Consistent with current DHS rules, a Delta Dental Smiles member is responsible for charges for non-covered services, including services received in excess of Medicaid benefit limitations, but only if the member has chosen to receive and agreed in writing to pay for those non-covered services in advance of the treatment. Call us for help locating a Medicare Advantage Network provider. How does this work? As periodontitis spreads below the gumline and affects the bone support of the tooth, other changes will occur. Use our quick and easy search tools to find in-network dental & eye care providers convenient to where you work and live. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Great savings on the health care you need is just a click away! 1. member handbook, Healthy Michigan Plan EPO network member handbook. The Delta Dental Smiles member cannot be billed for the difference in cost. The current DHS dental provider manual (Sec. Have a question about coverage or looking for dental insurance? How can we help you? Each subscriber can access their account and manage their coverage online. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. Review the information in this section before contacting customer service. We are sh . Refer a dentist! Select your plan. About Delta Dental We protect more smiles than any other dental benefits provider. While the switch process within DHS is not lengthy, the timing of the beneficiarys decision to request the switch can affect the effective date of the switch. Click register to create an account. Copyright 2022 Delta Dental Plans Association. Watch now. DHS makes the decision and is establishing the rules around these circumstances. It's included in your existing coverage and is considered an oral examination under the plan. These plans make it easy to receive Delta Dental coverage and protect your health. For example, claims are reviewed by licensed Arkansas dentists located in the state. Delta Dental Patient Direct vision, hearing and pharmacy providers How do I apply to become a Delta Dental Smiles provider? Delta Dental Smiles insurance plans are underwritten by Delta Dental Plan of Arkansas, Inc., 1513 Country Club Road, Sherwood, AR 72120. Connect with your Delta Dental company to learn more. The fee for each of these codes is $474 and does not count towards the members $500 annual maximum benefit. Delta Dental Patient Direct has more than 4,000 participating dentists in Michigan, Ohio and Indiana. Delta Dental has processes to increase the efficiency for submitting a preauthorization and the turnaround time for making a decision on the request. By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. If you have any questions or concerns, please contact Provider Relations at arsmilesquestions@deltadentalar.com or 501-992-1710. Browse our Affordable Care Act (ACA) individual & family or small group plan dentist directories. Delta Dental of Wisconsin sells and services dental insurance and vision insurance to any size business. Welcome to Delta Dental of South Dakota As South Dakota's most experienced dental benefits provider, we make it easy to protect your smile and keep it healthy with the largest network of dentists, quick answers, and local personalized service. Delta Dental is committed to continuing to work with DHS in the coming months to address this additional code. To begin using the Dental Care Cost Estimator tool, click the Agree button below. Preventive care coverage varies by plan and by demographic considerations such as age. View Handbook Be a Part of Our Family Delta Dental Smiles is one of the dental benefits plans for the Arkansas Dental Medicaid program. Get benefit help and information for you and/or your child in your language. Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. Therefore, it is always best to confirm information with yourhealth careprofessionals. Welcome to the . Get started here. Information regarding the Cost Estimator content. Delta Dental of Arkansas Attn: Smiles Network PO Box 6247 Sherwood, AR 72124 If you are not already participating in the Arkansas Medicaid dental program, you will need our provider enrollment packet and a Medicaid provider number. If a dentist submits a prior authorization for an orthodontia case and the treatment is approved, but the Delta Dental Smiles for Kids member goes to another office for treatment, can the dentist who submitted the prior authorization be paid for the initial workup? Do you have a great dentist who is not in our network? Information regarding the Cost Estimator content. AutoNation associates are offered three dental plan options to chose from through Delta Dental: Dental Plus. With expertise rooted in Delta Dental's rich history of oral health leadership, we engage in and support oral health research, community outreach, and advocacy, striving to . Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. If you are not already participating in the Arkansas Medicaid dental program, you will need our provider enrollment packet and a Medicaid provider number. Click here to log in and view the Smiles Provider Manual, Smiles Forms, and other useful resources. Is keeping employees healthy and productive one of your priorities? What are the signs and symptoms of periodontitis? Start your visit Should you have any additional questions regarding the new DWP, please contact Dr. Jeffrey Chaffin, our Vice President and Dental Director, at 515-261-5656. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. This site is meant to help you learn about plans and healthcare for you and your family. Delta Dental has affordable individual dental plan options available for you. Delta Dental Patient Direct vision, hearing and pharmacy providers Great savings on the health care you need is just a click away! Please contact the Delta Dental company below for more information. Find in-network dentists in your area by using your current location or entering a ZIP code manually. This is not required, but it is preferable so the treating dentist maintains visibility into their patients treatment progress and is able to monitor their oral hygiene status during orthodontic treatment. About Our Plans. Nine out of ten providers belong. Estimates may vary depending on your benefit plan and the state you live in. These plans make it easy to receive Delta Dental coverage and protect your health. All Rights Reserved. Please contact us at arsmilesquestions@deltadentalar.com or 501-992-1710. Over the past 10 years, Delta Dental of Kansas has given more than $10 million back to the communities we serve. