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Current Location: Delta Dental > Benefits Administrators > FAQs > For Employers Considering Delta Dental

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?

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:

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

Simply contact one of the Sales Executives based on the location of your company's headquarters. If you employ 10 to 49 employees plese contact the 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 or DeltaCare 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 claim 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, Delta Dental employs several Spanish-speaking representatives to service Spanish-speaking members. Our Interactive Voice Response System is fully operational in both English and Spanish and enables members who call to choose their language option. In addition, interpreter services are available to members via the Certified Language Institute, which is accessed through our Customer Service Associates (CSAs). This service enables Delta Dental CSAs to conference in a translator to assist with virtually any non-English-speaking members.

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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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