General Dental Plan FAQs

I have never used my plan before, how does it work?

Using your Delta Dental benefits is easy. Schedule an appointment with a Delta Dental provider or your preferred dentist. When visiting Delta Dental participating dentists, they will file the claims for you. We welcome the opportunity to help you learn what your benefit options are as well as help you locate a participating provider in your area.

You can register for the Member Portal to learn more about your specific benefit plan. If you need help finding a dentist, visit our Dentist Search. You can also contact our Customer Service Department for further assistance at (800) 662-8856.

 

I did not receive an Explanation of Benefits (EOB) statement for a recent dental office visit. How can I view/print my Explanation of Benefits (EOB) statements?

Delta Dental of North Carolina does not mail EOB statements for services covered at 100% and for which the patient owes nothing. These statements, however, are available to view and print on our secure Member Portal. Once you have logged into the Member Portal, click on Claim Info. Enter the date of service in the Start Date field, or enter a date range using Start Date and End Date. Click on the Claim Number for the EOB you wish to view. You also can click on the Procedure Code number for a definition of the service provided. To print EOB statements, click on the printer icon in your browser toolbar or select File then Print.

 

Do you offer individual coverage?

Yes, we do offer an Individual Plan. For more information, visit the Individual Plan page or call (800) 971-4108.

 

How do I find out which plan type I currently have?

For information about your benefit plan, log in to the Member Portal or contact our Customer Service Department at (800) 662-8856.

 

Can I view information for my adult dependents online?

Information for dependents 17 and older must be obtained via phone.

 

How do I get a new ID card?

You may print an ID card using our Member Portal or you may request an ID card via phone by calling (800) 662-8856 and pressing 4.

 

Does my plan offer "two free cleanings a year?"

To get information about your specific benefit plan, log in to the Member Portal or call us at (800) 662-8856.

 

My current dentist is not a participating provider. Will Delta Dental of North Carolina pay anything on my claim?

Delta Dental has an extensive list of participating providers. Visiting a participating provider may help to reduce your out-of-pocket expenses. However, if you choose to see a dentist who is not a participating provider with Delta Dental, you still may be eligible for partial reimbursement. Contact a Customer Service Representative at (800) 662-8856. for more information.

 

How do I submit a claim for reimbursement?

When visiting a participating Delta Dental provider, your claims will be filed for you. If your dentist is a non-participating provider, you may need to submit the claim yourself. Either you or your dentist may complete the claim form and attach a copy of your bill. Completed forms may be submitted via mail to:

Delta Dental of North Carolina
PO Box 9085
Farmington Hills, MI 48333-9085
 

How does a current subscriber change the way he/she is enrolled?

To request changes to the way a subscriber is enrolled, an employee should first contact their employer’s Plan Administrator or Human Resources Department. Depending on the employer’s plan requirements, some changes may only be made during an open enrollment period. Some changes, called qualifying events, enable an employee to make changes outside of open enrollment if the change is requested within 31 days of the event. The birth of a child and the marriage or divorce of an enrolled subscriber are examples of a qualifying event.

 

Does my plan cover braces?

Orthodontic coverage varies from plan to plan. Please sign in to the Member Portal to view your benefits, or contact us to determine eligibility requirements.

 

What is my User ID number?

Your User ID number is usually your social security number. Some groups use randomly assigned alternate ID numbers instead of social security numbers. If your group uses alternate ID numbers, your number will be printed on your ID card.

 

What if I am outside of the U.S.?

With Passport Dental, Delta Dental enrollees can receive expert dental care when they are outside of the United States through the AXA Assistance worldwide network of dentists and dental clinics. Learn More.