Frequently Asked Questions

Find answers to your questions below.

Enrolling

How do I update my account information?

Log in to your member account and click on “Account Summary” to update your payment information or contact information.

I just enrolled; when will I receive my ID card?

You will receive your ID card in 7-10 days.

72 hours after enrolling, you will also have access to your ID card via your online member account and the Delta Dental mobile app.

Can I add a dependent to my plan?

You can only add a dependent to your plan at the time of your yearly renewal or if you’ve experienced a qualifying life event. (A qualifying life event is marriage, divorce, adoption, etc.)

If you are not at your plan renewal, or have not experienced a qualifying life event, you will need to cancel your current policy and re-enroll with the added dependent(s).

When can I switch plans?

You may only switch Delta Dental Individual and Family plans at your time of renewal.

How long are the rates guaranteed?

Your rates are guaranteed for one full year. For example, if you enroll in May 2018, your rate is guaranteed until May 2019. You will be notified 60 days prior to your renewal date of any future rate changes.

When does my coverage start?

Once your online application and initial payment are processed, you will receive an email confirmation in 5 to 7 days as well as a copy of your policy and directions for printing your ID card(s). If your application is received on or before the 25th of the month, coverage will start on the first of the following month. If your application is received after the 25th of that month, coverage will start on the first of the next month.

What are my payment options?

Delta Dental of Kansas has two payment options.

  1. If you enroll online, you may choose to pay with a credit/debit card or through automatic withdrawal from a checking or savings account. Monthly premiums will be charged within the first five business days of the month. 
  2. If you prefer to pay using a check, you may purchase a year’s worth of premiums and send your check to DDKS with the paper application. You will find a paper application by clicking here.

How do I enroll in a Delta Dental Individual and Family Plan?

You may enroll in a Delta Dental Individual and Family plan by completing an online application or print and mail a paper application to Delta Dental of Kansas, P.O. Box 3806, Wichita, KS 67201-3806. 

Visit the Enroll Now page.

How can I find out if my current dentist is part of the Delta Dental network?

The easiest and most up-to-date listing can be found through our online Find a Dentist tool. You can search for dentists by their name, practice name, location and more. Results can be sorted by name, practice name or driving distance, and your list can be printed, emailed or viewed as a PDF.

You can also locate a dentist through Delta Dental’s mobile app. Delta Dental’s mobile app is available for smartphones and tablets using iOS (Apple) or Android. To download and install the app, visit the Apple App Store or Google Play and search for Delta Dental.

What is the difference between the Platinum, Gold, Silver and Bronze plans?

The biggest difference is in the services that are covered. The Bronze plan has a focus on preventive services, including coverage for check-ups and cleanings, and basic dental services such as fillings and non-surgical extractions. The Platinum, Gold and Silver plans are more comprehensive plans with coverage for major services such as crowns, dentures and surgical extractions. The Platinum plan is the only plan with implant coverage. Please refer to our View Plans page for more detailed information about each option.

Who is eligible to purchase a Delta Dental Individual and Family dental plan?

You are eligible to enroll in a Delta Dental Individual and Family plan if you are a Kansas resident and are at least 18 years of age. You may not be covered by another Delta Dental of Kansas plan. Dependents are covered to age 26, if they are unmarried. Acceptance is guaranteed regardless of dental history or pre-existing conditions.

My Benefits & Coverage

How do I update my account information?

Log in to your member account and click on “Account Summary” to update your payment information or contact information.

I enrolled online. When will I be charged for my premiums each month?

Monthly premiums will be charged within the first five business days of the month.

Can I add a dependent to my plan?

You can only add a dependent to your plan at the time of your yearly renewal or if you’ve experienced a qualifying life event. (A qualifying life event is marriage, divorce, adoption, etc.)

If you are not at your plan renewal, or have not experienced a qualifying life event, you will need to cancel your current policy and re-enroll with the added dependent(s).

Why was my exam not covered when my dentist referred me to a specialist?

According to your plan, an examination is a covered benefit once every six months. This is true whether the examination is performed by a general dentist or by a specialist.

What are pre-determinations?

A predetermination of benefits (or pre-treatment estimate) allows you to know in advance what procedures are covered, the amount your plan will pay toward treatment and your financial responsibility. Predeterminations are submitted by your dentist. 

Some conditions require a predetermination of benefits before treatment is performed (i.e. implants under the Platinum Plan). Please refer to your Benefit Booklet to see the exact services for which predeterminations are required. Even if it is not required, Delta Dental encourages predeterminations for extensive treatments, or if you visit an out-of-network dentist. If submitted by an in-network dentist, there is no charge for a predetermination, and it is valid for 6 months. 

Are implants covered?

Implants are covered under the Platinum plan. Covered services such as implants are subject to a pre-determination and other limitations as explained by the Subscription Agreement/Benefit Booklet.

How do I check to see if I am eligible for coverage?

If you’re a Kansas resident, age 18 or older, you’re eligible to enroll in a Delta Dental Individual and Family plan. Once enrolled, it’s easy to check your current eligibility status and view a summary of your plan’s dental benefits online using the member account. Or you can contact our Customer Service team.

