Delta Dental Plans Association

Consumer Reviews and Complaints

1. 

   I went to the Dentist Office back

   (1)

   I went to the Dentist Office back in July 2013. Before visiting the dentist office I called my insurance company (Delta Dental) to make see what office near me was in their network. They gave me the Midgette Family Denistry to go to. I had delta dental for 2 years and this was my first visit to the Dentist thru them. I never used their insurance for nothing else. 6 months after the dentist visit I get a bill for over 300.00. I called my insurance company and they stated that they were unsure why it wasn’t covered. I called the Dentist Office and they are telling me the same thing. Stating they showed I was covered at the time of service. Now I have a judgment that it getting ready to process thru and still no one can answer to me why it wasn’t covered. It states in their documents that the cover 4 cleanings and any preventative care. This was the very basic, a regular cleaning and nothing else. Why am I being punished for this and nothing is being done about it. I feeled out a complaint form thru them still nothing. This has been hanging over my head for over a year and aoparently this is what they do. I have read several different reports with consumers stating the same thing.

   By Xuan Yusuf

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2. 

   Delta Dental Plans Association Reviews & Complaints

   (2)

   I had tooth and gum pain that began in mid-May. I have been struggling with it since. My gums are very inflamed, red and swollen, making it very difficult to talk and eat. I have not been feeling well because of it. Sometimes, I feel like I”m running a fever because of it and feel tired a lot of the times. I have also been breaking out into little red hives, which started soon after the mouth pain, so I think they”re related. I had an appointment with my periodontist today. I had taken a sick day from work because I did not know what was causing the inflammation and pain, and I expected whatever needed to be done was going to be more extensive than just a regular cleaning. My periodontist first took x-rays, then measured my gum pockets, and did a regular cleaning to determine if I needed a root planing. Based on the results, my dentist said that a root scaling was needed. They could do half the first time, and then the other half the next. I said I am willing to have the first half done today, if they can fit me in their schedule. I have already been in enough pain, and I did not want to wait any longer. They looked and said they did have time today. S0 I ate breakfast, ran a few errands in between appointments. I come back and the receptionist informs me that they have called Delta Dental to see if it was OK to do the root planing today. They told her they wouldn”t cover the root scaling today, and that I would have to wait 90 days before I could have it done, if I wanted them to cover it. My root planing without insurance would cost me $800.00. With the insurance, it would have been $140.00. Big difference in cost. I was really disgusted with this decision, and decided to call the Delta Dental myself and complain to them. Delta Dental told me that this was their policy. I asked them what is the basis for this policy, and they couldn”t give me an answer. I said the doctor and I have already determined that I need this root planing as soon as possible, so why the 90-day rule. I told them it shouldn”t be up to you to decide if and when I receive care, especially when you are not the one who”s actually providing the care. I told them this policy allows for negligent care, and that I would complain to the Better Business Bureau, and even sue them if that”s what it came down to. Still they would not budge, and only thing they did was provide me with an address I could mail a complaint to. I am so angry with them. What if I had oral cancer and the insurance company just decided that I”d have to wait a year to have anything done about it. Think about that one. What right do insurance companies have in telling patients how long they have to wait before getting treatment? Having to wait for care is just plain ridiculous!

   By Manda Balboni

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3. 

   Delta Dental Plans Association Reviews & Complaints

   (2)

   I have been in contact with delta dental by phone and email. By phone was a “disaster” as rep on phone tried to talk me out of complaint stating I was not billed and yet bank account shows I was (autopay feature). I complied withier stringent rule: you have to submit a letter in writing via US Postal Service, I did, received a letter back stating confirmation of account closed. Then I filed a complaint with BBB.. got a run-a-round from Delta dental asking me to prove I received a confirmation of account closure and asked to submit a copy of confirmation letter (they have no procedure to search their own records it appears). I did that only to receive a notice they could not read the copy of their cancellation letter. Obviously Delta Dental has implemented procedures to obfuscate complaints.. their over-all rudeness is enough to make one want to stage a sit in protest at their headquarters… just to expose them for their fraudulent billings. There should be a class action suit filed to recover losses with punitive damage awards for stress and frustration rendered by their lack of concern for customers. Delta Dental is just another scamming company.

   By Caroline Mikowski

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4. 

   Delta Dental Plans Association Reviews & Complaints

   (2)

   I have cancelled my Delta Dental plan because (1) their network is virtually non-existent in the DFW metroplex and (2) their reimbursement rate is so low that its cheaper for me to put the premiums in a savings account and just pay cash for services. I have no doubt that the reasons that the Delta network is small in our area is because they pay providers so poorly! Please consider a new Dental plan that provides decent coverage – United Healthcare, Aetna, Physicians Mutual, etc. all have them and offer much better coverage for much lower cost. Please don”t let what Delta is willing to pay AARP for the abilty to be “the chosen one” to be the reason for selection. Your members deserve better!

   By Felicia Reinkemeyer

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5. 

   Delta Dental Plans Association Reviews & Complaints

   (1)

   I have Delta Dental in Calif. I pre-determined Dentist was a Preferred Prov. which allowed me abt $450.00 of coverage. I get bill, turns out they are not, and I am out of benefits, I am charged the FULL amt. Office staff said they did not call Delta before treatment, I feel this tactic is a rip off becuase it’s a way of making a lot more money, just make the consumer PAY! Which agency in Calif can help me? Where do I go to report them?

   By Annika Wohlwendi

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6. 

   Delta Dental Plans Association Reviews & Complaints

   (2)

   I pay my premiums on time, and I comply with the requirements of my plan. I had dental scaling on both sides of my mouth, which AARP Delta Dental pre-certified as covered. I complied with their plan requirements as stated in my manual. After I had the scaling, AARP Delta Dental reversed itself and is now refusing to cover $100 toward the scaling. On June 1 2009 I filed a complaint with the Pennsylvania Insurance Department against AARP Delta Dental about this refusal. When I spoke to the Insurance Department agent handling the case on July 7, 2009, she said that AARP Delta Dental had requested, and been granted, an “extension” on the deadline for responding, saying they needed the extra time to gather their information to present to the Insurance Department. I am entitled to have this procedure covered. Through my dental provider’s office, I have been told that AARP Delta Dental is claiming that I had scaling twice on the left side of my mouth, according to their records, and that’s how they’re justifying their refusal to pay. My provider, U of Penn Dental Clinic, says that they have provided AARP Delta Dental with accurate information, reporting that I had the scaling on both sides of my mouth, and that AARP Delta Dental pre-certified the treatment.

   By Ariane Kovarik

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7. 

   Delta Dental Plans Association Reviews & Complaints

   (2)

   I spoke to an Delta Dental rep about dental coverage for my 81 yrs. old mother. I was told the best price was thru AARP. I enrolled her in the AARP Delta Dental program and as of January 2009 she has coverage. Imagine my surprise when I was on line, looking for dental coverage for another family member, that regular dental coverage thru Delta Dental is $123.00/yr. with better coverage than what I bought for my mother for $588.00/yr. thru AARP Delta Dental. When I called Delta Dental, they said they had nothing to do woth AARP Delta Dental and that we could cancel her AARP Delta Dental coverage but there would be no refund or pro-rating because there was a clause stating no refunds after 30 days. After her year is up, we will be seeking coverage elsewhere since apparently AARP and Delta Dental have rep’s working for them that are liars, don’t know their job, and sell their higher priced services by telling us that’s t he best and onlky coverage one can get.

   By Sandie Tigg

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