Finding a Participating Dentist
There are several ways to find a participating dentist near you:
- View a Delta Dental dentist directory at DeltaDentalMI.com
- Call Delta Dental’s Customer Service department toll-free at (800) 524-0149, Monday through Friday from 8:30 a.m. to 8 p.m. (Eastern Time) to speak with a Delta Dental Customer Service representative.
- Outside of normal business hours, Delta’s automated phone system is available 24 hours a day, seven days a week, and can provide you with a list of participating dentists.
What is the difference between a PPO dentist and a Premier dentist?
The Delta Dental plan offers two provider networks: Delta Dental PPO and Delta Dental Premier.
Your out-of-pocket costs are likely to be lower if you go to a Delta Dental PPO participating dentist. PPO dentists have agreed to accept payment according to a schedule established by Delta Dental, and, in most cases, this results in a reduction of their fees. Delta Dental also pays a higher percentage for most covered services if you go to a PPO dentist.
If your dentist is not a Delta Dental PPO dentist, you have back-up coverage through Delta Dental Premier. With a Premier dentist, Delta Dental pays a lower percentage for some covered services than with a Delta Dental PPO dentist, which means you pay more out-pf-pocket, but you can still save money. .
Can I go to a nonparticipating dentist?
You can go to any dentist you wish, however, if you choose a dentist who does not participate in either the Delta Dental PPO or the Delta Dental Premier program, you will be responsible for any difference between the Delta Dental allowable fee and the dentist’s submitted fee, in addition to any applicable copayment or deductible. You will need to pay the nonparticipating dentist in full for services and then complete the Dental Claim Statement form and submit it to Delta Dental to request reimbursement for Delta Dental’s allowed fee for covered services.
Refer to the dental plan coverage comparison chart to review the differences in coverage when you use a Delta Dental PPO, Delta Dental Premier, or a nonparticipating dentist.
Dentists at the University of Michigan School of Dentistry
The University of Michigan School of Dentistry and Community Dental Center provide dental service to the general public and participates with Delta Dental for insurance coverage. To confirm the Delta Dental network participation level, contact the Dental School Patient Business Office at (734) 647-8383. Visit the School of Dentistry website for more information.