How To Use Your Dental Benefits, Help for Subscribers, Delta Dental of Colorado
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Using Your Benefits

This is a great place to start if you have questions about how to use your benefits. If you don't see what you're looking for, check our Frequently Asked Questions page. View our Definitions & Abbreviations page if you’re not sure what a specific word means.

Verify your coverage
Every plan is different, so it pays to understand the specifics of your dental benefits -- especially what is and is not covered. If you think you may need treatment in excess of $400, ask your dentist to submit a pre-treatment estimate. That way, you will understand your full financial responsibility upfront.

If you’re enrolled in a PPO plus Premier plan, you’ll receive the best benefits when you see a PPO dentist. Subscribers with Delta Dental Premier plans may choose from almost 2,800 providers in Colorado. We also offer special PPO plans and voluntary plans.

If you have Delta Dental Patient Direct you are enrolled in a dental discount plan – it is not dental insurance. However, you’re eligible for great discounts when you see a Patient Direct provider.

Find a Dentist

New to Delta Dental? Want to find a new dentist or verify that your current provider participates? Use the Find a Dentist search feature to locate an in-network provider.

As a Delta Dental of Colorado member, you may wish to select your dentist from the Achieve dentist network. Research shows that preventive practices result in better oral health and reduced treatment needs. Based on data-driven research, Delta Dental of Colorado developed the Achieve provider network. Achieve providers are Delta Dental Premier® and/or PPO general dentists who:

  • Emphasize preventive dental outcomes
  • Demonstrate a commitment to prevention
  • Have high patient satisfaction levels
  • Retain their patients year after year
  • Practice moderate to conservative treatment patterns

Some plans allow subscribers to visit non-participating dentists, but it always means greater out-of-pocket costs. If you’re considering a non-participating provider, check your plan documents carefully to make sure you’ll be covered. And, plan on paying more than if you went to an in-network provider. You will be responsible for the difference between the amount your plan pays and the full charges from the non-participating dentist.

Make an appointment
Schedule regular preventive visits with your dentist to keep your smile bright. You do not need to present an ID card when you visit the dentist. Your provider can confirm coverage using our automated suite of tools. However, if you prefer to have an ID card, you may print one to take to your appointment.

After your appointment
You will receive an Explanation of Benefits (EOB) after your appointment. Our Guide to Understanding Your EOB can help if you do not understand something on this document. You may also refer to our Common Questions and or Common Terms pages. If you still have questions, contact us.