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Keep your eye on the road with the AAA/Delta Dental Plan

Having a basic dental program plays a large role in helping keep small dental problems from turning into bigger health issues down the road.
To ensure that you get the absolute best value from your dental plan, we've gathered some important information about how your plan works and listed it below:

Use a participating dentist.

When you receive care from participating dentists, there's no balance billing and they take care of everything. Our participating dentists encourage preventive care and handle all the claims, paperwork and inquiries directly with us. At non-participating dentists, you pay first, then submit a claim, and you'll be reimbursed up to our allowance.

At the participating dentist's office, show your identification card and discuss your treatment. After your visit, the dentist's office will file the claim and we will pay the dentist for covered services.

If your dentist relocates or ever decides not to participate with Delta Dental, you can choose a new participating provider from our network without any disruption in your coverage or benefits.

What happens if you use non-participating dentists.

You always have the option of going to a non-participating dentist, however, it will usually cost you more money.

You are expected to pay the difference between their full charge and Delta Dental's payment.

You may also have to file the claim and we will reimburse you directly. Ask the dentist to complete a standard American Dental Association claim form. You should pay the dentist his or her charges and it is your responsibility to mail the form to:
Delta Dental of RI, PO Box 1517, Providence, RI 02901-1517.

Get pre-treatment estimates.

Whenever your dentist recommends treatment that is expected to cost $300 or more, we suggest that the dentist file a pre-treatment estimate with Delta Dental. We will review the treatment plan and let you and the participating dentist know, in advance, how much we will cover. For services that your dental plan does not cover at 100%, (crowns, for example) having a pre-treatment estimate lets you know what your out-of-pocket cost will be.

What to do in an emergency.

You are covered for procedures rendered in a dental office by a licensed dentist, provided they are covered benefits under your plan. Delta Dental only covers services received in a dental office; we do not cover services rendered in a hospital, surgi-center or urgent care facility.

In the event of a life-threatening emergency, you should go to the nearest hospital for treatment and submit any claims to your medical insurance plan. Similarly, if you have an urgent dental condition, you should seek treatment at the nearest dentist's office, regardless of whether the dentist participates with Delta Dental. You do not need prior approval before seeking treatment, however, your dental plan will only pay for covered benefits.

Most dental offices treat patients within 24 hours for an urgent appointment. If you need help selecting a participating dentist, call customer service for a list of dentists in your area, or search online.

Delta Dental also provides toll-free customer service with InfoLine - our automated telephone information system. Call 1-800-84DELTA (800-843-3582) 24 hours a day, 7 days a week. Our customer service representatives are also available Monday through Friday from 8 a.m. to 5 p.m., E.T. to answer questions or resolve problems.

Once you're a Delta Dental member, you can also take advantage of our convenient online BenefitCheck feature - providing you with round the clock access to the very latest information about your personal benefits.