Understanding your benefits
Understanding your dental coverage shouldn't be complicated. Learn about dental benefits, pre-treatment estimates, understanding your Explanation of Benefits (EOB), staying in network, dental referrals and more!
Stay in network and save!
Members with a Delta Dental PPOTM (Point-of-Service) plan may see any dentist they like. However, there are advantages to choosing a dentist who participates in either the PPO or Delta Dental Premier® network.
Both options come with in-network benefits, but choosing a dentist in the Delta Dental PPO network may save you more money and provide higher levels of coverage since our PPO dentists have agreed to accept lower fees as full payment for covered services. You can still save money by seeing a dentist in the Delta Dental Premier network, but it may not be as much.
Your plan
Your Delta Dental benefits through the State of Michigan utilize the Delta Dental PPO and Delta Dental Premier Networks. Click on the Find a dentist box below and select ‘Delta Dental PPO Plus Premier’ from the Plan Network drop down menu to find participating dentists near you.
Get the help you need
When you need extra help for special circumstances, we’ve got you covered! See these Q&As and ways to connect.
LifeSmile® Wellness
Many diseases can cause specific signs and symptoms in and around the mouth and jaw, dentists see clues that may point to critical health issues. As a result, increasing numbers of dentists are urging their patients to seek medical tests that seem unrelated to their dental checkups. Learn how oral health is important for your overall health
Frequently asked questions
Delta Dental does not mail EOB statements for services covered at 100 percent 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 in to 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.
Information for dependents 17 and older must be obtained via phone.
You may print an ID card using our Member Portal or you may request an ID card via phone by calling 800-524-0149.
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 for more information.
Participating dentists will submit claims for you. If you choose to visit a nonparticipating dentist, you may need to file your own claims. Printable claim forms are available for download. Either you or your dentist may complete the form and attach a copy of your bill. Completed forms may be submitted via mail to: Delta Dental, PO Box 9085, Farmington Hills, MI 48333-9085.
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 800-524-0149.
Your member ID number is your Social Security number.