Delta Dental

I have been with Delta Dental insurance for two years through my job. Every time I take my sons to the dentist they can't receive service because it's showing under my dental plan they are not covered. When they don't go to the dentist then they are covered. They don't want to pay for anything but they want your money. When my son went to the dentist finally he received services, but when the claim form came it came in my other son's name. So I was called then and told them then they gonna tell me my son was not covered under my insurance, then I saw said. "Why y'all putting the claim firm in my other son's name when he has not been to the dentist yet." Smh. Then my son that they said was covered under my insurance finally went to the dentist. When we got there they said it's showing up that he is not covered under my insurance.

I purchased a Delta Dental insurance plan for my family of 3 from Costco in Oct 18. Not knowing it was HMO (although decent coverage) I called to "upgrade" to PPO. Delta graciously charged my 187 a month for PPO (they said it would be effective the next day) when the Costco plan was 219 a year. They also cancelled my Costco plan at the same time. I went to PPO plan dentist the next day and was told I had a "waiting period of 6 months". The Delta salesmen knew I had an appt with the dentist the next day and in fact said "I get calls from patients sitting in the parking lot of dental offices needing urgent coverage all the time". This is normal. He never mentioned any wait period.

This company is the worst as a Medicare supplement dental plan. They promise "50%" reimbursement for periodontal surgery and I was paid $440 for a $2800 claim. They state that my periodontist "was not in their network", but the closest Delta provide is 35 miles away and not the referral of choice for my regular dentist who diagnosed the problem. They are endorsed by AARP and they too defended the reimbursement. Simply put, they just do not pay what the plan promises so look elsewhere for your Medicare dental coverage. I spoke to the billing staff at my periodontists office and am now looking into other plans that they endorse.

I've been working in Dental for 7 years now, and I have solid experience as my doctor's lead assistant and assistant office manager. If you come in for X-rays, PREVENTATIVE cleaning (not a SCRP, or deep cleaning) and exam, those claims will be paid on your behalf promptly. BEWARE of Delta Dental's claims department for ANY treatment you may need. It takes hours to get a hold of a representative, 9 times out of 10 they are rude or don't understand the question. If the call "disconnects" they don't call back, despite asking for number for that very reason. They will tell you a claim is processing (after you've provided the requested info multiple times) and they need no further info and to allow time for processing.

I am retired and submitted a $3000+ claim for dental work for my husband, who has had Parkinson's for over 15 years. I first mailed all of the necessary forms and information to DELTA DENTAL - the address in Wisc. They never received it! I then sent additional copies, Return Receipt Requested. I received the green postcard back, with an illegible signature.

Let's face it. Insurance, especially dental, is a scam. We've all been tricked into believing it's a necessity so that we can slack off and avoid actually managing our finances. It's pretty simple. Insurance companies make a business of paying out less than what people pay in. American Society acted crazy when Amazon bought a grocery store for $13 Billion, but nobody bats an eye when AETNA was sold last year for $69 billion. It was barely even news. That said, I work in a family dental practice that has been in business for 30+ years. Insurance payments make up 90% of our revenue, and Delta Dental is the biggest player in the game. We dislike dealing with insurance vampires so much that we have removed our practice from every PPO... except Delta Dental. Most government or public employers use Delta Dental. So it would be business suicide to not be linked to them.

I am shocked when I read these reviews. Is there another Delta Dental? My husband works for Sunoco and this is the dental insurance and we have had them for years. I have had many a procedure including crowns and root canals and we couldn't ask for better insurance. They pay 80% for the procedures I have mentioned. My dental office could not believe it. They said they have never seen anything like it. Most plans don't cover what ours does. There is of course a cap each yr but my goodness I have had a lot of work done. My dentist is excellent so I think the problem these people are having are their dentists not the plan. My husband just got a bridge done as well along with a crown. Again it has to be the dentist. I even got money back last yr from my dentist.

I purchased a Delta Dental plan in Jan 2017 through the Affordable Care Act (Covered California). My out of pocket monthly premium was $50.99, the highest I could afford. In 2018 I had two implants in my lower left jaw. The Dentist calculated my out of pocket expense and what the normal or standard coverage would be through Delta. Several months later they informed me that I owe the balance of $1365.00 because Delta only pays for implants for those 19 years of age and younger. The online benefits summary tells me that Delta will pay 50-80% of implant related cost, depending on the dentist.

Our family has been w/ Delta Dental HMO via small business program. We have switched to countless offices, (per Delta dental advice) hoping to find an honest provider. We have yet to find a dental office that honors the plan- crowns are double, if not triple the cost indicated on plan. Calling Delta Dental has proved to be as frustrating as the dental office. They will suggest filing a grievance over dental office refusing to honor plan. Then, after you waste your time w/ grievance, Delta Dental will suggest changing offices. Outrageous, that insurance commissioner has not investigated this plan.

