Why the change?
For a long time, cooperation with Delta Dental has been a challenge. Compared to other networks, Delta Dental requires unnecessary paperwork for each treatment and imposes a lot more restrictions on reimbursements. Even if one of our doctors believes you need a certain treatment, Delta Dental often times denies paying for the necessary treatment. Additionally, the new contracted reimbursement rates mandated by Delta Dental starting year 2023 are now significantly lower than our usual fees.
All of the above reasons have left dentists with two options. In order to stay in network with Delta Dental, some dentists have decided to cut corners which leads to low quality of dental care. Or, to uphold high standards of dental care, many dentists have decided to leave Delta Dental network. A few of them even took this issue to the court with a class action lawsuit.
At Trident Smiles Dental, we prioritize your dental health and well-being. We want to continue to provide you with the best care possible, which is why this difficult decision has been made.
Are you still accepting Delta Dental?
Yes. We are ending our current contract with Delta Dental, but our office will continue to accept Delta Dental insurance and all patients with this insurance will experience minor to no changes. There will be no difference in ortho (Invisalign treatment) coverage for Delta Dental patients getting Invisalign treatment at our office. PPO plans are meant to allow the patient to receive care from any dentist of their choice in the country.
What can Delta Dental patients expect?
Our office will be going out of network on June 21st, 2023. However, WE STILL ACCEPT YOUR INSURANCE AND THERE WILL BE NO CHANGE IN COVERAGE FOR INVISALIGN. You may get a letter from delta dental explaining the impact on your benefits. Delta Dental PPO plans cannot stop you from seeing the dentist of your choice.
1. Depending on the plan contracted between your employer and Delta Dental, you may notice zero to minor increase in fees charged for our services. There will be no difference in ortho (Invisalign treatment) coverage for Delta Dental patients getting Invisalign treatment at our office. You can log in to your Delta Dental member site to check the difference in benefits between in-network dentist vs out-of-network dentist.
2. 100% of the procedure fee (insurance portion plus patient copayment) will be due at the date of the service. Trident Smiles Dental will bill Delta Dental on your behalf, but Delta Dental will now make the payment (insurance portion) to you, the patient, within one month of the service date. You will receive a check from Delta Dental to your address in our records. Our staff will assist you if there is any difficulty collecting payment from Delta Dental.
3. All of our financing options such as Sunbit Financing or Lending Point are still available for you. We also recommend signing up for dual coverage if you and your spouse have different insurance carriers. And for any inconvenience this news might have caused, we would love to offer you a discount towards your next treatment.
Can I pay after my insurance pays me?
No. 100% of the procedure fee (insurance portion plus patient copayment) will be due at the date of the service. Since, Delta Dental will send you a check at your address in our records.
I am in the middle of my treatment. What happens now?
We will honor the fees that were quoted for your treatment until you finish the treatment, however, 100% of the fee will be due at the date of service.
Is there anything I need to do as a patient?
No. As a courtesy, we will submit the claim, x-rays and documentation so that you can maximize your dental benefits.