Member Appeals and Grievances

Appeal and grievance extensions

For appeals: As a result of the National Emergency, individuals with Delta Dental coverage through one of our commercial plans have additional time to file claims and/or appeals. Delta Dental will disregard the period from March 1, 2020, until sixty (60) days after the announced end of the National Emergency, (the “Outbreak Period”) when determining the date in which you must file a claim or appeal.  Please note the end date of the National Emergency has not been released yet.  This extension does not apply to Delta Dental’s Medicare Advantage or Medicaid plans.

For grievances: For March, April and May, Delta Dental will not close a grievance due to inability to reach the treating dentist. These grievances will remain pending, and members will be notified in writing that we will reopen the matter after dental offices reopen for preventive services.