Using Your Benefits
Welcome to Delta Dental of Iowa and the Dental Wellness Plan!
The Dental Wellness Plan (DWP) gives you comprehensive benefits with a focus on preventive services. Taking care of your teeth is good for your health. Delta Dental’s goal is to give you access to quality dental care with DWP benefits to help you keep your teeth healthy.
Covered Dental Benefits
The DWP is for adults enrolled in the Medicaid program. DWP allows members to access dental services when you see a DWP Delta Dental dentist.
There are two levels of benefits:
- Full Benefits
- Basic Benefits
New DWP members will have Full Benefits the first year they are enrolled. To keep Full Benefits in the following plan year, you must complete two Healthy Behaviors which includes having an annual preventive service and completing an oral health self-assessment each year.
Download the summary of covered benefits
Completing Healthy Behaviors are required for you to keep your full dental benefits. Learn more about Healthy Behaviors and complete your requirements today.
Annual Benefit Maximum
DWP, like many other dental plans, has an Annual Benefit Maximum (ABM) of $1,000. This is the maximum dollar amount the DWP will pay toward the cost of dental care during a benefit year (example: July 1 – June 30).
Services That Do Not Apply
The following services do not apply to the Annual Benefit Maximum:
- Exams, x-rays, cleanings, sedation related to oral surgery, dentures and services that are needed for emergent situations
- DWP members that are 19 and 20 years old do not have an Annual Benefit Maximum
Delta Dental pays your dentist for covered services, up to your $1,000 Annual Benefit Maximum. You will not have to pay for covered dental services if you see a dentist or clinic that is part of the DWP Delta Dental network if you stay within your Annual Benefit Maximum.
What happens if I reach my $1,000 annual benefit maximum?
If you have reached your $1,000 Annual Benefit Maximum and the service(s) you receive are not on the excluded list of services, you need to pay for these services even if they are covered under your plan.
Find a Dentist
You must go to a DWP Delta Dental dentist to use your DWP benefits. You can find a network dentist online here or call us at 1-888-472-2793.
View Your Benefits
You can view the dental services you have and have used. You will need to register to view this section of the website.
Fraud, Waste, and Abuse
- Fraud - A false or wrong action used to get something of value.
- Waste - The misuse of services.
- Abuse - Refers to getting services that are used too much or are not needed at all.
To learn more about how these can affect your Dental Wellness Plan benefits, or how to report these actions, watch the video below.
DWP Member Handbook
The DWP member handbook gives you information on your benefit plan and rights as a DWP member. If you would like a hard copy mailed or emailed to you please call 888-472-2793 or email firstname.lastname@example.org.