Member FAQs

Member FAQs

Your plan is unique, just like you. Discover what you need to know about your specific plan and get the most out of your coverage.

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Online account

Learn how to manage your online account and update your information.

How do I sign up for an online account?

Once you’ve received enrollment confirmation with your enrollee ID (or member ID), from the log in page, select Create an account. Choose Enrollee/Adult Dependent from the drop-down menu and follow the prompts to create your account. For more details, review Create and manage your online account.

Do I need to download a mobile app?

You do not need to download an app. You can access your online account through our mobile-friendly website to get your plan ID card and detailed information about your benefits. If you'd like to add your ID card to your digital wallet, you can download the Delta Dental mobile app from the Apple App Store or Google Play. Note that the app may not include as many details about your benefits and out-of-pocket costs.

How do I update my account information?

To make changes to your account information such as your name, address, or phone number:

Be sure to update your information with your dental office as well.

Why should I go paperless?

ID cards

You don’t need an ID card to receive coverage. If you would like one anyway, here’s what you need to know.

Where can I find my member ID card?

Log in to your account and select Get ID card to view or print your ID card. If you'd like to email the ID card to yourself or save it to your digital wallet, you can download the free Delta Dental mobile app, sign in and select either of those options from the home page.

Is an ID card required to visit the dentist?

You don’t need an ID card to visit the dentist. Your dentist’s office can look up your benefit and coverage details with some basic personal information, including your member ID. You can find your member ID by checking your welcome letter or logging in to your online account.

Will I get an ID card for each family member?

No, the same ID card can be used by you and your covered dependents.

Finding a dentist

Learn more about which dentists you can visit to receive coverage and maximize your savings.

How do I search online for a dentist in my plan’s network?

Here’s how to search for an in-network dentist in your area:

  1. Go to Find a dentist
  2. Enter your address, city or ZIP code
  3. Select your network from the drop-down list
  4. Choose Find a dentist


If you’d like to narrow your search results, select Filter on the results page and choose any combination of amenities to focus on.

Don’t know your network? Log in to your account and select Find a dentist to search your own plan's network.

Why should I choose an in-network dentist?

Delta Dental PPO™: Your plan dollars typically go the furthest when you visit a dentist in the Delta Dental PPO network. These dentists agree to offer services at lower negotiated rates. Also, PPO network dentists submit claim forms for you. If you go out of network, you’ll likely pay more out of pocket, and you’ll need to submit your own claim form and wait for reimbursement. Learn more about your PPO plan.

DeltaCare® USA: To receive coverage, you must visit a DeltaCare USA general dentist at your selected dental facility. When you visit your DeltaCare USA general dentist facility, you’ll pay set copayments for each covered service, and you won’t need to submit any claim forms. For more details, refer to the FAQs about DeltaCare USA on this page, or visit the DeltaCare USA members page.

What do I do if I need to see a specialist?

Delta Dental PPO™: You can visit any specialist you like, though you’ll typically save the most when you visit a specialist in the Delta Dental PPO network. You don’t need a referral to see a specialist. Learn more about your PPO plan.

DeltaCare® USA: Your general dentist at your primary care dental facility will coordinate all your care and refer you to a specialist. If you visit a specialist without a referral from your primary care dentist, you won’t be covered, even if the specialist is in the DeltaCare USA network. For more details, refer to the FAQS about DeltaCare USA on this page, or visit the DeltaCare USA members page.

What if there isn’t a dentist near me?

If you’re having difficulty finding a dentist near you, you can:


If you’re still having trouble finding a dentist near you, contact us.

I have a DeltaCare USA plan. How do I choose my dentist?

To receive coverage, you must visit a DeltaCare USA general dentist at your selected dental facility. You can select a DeltaCare USA general dentist by logging in to your online account. You can also contact us.

To select or make changes to your DeltaCare USA general dentist online:

  1. In the Your dental facilities section, choose Select facility (or Change facility if you already have one).
  2. Search by ZIP code, select a facility by entering the six-digit facility ID, or have the system automatically select the facility closest to your address.
  3. Submit your selection.


If we receive your selection from the first to the 15th of the month, you can start visiting the facility right away. If we receive your selection from the 16th to the end of the month, you can start visiting the facility on the first of the following month.

If you do not have an assigned DeltaCare USA general dentist: You can go to any DeltaCare USA general dentist that is accepting new patients. When that dentist files a qualifying claim, you will be added to their roster and they will become your assigned DeltaCare USA general dentist. Once assigned, you must visit this dentist for future visits to receive benefits. You may change your assigned dentist at any time.

How do I find the facility ID for my DeltaCare USA dentist?

Locate your dentist in our Find a dentist tool and be sure they’re in the DeltaCare USA network. You can find the six-digit facility ID in the dentist’s listing.