Do I need a referral to see a specialist?

If you’re a member of Delta Dental, you do not need a referral to receive care from a specialist. However, we strongly encourage you to use the services of a Delta Dental participating specialist to maximize your benefit coverage.  Locate a participating specialist.

What is a deductible?

A deductible is the annual amount you pay before the dental benefits are payable. Visit the View Plans page to see which services require a deductible.

Does my coverage run on a calendar year?

No, your coverage runs on a contract year. For example, if you enroll in a plan in May 2019, your coverage will renew in May 2020. The anniversary date for coverage varies depending on when you enrolled. For specific information on your benefits or benefit year, log in to your member account. You can also contact our Customer Service team.

I just received something in the mail from Delta Dental that looks like a bill. What is it?

You probably received an Explanation of Benefits (EOB) statement. This statement is not a bill; it explains what services your dentist provided and how Delta Dental processed and paid for the services.

What is Delta Dental of Kansas’ mailing address?

P.O. Box 789769, Wichita, KS 67278-9769

I have a fully-disabled dependent; how long is he/she covered under my policy?

As long as the individual remains disabled and is fully dependent on you for support and is unmarried, he or she can remain a dependent on your insurance policy. Written proof is required from the attending physician to verify the dependent’s disability.

My child has braces, and we just switched to a Delta Dental Individual and Family plan. Are our orthodontic payments covered under our Delta Dental Individual and Family insurance?

No, Delta Dental Individual and Family plans do not cover orthodontia (braces).

Who should I contact with questions about my coverage?

If you have questions about your Delta Dental Individual and Family plan, including your coverage and eligibility, you can contact our Customer Service team.

Where can I find my complete plan information?

Complete plan information is available by logging in to your online member account to view your benefits and eligibility.

What if I permanently move out of Kansas?

Your coverage would terminate at the end of the month in which you change residency. Plans re open to Kansas residents only, which means that you must reside in Kansas at least six months of the year.

With my Delta Dental Individual plan, do I have coverage outside of Kansas?

Yes, your Delta Dental coverage travels with you. Delta Dental’s networks are nationwide. Common examples are: full-time students attending college in another state, traveling outside of Kansas within the United States.

Are there services that are not covered?

Yes. Services that are not covered include braces and cosmetic procedures (e.g., teeth whitening). Covered services are plan-specific and subject to Exclusions and Limitations. Please see our View Plans page.

Are there waiting periods?

There are no waiting periods for diagnostic and preventive services, such as exams or cleanings. There is a 6-month waiting period for all plans for basic restorative services, such as fillings and non-surgical extractions. If you enroll in the Platinum, Gold or Silver plans, there is a 12-month waiting period for major services such as crowns, oral surgery, dentures and implants. Waiting periods may be shorter if you’ve had previous dental coverage in the past 60 days.

When does my coverage start?

Once your online application and initial payment are processed, you will receive an email confirmation in 5 to 7 days as well as a copy of your policy and directions for printing your ID card(s). If your application is received on or before the 25th of the month, coverage will start on the first of the following month. If your application is received after the 25th of that month, coverage will start on the first of the next month.

Using My Plan

Are implants covered?

Implants are covered under the Platinum plan. Covered services such as implants are subject to a pre-determination and other limitations as explained by the Subscription Agreement/Benefit Booklet.

Do I need a referral to see a specialist?

If you’re a member of Delta Dental, you do not need a referral to receive care from a specialist. However, we strongly encourage you to use the services of a Delta Dental participating specialist to maximize your benefit coverage.  Locate a participating specialist.

What is a deductible?

A deductible is the annual amount you pay before the dental benefits are payable. Visit the View Plans page to see which services require a deductible.

I just received something in the mail from Delta Dental that looks like a bill. What is it?

You probably received an Explanation of Benefits (EOB) statement. This statement is not a bill; it explains what services your dentist provided and how Delta Dental processed and paid for the services.

What is Delta Dental of Kansas’ mailing address?

P.O. Box 789769, Wichita, KS 67278-9769

How do I handle claims submitted by an out-of-network dentist?

Please note that if you visit an out-of-network dentist, you may be required to submit a claim form for the services rendered and possibly pay the entire amount upfront. In all instances, when a non-participating (out-of-network) dentist renders services, any payment made by Delta Dental will be made directly to you, the member.

May I visit any dentist I wish for treatment? What if my dentist doesn’t participate with Delta Dental?

Delta Dental of Kansas’ Individual & Family plans are Delta Dental PPO plans. That means you will most likely have the least out-of-pocket cost when visiting a dentist in the PPO network. 

You are free to visit any dentist. However, if the dentist is not a participating dentist, you may have more out-of-pocket expense and will be responsible for the difference between Delta Dental’s payment and the dentist’s fee, along with your co-insurance.

Locate a participating dentist using our Find a Dentist tool or by contacting our Customer Service team.

How do I access my ID card?

You can also print ID cards from your member account or you can use your mobile ID card by downloading the Delta Dental mobile app. If you don’t have a member account, you will need to register for one here.

