Reimbursement

If you visit a Delta Dental dentist, you do not have to pay the entire bill and wait for reimbursement from us. Delta Dental pays its portion directly to your dentist. We send you a notice of payment explaining your portion of the bill. You pay the dentist only that amount.

If you visit an out-of-network dentist, you may have to pay the entire bill in advance and wait for reimbursement, so it's to your advantage to select a Delta Dental dentist.

Online Services

Manage your account and find out about eligibility and benefits.

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Find a Dentist

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Forms

Claim Forms

Delta Dental PPO and Delta Dental Premier claim forms by administrator.

DeltaCare USA claim and encounter forms.

Claim forms for AARP Dental Insurance Plan.

Tip

How To File
A Dental Claim

Dentists who accept Delta Dental will file claims for you. You only need to file a claim when visiting a non-Delta Dental dentist.

Customer Service Forms

For fastest response, select the form for the company through which you receive benefits.

Grievance Forms by Program

We urge you to communicate directly with your dentist. If you cannot obtain a satisfactory resolution, file an online grievance report or call customer service.