Does everyone in my family have to choose the same primary care facility on my DeltaCare USA plan?

No, you can select different facilities for different family members². When you log in to your account to select or change a facility, you'll have the option to add other family members to your selection. Or, you can select a different facility for them by choosing their name from the drop-down list on the home page.

Note: Adult dependents must select their facility through their own online account, unless they authorize you to view their information and select or change their facility. For more details, review the following FAQ, “How can I select a facility for an adult dependent on my DeltaCare USA plan?”

How can I select a facility for an adult dependent on my DeltaCare USA plan?

Your adult dependent needs to authorize you to select their facility (or they can create their own account and select their own facility). To authorize you, they can do one of two things:

  1. Log in to their online account (they'll need to register first), select My account and then choose Yes for the authorization statement. After they select Save, you'll be able to log in to your account and select a facility for your adult dependent, as well as view their treatment details.
  2. Print, complete and mail a signed HIPAA authorization form (PDF, 38 KB).


If you have questions or need assistance, contact us.

How do I change my dentist?

Delta Dental PPO™: You can visit any licensed dentist anytime. You don’t need to tell us if you decide to change dentists. Remember, if you visit a dentist outside of the Delta Dental network, your out-of-pocket costs may be higher, and you’ll have to pay for care up front then submit a claim for reimbursement.

DeltaCare® USA: You’ll need to change your primary care dental facility before you visit the new dentist, otherwise you won’t be covered³. For details and instructions, visit our DeltaCare USA members page.

How can I refer my dentist to join the Delta Dental network?

Wish your dentist was in your plan's network? Submit a referral and we'll invite your dentist to join.


Note: Submitting a recommendation may not necessarily result in your dentist joining the network.

Using your plan

Learn more about your coverage, costs and how your plan works.

How can I tell if my plan is active and my dependents are covered?

To check the status of your plan, log in to your online account (or create an account if you don't already have one). Once you’re logged in, select Plan summary. To see if your plan is active, check the Start date and End date in the first section. To view the status of your dependents, go to the last section and select each name. If they’re currently covered, they’ll show as active in the Eligibility section. If they’re not currently covered, they're listed as inactive.

You can also review your plan booklet, Policy and Benefit Details or Evidence of Coverage. If you have questions and your dental plan is through your employer or another organization, contact your benefits administrator.

How does my plan work?

Delta Dental PPO™: You have the freedom to visit any licensed dentist, but you’ll likely save the most when you visit a PPO dentist. You pay a percentage of the dentist’s fee for covered services — known as coinsurance — after you meet the deductible. A deductible is the amount you must pay toward services each year before your plan begins to pay (the deductible is waived for preventive services). If you have dependents on your plan, you may have a family deductible as well as an individual deductible. Your plan continues to pay benefits up to the annual maximum each year. Some procedures may require an initial waiting period before they’re covered.

DeltaCare® USA: To receive coverage, you must visit a DeltaCare USA network general dentist. If you selected a DeltaCare USA general dentist during open enrollment or when you purchased your plan, that is your assigned dentist you will need to visit to receive benefits.

There are no out-of-network benefits unless you are away from home and encounter a dental emergency. This means that if you go to a provider outside of the DeltaCare network or to whom you are not assigned, you will not receive dental coverage.

Selecting your DeltaCare USA dentist

If you have an assigned DeltaCare USA general dentist: Contact your selected general dentist’s dental facility to schedule your appointment.

If you are new to DeltaCare USA and are not yet assigned to a general dentist: Log in to your online account and select Find a dentist. From there, note the facility name of your chosen dentist and return to the home page in your account to select your general dentist facility (you can always log in anytime if you forget your facility name).

You can go to any DeltaCare USA general dentist that is accepting new patients. When that dentist files a qualifying claim, you will be added to their roster and they will become your assigned DeltaCare USA general dentist. Once assigned, you must visit this dentist for future visits to receive benefits. You may change your assigned dentist online or by phone at any time.

If you live in one of the states listed, you do not need to be assigned to a general dentist, but you must visit a dentist from the DeltaCare USA network in your state: AK, CT, LA, ME, MS, MT, NC, ND, NH, OK, SD, VT or WY.

Not sure if you have an assigned general dentist or you can’t recall which facility you selected? Log in to your account or check the welcome letter that was mailed to you. You can also contact us.

As a DeltaCare member, you have comprehensive coverage that covers 350+ procedures, including low or no cost preventative care (like cleanings and exams). You pay fixed prices (also known as copayments) for each covered procedure. Your assigned DeltaCare USA general dentist will coordinate your care and refer you to a specialist, if needed. There are no deductibles, maximums, waiting periods or claims forms to complete with this plan. For more information, see the “ Learn about your benefits and costs” FAQ on the DeltaCare USA members page.