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Delta Dental Insurance

Plans Available to WVU Employees

Dental Assistance Plan
The Dental Assistance plan is a discounted fee-for-service, managed-cost dental plan. This plan covers 100% of routine cleanings twice per year, and offers discounted services for basic dental work.

The Basic Plan is a low-cost plan designed to cover preventive and basic services only.

The Enhanced Plan is the most comprehensive coverage offered with this program and covers preventative, basic and major restorative, orthodontic and TMJ services.

Major Restorative, Prostodontics, and Orthodontics require a six-month plan participation before utilizing the benefit.

  • Submit claim forms to:
    Delta Dental of West Virginia
    One Delta Drive
    Mechanicsburg,PA17055-6999

How to Obtain Services
To obtain Delta Dental (WVU Group # 1058WV) benefits, call a Delta Dental member dentist, identify yourself as a Delta Dental patient and make an appointment. The dentist office will verify the patient’s eligibility and plan coverage and obtain authorization from Dental Dental. If going to a non-participating dentist, employees should obtain a claim form to take with them. When using a non-participating dentist, employees usually have to pay dentist in full.

Delta Dental PPO dentists will accept the Delta Dental PPO Maximum Plan Allowance (MPA) or the dentist’s fee, whichever is less (the PPO Allowed Amount) as payment in full for covered services. Co-payments and deductibles may also apply.

Delta Dental Premier dentists will accept the Delta Dental Premier MPA
(a slightly higher MPA) or the dentist’s total charge, whichever is less (Premier Allowed Amount), as payment in full for covered services. Co-payments and deductibles may also apply.

Non-participating dentists do not contract with Delta Dental to limit their costs. For services received from non-participating dentists, the employee may be responsible for these dentists’ total charges without limit by Delta Dental, including applicable co-payments and deductibles. Delta Dental will reimburse the employee for its portion of the Premier Allowed Amount. The total out-of-pocket payment is less if one goes to a PPO dentist, is more if one goes to a Premier dentist, and likely will be highest if one goes to a non-participating dentist.

Please call Delta Dental to find a participating dentist in your area at 1-800-932-0783, or visit www.deltadentalins.com.

Employees who visit a dentist under the Delta Dental PPO Network or the Delta Dental Premier Network, will receive the benefit of increased plan year maximums.

For plan year 2013-2014 information refer to Mountaineer Flexible Benefits Reference Guide for Plan Year 2015

Delta Dental Forms
FBMC Change-in-Status Form
Delta Dental Claim Form or call 1.800.932.0783

Submit claim forms to:
Delta Dental of West Virginia
One Delta Drive
Mechanicsburg,PA 17055-6999

Customer Service:
Delta Dental of West Virginia
(Dental) Plan #1058
Mon- Fri, 8 a.m.-8 p.m. ET
1.800.932.0783
www.deltadentalins.com

You can view your Delta Dental claims history online. To register, go to deltadentalins.com and click on Don’t Have an Online Account Yet? Register Today on bottom right of page.

ID Cards
Note: Delta Dental does not mail ID cards to participants.
Most Delta Network dentists will verify participants using Social Security Numbers. However, you may print ID cards from Delta Dental’s website if you wish.

How to Print your ID Card

  1. Go to www.deltadentalins.com
  2. Log into Online Services with your username and password. (If you don’t already have a username or password, click “Register Today” to complete the quick registration process.)
  3. Once you’ve logged in, click the “Eligibility & Benefits” tab.
  4. Select “Print ID Card” on the left-hand side of the page. (If you do not see this option, in some instances you may also need to click on the “Eligibility & Benefits” link on the left-hand side of the page before you have the option to select “Print an ID Card.”
  5. Click “Print.”