Q. Where do I mail a claim?
A. Claims can be mailed to our Claims Department at:
Delta Dental of Virginia
Attn: Claims Department
4818 Starkey Road
Roanoke, VA 24018
Q. Is there a number I can use to fax a new claim?
A. New claims can be faxed directly to our mailroom at 540-491-9717
Q. Where can I get information about my benefits?
A. Your company’s coverage information is found in your Evidence of Coverage booklet which is provided to you by Delta Dental. You may also contact our Benefit Services Department at 1-800-237-6060 for a procedure code listing.
Q. How can I tell what I owe for dental services?
A. The amount that you owe will be detailed on the Explanation of Benefits that you will receive by mail. You may also access your Explanation of Benefits when you log in to the Subscriber Connection section of this website.
Q. How will I get reimbursed?
A. An in-network dentist will file your claim directly and be reimbursed directly by Delta Dental of Virginia. You may be responsible for any co-insurance, co-payment, and/or deductible due the dentist. If you choose to visit a non-participating dentist, you may be responsible for all payments and charges to the dentist at the time of treatment. You may also be responsible for submitting the claim form to Delta Dental of Virginia. In most cases, Delta Dental will send you reimbursement for the covered services. Claim forms can be printed from this website under the Subscriber Connection/Claim Form.
Q. Do I need pre-approval for major dental work?
A. We do not require a pre-approval for services received, but we recommend it for any non-emergency treatment plan of $250 or more. Please discuss this option with your dentist.
Q. Do Delta Dental's plans cover cosmetic dentistry and orthodontics?
A. Cosmetic services are not covered under Delta Dental’s group dental plans. Orthodontia is a benefit option that is offered as a service under many plan options. Please review your group’s Evidence of Coverage booklet to see if this is available under your plan. You may also contact our Benefit Services Department at 1-800-237-6060 to review your group’s dental benefits.
Q. What if I need dental care while I'm out of the country?
A. Please see a dentist for your oral health needs. You will need to submit the claim to Delta Dental of Virginia at:
Delta Dental of Virginia
Attn: Claims Department
4818 Starkey Road
Roanoke, VA 24018
We will process this claim under your group plan’s benefits and reimburse you.
Q. What if I am unhappy with the dental care I received or wish to file a grievance?
A. You are welcome to file a complaint with Delta Dental of Virginia concerning any quality of care issues you may have. Please detail your complaint in writing and mail to:
Delta Dental of Virginia
Attn: Benefit Services
4818 Starkey Road
Roanoke, VA 24018
Q. How do I find a Delta Dental participating dentist or check to see if my current dentist is a Delta Dental participating dentist?
A. You can view a listing of participating dentists online by visiting the Find a Dentist section under the Subscriber Connection of this website. You can also call our Benefit Services Department at 1-800-237-6060.
Q. What are the advantages of visiting a Delta Dental dentist?
A. The main advantage is the cost savings to you. Our network dentists have agreed to accept our allowances as payment for the services provided under your plan. Another advantage is that a participating dental office will file all claims for you. Also, Delta Dental will pay the dentist directly. You are only responsible for any deductible, co-insurance or co-payment at the time of your visit.
Q. My dentist is not a Delta Dental dentist. Can I still visit him or her?
A. Yes, under our Delta Dental Premier & Delta Dental PPO plans you have the freedom of choice. Seeing an out of network dentist will potentially be more costly because they have not agreed to accept Delta Dental’s payment allowances. You will be responsible for the difference between what your Delta Dental plan covers and what the non-participating dentist charges.
Q. How do I change dentists?
A. Under our Delta Dental Premier and Delta Dental PPO plans you simply make an appointment with your new dentist of choice. DeltaCare subscribers will need to contact the Benefit Services Department at 800-237-6060 to choose a new DeltaCare dentist.
Q. How can I recommend that my dentist participate in a Delta Dental program?
A. There are several ways to recommend a dentist. You can contact your Human Resources/Benefits Department and submit the dentist’s name. Also, you can call our Benefit Services Representatives at 1-800-237-6060. The dentist can also contact Delta Dental of Virginia directly.
Q. Do I need to submit a claim after receiving treatment or will my dentist handle it?
A. If you receive treatment from a participating dentist, they will file all claim information for you. However, you are responsible for submitting claim information if you visit a non-participating dentist. Your employer should be able to provide you with a claim form or you can print one from our website at deltadentalva.com. Claim forms should be mailed to:
Delta Dental of Virginia
Attn: Claims Department
4818 Starkey Road
Roanoke, VA 24018
Q. Where can I submit a change of address ?
A. Inform your Human Resources/Benefits Department of your new information.
Q. I've recently married. How do I add my new spouse to my plan?
A. Contact your Human Resources/Benefits Department and inform your employer that you would like to add a dependent to your coverage.
Q. Do you offer individual dental plans?
A. Delta Dental of Virginia does not offer an individual comprehensive dental plan at this time.
Q. What is a pre-determination?
A. A pre-determination is a plan of treatment, completed by your dentist, for services that will be provided at a future date. You and your dentist will receive a reply as to whether the treatment plan is covered under your group’s benefits. You will also receive an estimated dollar amount for the planned procedure. A pre-determination is recommended when dental services are expected to cost $250 or more. A pre-determination is valid for 90 days and is subject to eligibility, benefit maximums, group and dentist status at the time services are provided.