
A. Our website offers information and resources for producers, brokers and consultants, such as brochures, white papers and materials for use with your clients. For additional tools and resources, we suggest
visiting your local Delta Dental member company's website. Many member companies offer additional broker tools such as online quoting and group enrollment tools.
Q. How do I login to deltadental.com?
A. We do not currently have a secure portal for producers on deltadental.com. However, many of our member companies have online tools available for you and/or your clients. Please
visit your local member company to register for an account, if available.