I recently signed on for Delta Dental - workplace only option. I went to see one of their “network providers” within 6 months that provider left town. I found another Delta provider. Any new dentist requires a comprehensive exam. Delta refused to pay it. We’re talking about the small print in their so-called coverage. I am stuck with Delta dentist for a year. I will NEVER use this insurance company again. It’s lousy coverage and a perfect example of the insurance company GREED. I would have been better off not having Delta and paying out of pocket. So Delta got their monthly check and my dentist got a check, too. Warning: stay away from Delta! I’m filing a complaint with insurance commission and the Attorney General’s Office.

I decided at age 67 it was time to get some dental coverage as I was needing more work done. I purchased the AARP Delta Dental plan effective 12/01/2017. Well they sure know how to collect the premium every month but after 10 phone calls and trying to work with my dental office, I have not had a claim paid. Why? Every time my dentist submits a claim, they deny it because I have no coverage. The stress and phone calls of trying to straighten this out has been one of unbelievable frustration. Two weeks ago they promised to call my dentist office and today when I talked to them- they had never called. I wish I had read these reviews before I purchased this insurance. And today I got a letter stating the premium is going up from $25 month to $41 per month. Terminating!!!

Have been paying for a premium gold plan in order to continue to use my dentist. It was recommended that I have a bridge placed to replace teeth. Delta refuses saying if there is more than one solution, they pay for the cheapest. In other words instead of paying the benefit of $2,500, they will pay $500, but I can do whatever I want. My dentist has spoken with their consultant, who, by the way, is a part-time dentist who works only 4-5 hours a week reviewing all claims. Their response is I could get a removable partial for cheaper. They dictate the quality of life you will have by manipulation.

This company has been awful for me. They refuse to cover basic procedures like xrays and will not pay more then 43.00 for any service. The customer service is horrible at best. They transfer you over and over, only to tell you that the department you need to talk to is not available. I would not recommend this company to anyone.

For a time, I privately purchased my own dental insurance through Delta Dental. I didn't have occasion to use it so I can't speak to that, but when my employer provided a service and I tried to cancel Delta Dental, I was blocked from doing so entirely. There's no automated option on their phone line to cancel. All attempts to reach a representative end in a disconnected call. The website came up blank after I registered so I couldn't do it that way. In the end I had to call my bank and pay a $35 fee to block all future withdraws from Delta Dental from my bank account. Horrible customer service, people shouldn't be trapped into keeping them via blocking exits.

I just found out Delta Dental sends insured members a check for past dental work. I didn't know that so every time I received correspondence it went in the trash can because I thought it was just a statement. Now they can't tell me if I can get those checks reissued. Also, I just tried calling customer support. After going through all of the various frustrating menus and giving all of my information, the automated voice said, “We are experiencing technical difficulties” and hung up on me. Couldn't they have told me that upfront? Frustrated.

I had a root canal performed on 6/14. I have primary dental coverage through former employer with BCBS, and secondary dental coverage with current employer through Delta Dental. Claim was first filed with BCBS. The endodontist's office then filed with Delta, providing them with the claim statement showing what Blue Cross reimbursed for the root canal. Delta received the claim on July 12. As it appeared to still be "in process," I called Delta asking about the claim. I paid out of pocket for the services when they were performed (almost $1600). I was advised that it can take up to 30 days to process a claim. I then spoke to someone at Delta on July 26 who indicated they needed the date the BC policy became effective (over 10 years ago). I sent that info immediately. They still denied the claim and have now restarted the processing time to allow yet another 30 days.

Recently most of my claims were denied. When asked, Delta only said that they covered a certain amount of a procedure, despite the Benefits Booklet showing 100% covered in both in-network and out-of-network. When I asked how much is covered up to this "certain amount" the customer service rep told me that they do not know until the claim is being processed. Now I'm stuck with a $288.00 bill for a dental cleaning because these policies are not transparent. How am I supposed to estimate my coverage when Delta Dental maintains an arbitrary internal amount and will not allow consumers access to this so they can make the best choices for their health? Delta Dental is shady and untrustworthy. I would stop using them if our plan allowed.

My 5 year old had a tough time with her teeth as most had some decay. It took 7 trips to the children's hospital to get her teeth drilled, filled and capped. With each session she needed "sleepy juice" to sedate her. On the last trip to fix her front teeth the dentist suggested we try scaling back the decay since she'll soon lose her front teeth. I thought this was a wise, less invasive choice and was hoping to save a little money avoiding more crowns. The procedure was quick and relatively easy compared to previous work. When I received the bill from Delta and the dentist I was shocked to discover that none of this scaling was covered as it was coded as odontoplasty - a procedure typically utilized for aesthetic reasons to improve tooth appearance.

We had Delta Dental coverage for many years through my employer. I retired and got health care coverage through ACA, Covered California. Because of website issues with Covered California we missed dental coverage for our first year on ACA. Since then, we have had Delta Dental coverage. My wife had a non-urgent crown replaced a few months after we again were covered by Delta Dental. They are refusing to cover this crown using fine print in the contract. Be aware of the fine print in their contract. No consideration for long term loyal customers!

