Frequently Asked Questions About Delta Dental Plans for Employers
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.
Which Delta Dental network of dentists should I choose for my employees, Delta Dental Premier or Delta Dental PPO?
The Delta Dental Premier network provides access to more than 90% of the dentists in Iowa and over 80% of the providers nationwide. The Delta Dental PPO network includes one-third of the dentists in Iowa and more than 40% of the dentists nationwide. The PPO network offers greater savings to employers and employees, while the Premier network offers greater access to providers. Members are free to go to any dentist, but may save more money by going to a PPO or Premier network dentist.
Delta Dental can provide a list of providers in our networks by geographic area based on your employee locations nationwide. We can provide the information in list form and on a map to show the distance between employees and the nearest Delta Dental dentist.
For a complete list of participating Delta Dental dentists, click here.
Where is Delta Dental of Iowa's claims processing center?
Our claims processing center (and corporate office) is located at 9000 Northpark Drive, Johnston, IA 50131. Claims should be mailed to Delta Dental of Iowa, PO Box 9000, Johnston, IA 50131-9000.
How can our employees contact Does Delta Dental of Iowa to get their questions answered?
Delta Dental's toll-free number is 1-800-544-0718, email email@example.com, or employees can use Delta Dental's Member Connection to view their eligibility, claims history and claims status at www.deltadentalia.com.
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 employees2 - 50 employees.
- Large Group - Fully Insured or Self-Funded Plans 51 or more eligible employees (there is no maximum size).
- Individual Plans
How is enrollment transferred to Delta Dental?
Delta Dental's preferred method for enrollment is electronic processing. We can accept electronic files or you can do your own enrollment through our online Employer Connection.
Does Delta Dental offer products for individuals that are not eligible for group coverage?
Delta Dental has an individual product available for Iowa residents. This product is designed for retirees, self-employed, students and others that may not be eligible for group coverage.
What is Delta Dental's maximum plan allowance (MPA), or allowed amount?
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.
Can a Delta Dental dentist "balance bill" for charges above Delta Dental's MPA?
No, a Delta Dental dentist cannot balance bill the enrollee the difference between their charged fee and the Delta Dental MPA or allowed amount.