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Use this link if you are a member of the MI Health Link program. The Content on this website is not medical advice. Click on the button below or call 1-866-302-0332 to start your virtual visit. MAIL The Healthy Michigan Plan (HMP) provides dental benefits to Michigan residents at a low cost to increase access to care for low-income populations who do not qualify for or who are not enrolled in other Medicare or Medicaid programs. The description of different treatment categories, and the inclusion of particular services in a treatmentcategory,is not advice that any particular treatment category is the right treatment for you or that you should not obtain any particular treatment. The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. Use this link if you are a member of these programs. We are passionate about good oral health and for more than 50 years, we have been working to improve the oral health of Virginians by providing flexible, affordable dental benefit plans and building the largest network of participating oral health providers in the state. Delta Dentals Provider Manual currently states: "D2929 --- Prefabricated porcelain/ceramic crown, primary tooth, or D2934, prefabricated esthetic coated stainless steel crown, primary tooth, may be performed and submitted, but will be alternated and covered as a D2930, prefabricated stainless steel crown, primary tooth.". Our goal is to give you access to quality dental care. Dental Network and agree to abide by the Delta Dental Processing Guidelines established by the Delta Dental Plans Association. For More Information Contact us! Fast and efficient processes for pre-authorizations and timely claims processing. We have coverage options designed to fit your business. Our Professional Relations staff is also available to schedule a visit to your office to answer any questions that you may have. Click here to request more information from your professional relations representative. You will find a list of the procedures that need a preauthorization in your Provider Manual. If the problem persists, please contact Customer Service . There are no minimum requirements for adult dental coverage. It's really that simple - Find-A-Doc will give you a listing of results that meet your criteria . Our plans are designed to work with your needs and budget. Delta Dental will continue the previous approach taken by DHS with respect to posterior composites. Complete this form to refer your dentist. Want to know before you set foot in the dentists office? Delta Dental is committed to completing its credentialing process within 7 business days of having all the information we need in order to evaluate the application. How do I contact Delta Dental Florida? Delta Dental of Michigan is a part of Delta Dental Plans Association. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." I receive dental insurance through my employer, I receive dental insurance via my employer, The 2022 State of Americas Oral Health and Wellness Report, Older adults: don't brush off dental care. If treatment does not begin prior to January 31, 2018, the prior authorization process will have to be re-started. 24-hour access to all of our online services through the Dental Office Toolkit. If you elect the Health Maintenance Organization (HMO), you must receive your . Call our customer service team at 866-558-0280(TTY users call 711)for help today. How long does the credentialing process take? We have the tips that will polish every part of your practice and get it running in top shape. Select a category - doctors, specialties, or places. App features may vary by geographic area and individual dentist participation. If youre planning to travel abroad, check out information on our Passport Dental program. Contact us at 501-992-1710 and our friendly staff will help guide you through the process. Choose from more than 50% of dentists. To participate in the Delta Dental Smiles or Delta Dental Smiles for Kids networks, you must be enrolled as an Arkansas Medicaid Provider and have an active Medicaid Number. Contact your company's human resources department. Access to our world class customer service department. For TTY, call (888) 466-7566. General information regarding your dental benefits, General information regarding cost estimates, More information regarding how cost estimates are calculated. 2022 - Delta Health Systems. However, DHS has further advised that a D2929 cannot be billed under the current plan. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. For tips to ensure that your Medicaid provider enrollment or re-enrollment application process is as seamless as possible, please visit the ARMedicaid web site. Delta Dental administers the Arkansas Medicaid dental program under the names of Delta Dental Smiles and Delta Dental Smiles for Kids. Delta Dental of Colorado understands that our providers are an integral part of fulfilling our mission and doing business. This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Healthy Michigan Plan and Pregnant Women Dental. We know you have a choice in the insurance providers you partner with, and we're excited that you've . This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. Find a Provider Near You Delta Dental Providers Delta Dental Network Dentist Hawki Dentist Dental Wellness Plan Dentist DeltaVision Providers Access Network (see your ID card for network) Insight Network (see your ID card for network) Buy Contacts - Discounts on contact lenses. Patient Direct members, please go to www.teledentistry.com/patient-direct or call 1-866-891-0556. To learn more about the Healthy Michigan Plan and to find out if you are eligible, please visit the State of Michigan's website at www.michigan.gov/healthymiplan. We have twenty-seven locations throughout Michigan, including locations in the Upper Peninsula. Read here. By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. Child dental services (up to age 21) SD Medicaid Child Dental Services Fee Schedule [.pdf] Providers can increase reimbursement rates and covered services by participating in programs that encourage care of young children and the developmentally disabled. Can a Medicaid beneficiary change managed care organizations after their 90 day switch period expires? Dental insurance helps you plan for the costs of dental care. Can a dentist bill and collect from a Delta Dental Smiles member for a service if the member has exceeded their benefit maximum? The Content on this website is not medical advice. View resources Get Paid Faster! Contact your company's human resources department. Members Smiles for Kids Use of this website in no way increases or decreases the benefits available under a dental benefit plan. A copy of the Delta Dental . Estimates should not be construed as financial or medical advice. "Delta Dental" refers to the national network of 39 independent Delta Dental companies that provide dental insurance. Teledentistry provides around-the-clock access to a dentist. Delta Dental has the largest network of dentists nationwide. Contact us at 501-992-1710 and our friendly staff will help guide you through the process. Dental Benefits for Adults in Medicaid States have flexibility to determine what dental benefits are provided to adult Medicaid enrollees. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved . In fact, many of your friends and family probably have Delta Dental insurance coverage. We understand that the effective date of a change will be the first day of the month following DHSs completion of the switch process. If you need further assistance, call our customer service department at 1-866-864-2499. 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