If you’ve lost your ID card and would like another copy, contact our Customer Service team.

Do I need my ID card for my dentist appointment?

No, your dental office will be able to look you up by your social security number or member identification number if you don’t have your ID card with you. They may also call our office to verify coverage.

You can also print ID cards from your member account or you can use your mobile ID card by downloading the Delta Dental mobile app. If you don’t have a member account, you may register for one here.

If you’ve lost your ID card and would like another copy, contact our Customer Service team.

Who should I contact with questions about my coverage?

If you have questions about your Delta Dental Individual and Family plan, including your coverage and eligibility, you can contact our Customer Service team.

Where can I find my complete plan information?

Complete plan information is available by logging in to your online member account to view your benefits and eligibility.

What if I permanently move out of Kansas?

Your coverage would terminate at the end of the month in which you change residency. Plans re open to Kansas residents only, which means that you must reside in Kansas at least six months of the year.

With my Delta Dental Individual plan, do I have coverage outside of Kansas?

Yes, your Delta Dental coverage travels with you. Delta Dental’s networks are nationwide. Common examples are: full-time students attending college in another state, traveling outside of Kansas within the United States.

How can I cancel my policy?

You can cancel your policy by sending written notice to Delta Dental of Kansas at least 30 days prior to your requested termination date. You may email moreinfo@deltadentalks.com

Terminations will always be the last day of the month. For instance, if you request a May 31 termination date, your written request must be received at Delta Dental on or before April 30.

Are there waiting periods?

There are no waiting periods for diagnostic and preventive services, such as exams or cleanings. There is a 6-month waiting period for all plans for basic restorative services, such as fillings and non-surgical extractions. If you enroll in the Platinum, Gold or Silver plans, there is a 12-month waiting period for major services such as crowns, oral surgery, dentures and implants. Waiting periods may be shorter if you’ve had previous dental coverage in the past 60 days.

How can I find out if my current dentist is part of the Delta Dental network?

The easiest and most up-to-date listing can be found through our online Find a Dentist tool. You can search for dentists by their name, practice name, location and more. Results can be sorted by name, practice name or driving distance, and your list can be printed, emailed or viewed as a PDF.

You can also locate a dentist through Delta Dental’s mobile app. Delta Dental’s mobile app is available for smartphones and tablets using iOS (Apple) or Android. To download and install the app, visit the Apple App Store or Google Play and search for Delta Dental.

What is the difference between Delta Dental PPOSM, Delta Dental Premier® and out-of-network dentists?

The Delta Dental Premier network is our largest network with more than 95% of Kansas dentists participating, and the Delta Dental PPO network includes more than 65% of Kansas dentists. Generally, patients in a Delta Dental Individual and Family plan who receive services from a Delta Dental PPO dentist experience greater out-of-pocket savings.

With your Delta Dental Individual and Family plan, you may see any dentist you wish. Even if your dentist does not participate in a Delta Dental network, you can receive treatment and still receive Delta Dental benefits. However, there are many advantages to seeing a dentist who is a member of the Delta Dental PPO or Delta Dental Premier networks. By going to a Delta Dental PPO or Delta Dental Premier dentist, you will have lower out-of-pocket expenses than going to an out-of-network dentist.

Renewing My Plan

How do I update my account information?

Log in to your member account and click on “Account Summary” to update your payment information or contact information.

Can I add a dependent to my plan?

You can only add a dependent to your plan at the time of your yearly renewal or if you’ve experienced a qualifying life event. (A qualifying life event is marriage, divorce, adoption, etc.)

If you are not at your plan renewal, or have not experienced a qualifying life event, you will need to cancel your current policy and re-enroll with the added dependent(s).

How do I renew my plan?

Depending on your communication preference, you will either receive an email from us or a letter in the mail letting you know it’s time to renew your Individual and Family plan. At renewal, you can change the plan you have with us.

For those that receive an email, there will be a link to your online member account where you will be able to re-enroll online and make any necessary plan changes. If you do nothing, your current plan will automatically re-enroll (please keep in mind that rates may change from year to year; for the most current rates, click here). 

For those that receive a letter, there will be a renewal form attached to your letter. To continue your plan, you must fill out the renewal form and submit it along with check for a year’s worth of premiums.

When can I switch plans?

You may only switch Delta Dental Individual and Family plans at your time of renewal.

How long are the rates guaranteed?

Your rates are guaranteed for one full year. For example, if you enroll in May 2018, your rate is guaranteed until May 2019. You will be notified 60 days prior to your renewal date of any future rate changes.

Canceling My Plan

Is there a penalty for canceling my plan?

No, there is no penalty for canceling your plan, and you can re-enroll for one of our individual and family plans at any time if you decide to come back. If you cancel your plan midway through the year but you’ve already paid for the whole year via check, you will receive a pro-rated refund.

How can I cancel my policy?

You can cancel your policy by sending written notice to Delta Dental of Kansas at least 30 days prior to your requested termination date. You may email moreinfo@deltadentalks.com

Terminations will always be the last day of the month. For instance, if you request a May 31 termination date, your written request must be received at Delta Dental on or before April 30.

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