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Brown UniversityDELTA DENTAL PLAN
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| Q. | Do I have to go to a particular dentist? |
| A. | You always have the option of going to a dentist who does not participate with the Delta Dental PPO program. However, it will usually cost you more money because the dentist hasn’t agreed to accept the Delta Dental PPO allowance as full payment. You may also have to pay the dentist and file the claim yourself. You should ask the dentist to complete a standard American Dental Association (ADA) claim form. This form is available at www.deltadentalri.com. Claims should be sent to:
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| Q. | Can my dentist join the network? |
| A. | If you'd like Delta Dental to invite your dentist to join their network, email their Professional Relations department at professionalrelations@deltadentalri.com with the dentist's name and address. Delta Dental will in get in touch with the dentist. If he or she decides to participate and meets Delta Dental's credentialing and geographical selection criteria, they'll enroll him or her in the network. |
| Q. | What does my plan cover? |
| A. | One of the benefits of Delta Dental is their total flexibility in plan design, so there is no one answer to this question. For a breakdown of your personal benefits, please refer to the detailed Benefit Summary or log onto www.deltadentalri.com and check out BenefitCheck - their online benefits and eligibility feature. You can also call InfoLine, their automated phone system, at 401-752-6100 or 800-843-3582. |
| Q. | Do I need a referral to have a procedure done by a specialist? |
| A. | You do not need a referral but we strongly encourage you to use a participating dentist to maximize your benefits. You may also want to have the specialist submit a pre-treatment estimate to determine any potential out-of-pocket costs. Exams and consultations by specialists may not be covered by your plan so check your benefits. |
| Q. | When should I ask for a pre-treatment estimate? |
| A. | Whenever you and your dentist discuss a treatment plan that is expected to cost $300 or more, we recommend that the dentist file a pre-treatment estimate with Delta Dental prior to commencing treatment. Delta Dental will review the treatment plan and let you and the participating dentist know, in advance, how much they will cover. For services that your dental plan does not cover at 100%, having a pre-treatment estimate lets you know what your out-of-pocket costs will be. |
| Q. | Do I need to submit a claim form? |
| A. | Participating dentists will take care of filing claims for you. Some non-participating dentists may submit them on your behalf. Call the dentist's office before you visit to make sure, and if you need one, you may download one at www.deltadentalri.com. |
| Q. | What do I do if I've lost my ID card? |
| A. | Email Delta Dental at customerservice@deltadentalri.com, or call Customer Service (401-752-6100 or 1-800-843-3582) and they will mail a replacement card to you within two weeks. |
