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  • Ca Delta Dental 1213 2020

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Tional information to support the original claim submitted. A claim review for resubmission can be completed by Delta Dental in 30 days or less. Provider disputes will only be processed as a dispute if the provider has first attempted to resubmit the claim for correction or additional review prior to the dispute being filed. Provider disputes receive a written response within 45 days. INQUIRY TYPE: (check one) Claim Resubmission - completed in 30 days or less Provider Dispute - resubmis.

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Per the missing tooth clause, initial prosthodontic services to replace natural teeth that are missing prior to your Delta Dental Effective Date of Coverage are not covered.

Premier fees are typically higher than Delta Dental PPO fees, but PPO members still enjoy cost protection at Premier dentists. Non–Delta Dental dentists can set their prices wherever they want. Low fees reduce your members' out-of-pocket expenses and let their plan dollars go further.

Delta Dental PPO Individual Premium Plan is a plan that covers a percentage of your costs for covered dental services. Once you enroll, you'll get coverage for diagnostic and preventive care, including exams, cleanings and x-rays.

What is the missing tooth clause in dental insurance? The missing tooth clause is a clause in the dental insurance plan that will not cover any dental treatment that replaces a tooth that was extracted or missing prior to the date the insurance coverage started.

If your Guardian PPO Dental insurance contains a missing tooth clause, any tooth that was lost before the insurance coverage start date would not be covered. The full denture, partial denture, implant, or bridge needed to replace the tooth or teeth would have a 100% out of pocket cost to you.

HMOs and PPOs are two main types of dental insurance. HMO plans have lower premiums and copayments but restrict your care to the plan's network of dentists and specialists. PPO plans offer more flexibility with choosing your dentist but charge higher premiums, have higher deductibles, and impose annual coverage limits.

In addition to ranking best overall of the 17 companies we surveyed, Delta Dental also made our lists for: Best dental insurance provider for braces. Best dental insurance companies for implants. Best dental insurance for older adults.

DeltaCare® USA is a dental HMO that provides you and your family with comprehensive benefits and easy referrals to specialists within Delta's HMO network. You must live in California to enroll and some areas of California have more network providers than others.

Delta Dental's PPO network is one of the nation's largest, with more than 112,000 dentists participating in over 278,000 locations nationwide. This not only gives you a great selection of qualified dentists to choose from, but increases the likelihood that your dentist already participates in the network.

In California, Customer Service representatives will be available at 888-335-8227 from 5 a.m. to 8 p.m., Pacific time. Our automated services continue to be available 24/7.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232