From switching plans to premium payment, this guide can help manage your flexible dual choice dental benefits. With flexible dual choice, your enrollees are free to switch between Delta Dental PPO™ and DeltaCare® USA plans as often as monthly.
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This guide can help you manage:
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Flexible dual choice plans
If your group sponsors a standard dual choice option or offers only one plan design, please see the standard support guide.
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Getting started
Meet your support team
In addition to your Delta Dental account manager, you also have the support of your own third party administrator — Allied Administrators.
Call Allied Administrators at 415-989-7443 (or toll-free at 877-472-2669) for support and/or inquiries about:
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Adding and terminating enrollees
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Switching plans
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Billing and payment
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Receiving ID cards
Enrollees can contact Delta Dental for general questions about:
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Plan benefits
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Dentist directories
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Claims (if applicable)
When offering the flexible dual choice option, understanding your dental benefits is especially important. To get to know your plans better, reference your group contract. This is the controlling document for your dental benefits. You can find full information on administrative policies, limitations and exclusions, coverage specifics and payment agreements.
If you have questions, reach out to your account manager. Check out our frequently asked questions about Delta Dental PPO and DeltaCare USA, sharable educational and wellness resources, and these great tips to help enrollees maximize their plan.
Switching plans
Enrollees can switch between Delta Dental PPO and DeltaCare USA plans as often as once per month. Whether they use the option to accommodate life changes, or simply want to see if the other plan is a better fit, there’s no requirement to wait until open enrollment or a qualifying event.
Making the switch
It’s up to enrollees to make the switch. They simply call 866-225-1112 to change plans.
Timing
Enrollees need to make the switch on or before the 15th of the month prior to the switch date.
Example: For a June 1 effective date, notification must be received on or before May 15 at 7:00 p.m. EST.
Important notes
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Primary enrollees and dependents must be enrolled in the same plan and must switch together.
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Enrollees and dependents cannot switch plans in the middle of a course of treatment, including orthodontics.
Eligibility & enrollment
Additions, terminations or status changes
New hires and their dependents are eligible to receive benefits during open enrollment or after completing any eligibility waiting periods required by their employer.
You can add, terminate or update enrollee eligibility information (e.g., address change, new marital status) a couple ways.
For every enrollee, you’ll need to provide:
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Full first and last name
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Effective date of new addition and/or change
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Date of birth
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Address
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Complete Social Security number (SSN)
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Group number
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Division number
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Relationship code (e.g., spouse or child)
Online updates
You can make changes directly through the secure eligibility maintenance site, 2greatdentalplans.com.
Manual updates
You can report eligibility information via fax at 415-989-9027.
We’re happy to work with you if you’d like to send eligibility information in an alternate way. Reach out to Allied Administrators to ask about other options.
To avoid delays, groups should send enrollment information directly to Allied Administrators.
Retroactive changes
Retroactive enrollments or terminations are not permitted.
Dates to remember
New hires, status changes and terminations must be reported by close of business on the 15th of the month to become effective on the 1st of the following month.
Eligibility status questions
You can check enrollee eligibility online at 2greatdentalplans.com or by calling Allied Administrators at 415-989-7443 (or toll-free at 877-472-2669).
Dental claims
As long as your enrollees stay in-network, all Delta Dental dentists will submit claims for your enrollees. If they happen to go outside of our network, a claim may need to be filed. Be sure to share this helpful guide with enrollees in case they need to file a claim.
Billing & payment
Premium payment
Make checks payable to Delta Dental and mail to:
Union Bank
Delta Dental
P.O. Box 45344
San Francisco, CA 94145-0344
Billing timeline
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Statements are issued by the 20th of each month for the next month’s coverage.
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Premiums are due by the 1st for that month’s coverage.
Late notices/fees
If payments are not received by the due date, your enrollees will not be eligible for coverage until:
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The premiums are remitted
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Delta Dental updates their files
Keep in mind, if payments are late, eligibility reporting might be delayed.
Billing questions
Contact Allied Administrators at 415-989-7443 (or toll-free at 877-472-2669) with any billing questions.