Delta Dental Premier frequently asked questions
- What is a Delta Dental Premier dentist?
- What dentist can I see?
- Can I see a specialist with my plan?
- How can I find out what my remaining benefits are for this current benefit year?
- What are the benefits and covered services under my dental plan?
- What if I have a dental emergency and I'm out of town?
- How long are my children covered under my dental plan?
- My former employer is allowing me to pay for continued insurance coverage on my own. How long will my COBRA plan be effective?
- What does the term "least costly" mean?
- What is the address for filing a claim?
What is a Delta Dental Premier dentist?
Delta Dental Premier dentists have contracted with ODS and agreed that their charges will not exceed the plan allowance, which means your out-of-pocket costs will be lower. For a list of participating Delta Dental Premier dentists, view our find care directory. A Delta Dental Premier dentist also has agreed to submit any necessary claims to ODS.
What dentist can I see?
Most Delta Dental Premier plans give you the option of seeing any licensed dentist; however, a nonparticipating dentist may charge more than the plan allowances, and you will be responsible for any charge above that amount.
Can I see a specialist with my plan?
Specialist services are a covered benefit under most plans, and the same Delta Dental Premier agreements apply. For a list of participating Delta Dental Premier specialists, view our find care directory. You may want to have the specialist submit a preauthorization to determine how much of a benefit you can expect to receive.
How can I find out what my remaining benefits are for this current benefit year?
You can view your remaining benefits as well as other health information on myODS, your personalized member website. You also can contact ODS Customer Service, and we will review your claims history to determine your remaining benefits.
What are the benefits and covered services under my dental plan?
To view your benefits and covered services, please log on to myODS, your personalized member website. You also can refer to your Member Handbook, which you received in the mail after enrollment, or you can view your Member Handbook in myODS. If you have further questions about a specific service, contact Customer Service.
What if I have a dental emergency and I'm out of town?
Most of our plans allow you to see any licensed dentist. Refer to your Member Handbook for any specific limitations. You can access your Member Handbook online anytime by logging in to your myODS account.
How long are my children covered under my dental plan?
Please refer to your Member Handbook for the specific age limits under your plan. You can access your Member Handbook online by logging in to your myODS account.
My former employer is allowing me to pay for continued insurance coverage on my own. How long will my COBRA plan be effective?
The length of time COBRA is offered may vary. You can contact your employer or the third-party administrator that handles the plan.
What does the term "least costly" mean?
If a tooth can be restored with a procedure that is less expensive than the procedure your provider is using, benefits paid will be based on the procedure that costs less.
What is the address for filing a claim?
Send claims to:
ODS
601 S.W. 2nd Ave.
Portland, OR 97204
Please include the following information:
- Patient's name, identification number and group ID number
- Date of treatment
- Diagnosis
- An itemized description of services and charges
If the treatment is for an accidental injury, include a statement with the date, time, place and circumstances of the accident when you send us the physician or professional provider's bill.
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