Are these products available in other states?

Delta Dental of Iowa is a member company of the national Delta Dental Plans Association. With Delta Dental National Coverage we can offer plans tailored to your organization's needs throughout all 50 states and Puerto Rico. Your employees will have access to the nation's largest dental network and to a centralized claims processing system that assures prompt and accurate payment of your group's claims.

How do I know if our employees will have access to Delta Dental Premier dentists or Delta Dental PPO dentists?

Delta Dental uses a sophisticated computer mapping system called GeoAccess to match locations of providers in our networks with employee locations nationwide. The software compares the two and produces maps to illustrate the geographical relationships. It also provides the information in list form with distances shown in miles between employees and the nearest Delta Dental dentist.

Where is Delta Dental of Iowa's claims processing center?

Our claims processing center (and corporate office) is located at 2401 SE Tones Drive, Suite 13, Ankeny, IA 50021-8886. Claims should be mailed to Delta Dental of Iowa, PO Box 919, Ankeny, IA 50021-0919.

Does Delta Dental of Iowa offer a toll-free number where our employees can get their questions answered?

Delta Dental's toll-free number is 1-800-544-0718.

What is the minimum size group you insure? Is there a maximum size?

Delta Dental offers benefit plans designed for for groups in these size classifications:

• Pooled (small) Group size categories based on number of eligible employees
• 2 - 5 employees
• 6 - 9 employees
• 10 - 25 employees
• 26 - 50 employees.
• Large Group
• 51 or more eligible employees (there is no maximum size).

Delta Dental does not offer plans for individuals.

How is enrollment transferred - hard copy or electronic?

Delta Dental's enrollment processing system can accept either format.

What kind of cost containment reporting is available?

Standard reports available to large groups include:

• Executive summary
• Customer service statistics
• Benefit plan comparisons
• Monthly activity
• Member age distribution
• Claims by coverage category
• Dentist selection patterns
• Cost management savings
• Renewal summary

Special reports available to large groups upon request at no additional charge:

• Subscriber statistics
• Charges billed by age
• Claims by member status
• Dentist payment distribution
• Claim lag

What is The Delta Dental Difference?

This refers to Delta Dental's five-point cost management system that is entirely unique to Delta Dental. It includes a majority of dentists in Iowa and nationwide who have signed an agreement to provide valuable cost and quality assurances that save money for our groups and subscribers. This agreement includes credentialing, Participating Dentists' agreement to no-balance billing (absorbing any charges beyond their filed fees), in-office records verification, and agreement to adhere to claim and utilization policies and recoupment of fees.

How is the Maximum Plan Allowance (MPA) - Delta Dental Allowed Amount - calculated?

The Maximum Plan Allowance (MPA) is the amount which equals the lesser of the covered charge for a service, supply, or any dental procedure covered under the dental plan or an amount which Delta Dental establishes annually as its maximum allowable fee for the same service, supply, or procedure.

For all dental procedures covered under the plan, the maximum allowable fee is established by Delta Dental of Iowa for a covered dental procedure that is dentally necessary and dentally appropriate. It is developed from various sources, such as contracts with dentists, input from out dental consultants, the simplicity or complexity of the procedure, and the billed charge for the same procedures by dentists in Iowa, and a leading economic indicator.

For services billed by dentists outside of Iowa, the maximum allowable fee is based on information from the state's Delta Dental member company.