Beware of details and unwritten rules for Delta Dental, they lie and cheat and do not care for anyone. Delta told me I had to go to the one dentist they assigned to me and I followed all the rules, even hidden ones, but Delta had assigned me to a dentist that did not accept their insurance. By the time I could get appointment with another dentist, it was July so Delta invoked their unwritten hidden fraudulent rule and told me I was not eligible to the promised "two cleanings in 12 months" because there has to be minimum of 6 months between them. If you keep Delta long enough, you will be in same situation fighting the calendar to get your promised coverage. Customer support will not budge on this and whine at you to not yell at them for their fraudulent criminal cheating behavior. In MANY cases, Delta is more expensive than paying dentist directly.

Delta Dental Insurance refuses to correct miscoded claim of a partial denture although they are aware that this code is incorrect and the Dentist office admitted on April 3, 2018 that they did not give me the more expensive metal frame partial that was coded. The miscode is to Delta Dental’s advantage because it prevents me from getting any other service to the upper arch.

6/26/18 received tooth implant, as per the Delta PDF bylaws they will pay either the cheaper of two options (bridge, or denture). Well they paid 0, and I'm stuck with $2,774 bill. They further stated in their denial letter "AN IMPLANT PROSTHESIS IS COVERED ONLY IF THE EXISTING PROSTHESIS WAS PLACED AT LEAST 5 YEARS PRIOR TO REPLACEMENT." I lost a tooth from a cracked root that needed replacement, my Dentist and Oral Surgeon can't believe the denied claim. What I also noted on their denial statement they don't include their phone number. I guess they just want are premium and when they deny coverage they don't want to hear back from us. I am intending on pursuing this matter to the attorney general's office as well.

They cover 2 exams, 2 sets of x-rays and 2 cleanings each year. But 1 FM Radiograph every 5 years. I spoke to Kayla at Delta Dental benefits 877-377-5727 complaining about them not paying for my x-rays and that it seemed the full mouth x-rays are never covered on me. Here's what I discovered. The way they've cheated (but she wont use that term) consumers is their internal rule on the cost of x-rays your dentist takes during a routine exam. I recently found out that they bundled a certain amount of x-rays into one full mouth (FM Radiograph). If it's submitted on the same day, and the total payout for them is as much as one FM Radiograph. So your x-ray set that would have been free turns out to be a charge, because you most likely had an event in the past 5 years that they had counted as an FM Radiograph.

I pay $20.37 a month for this insurance, and only found out after signing that it is only preventive coverage. My daughter needs her wisdom teeth pulled - and they won't pay anything. If I had known that I would have added her to my insurance. Don't waste your money, get a real insurance.

My dental plan covers 100% of preventative care, and 60% of other dental work, such as a crown. The patient pays 40%, which is a little high, and that's why I didn't think it's a great value, but it's not bad.

Don't waste your money. 3 years ago this was a really good company but now they don't pay hardly nothing. You will pay more on premiums than they cover no matter what happens. I tried to cancel then it was like an act of congress to cancel I called to cancel in Delta Dental in Oklahoma and she said I had to sent an email. They tried to charge me another month but that not happening. Good company gone bad...

I have received dental coverage through my employer. Recently had a bridge done. An estimate was given as usual. This time however they denied my claim because apparently I now have a "poor prognosis" so I get a bill for over 14 hundred dollars. I've already paid over 3 thousand out of pocket. What's the point of having insurance if they don't cover anything. Stay clear of them.

I lived in Florida in 2014 and had Delta Dental through my employer. Our benefits had a $1000.00 for orthodontics. I got Invisalign for my daughter and recently I called her orthodontist who we actually still commute to Florida to finish her service. They said Delta Dental only paid $500.00. I called Delta Dental and was told they only pay $500.00 then the next year they pay the other $500.00. So since I had moved before the second year of service, even though we had the coverage at the time she got the Invisalign, they refuse to pay the other $500.00. It is a total ripoff. None of us employees were told this nor was it in our benefit package.

Do not buy dental insurance with Delta Dental Insurance company. You will be sorry if you do because the insurance is worthless: I bought an individual dental insurance with Delta Dental Insurance. Policy name is Delta Dental PPO Individual. On their website they advertise that the policy I bought will pay 100% for General cleaning twice per year. That what I am looking for. My first cleaning happened on 4/20/18. This cleaning I have done for many years with the same dentist. My past Humana Medicare Advantage Insurance paid the full amount for this cleaning twice per year no problem.

My advice is to stay as far away as you can from this den of thieves. Needing to have some dental work done after several years of neglect, I chose and paid the annual premium for Delta Dental's top of the line program. I was quoted pricing examples for a variety of procedures and thought this coverage best fit my needs. I then visited my dentist for examination and development of a dental health plan. During this visit, I was told the actual prices I would be paying for each procedure. Under Delta Dental's plan, the cost of every procedure was significantly higher than what I had been led to believe when purchasing the plan. My dentist had his own plan, which reduced the cost of my procedures significantly.