Frequently asked questions
What are the benefits of seeing an in-network dentist?
You get the best value. Not only will you maximize your benefits, your provider will submit dental claims on your behalf.
How do I know what type of plan I have?
Your plan name is listed on your ID card. If you need a new card, call 800-872-0500 or submit a request via our secure member portal message center.
How do I submit a claim myself?
Download a claim form from your secure member portal. Fill out the claim form. You will need the ADA Procedure codes (provided by your dentist's office), along with your provider's information and TIN (tax identification number). If available, please attach a copy of your bill as well.
Mail your completed claim form to:
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Attn: Claims
Delta Dental of Massachusetts
P.O. Box 2907
Milwaukee, WI 53201-2907
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Fax your completed claim form to 617-886-1199. Please write “Attn: Claims” at the top.
How do I submit an out-of-country claim?
Delta Dental of Massachusetts provides benefits for services performed out of the country. If you see a dentist outside of the United States, you are responsible for obtaining the necessary documentation for services provided. The following information needs to be submitted:
- Itemized bill from the dentist converted to U.S. currency based on the date of service
- A completed claim form with subscriber identification number and the group number
- English translation of all materials
Mail your itemized bill, completed claim form and translated materials to:
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Attn: Claims
Delta Dental of Massachusetts
P.O. Box 2907
Milwaukee, WI 53201-2907
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Delta Dental reimburses out-of-country claims based on the 90th percentile of Manhattan, New York fees. It is recommended that members see dentists in the United States if possible, to receive the full benefits of their dental plan.
What is the difference between a lifetime benefit maximum and a calendar/ benefit year maximum?
A lifetime maximum is a specific one-time allowance that will not renew. Calendar year maximums renew each year on January 1st. Other benefit maximums renew on a specific date that depends on your group plan. To learn more about your benefit maximums call 800-872-0500 or log on to our secure web portal to view your policy details.
How can I continue my coverage with Delta Dental of Massachusetts after my current plan has terminated?
If you are a Massachusetts resident at least 18 years old, you can enroll in an individual dental plan. For more information, visit our individual plans page.
How do I request ID cards or benefit packets?
Request ID cards by calling 800-872-0500 or by submitting a request via the secure web portal message center. Contact your group plan administrator for benefit packets.
How do I register to view my benefit and claim information?
Under the login button, click on the link “members click here to register.” After agreeing to the terms and conditions, provide your name, date of birth, and 9-digit member number. If you do not have your member number, call 800-872-0500.
How do I send customer service a secure message?
For questions regarding benefits or claims, you can submit a secure message through the web portal message center. Once you have logged in, simply choose “Contact Delta Dental of Massachusetts” in the “Tools” menu.
How do I view my claims history on the website?
Once you have logged into the website, click the green link “Member Eligibility Inquiry” on the upper left side. Then click on the gray link “Member Claims” in the middle on the right. A list of claims, identified by number, date of service and amount paid will appear. Click on the claim number for more details about the services.
Can I view dependent information on the website?
No. Web portal use is limited to members 18 years and older, and members can only see their own information. If over-age dependents (18 and over) want to see their information, they must self-register.
Is there a waiting period for my plan?
Most plans have a waiting period. The waiting period is a length of time before a member is eligible to receive benefits for all or certain treatments. Waiting periods vary by plan and some plans do not have waiting periods. You can determine whether your plan has a waiting period and how long it is by calling 1-800-872-0500 or logging on to our secure web portal to view your plan’s benefit summary.
Is there a provider located near me?
Delta Dental has the largest network of providers in Massachusetts, so you are sure to find one that’s near you. Our online Find a Dentist tool makes it easy to choose a provider. The tool will target your search by your plan name, and your city or zip code. The tool can also be used to search for a specific dentist, or search by practice name and specialty. Remember, choosing an in-network dentist will always save you the most money on care.
Does Delta Dental offer plans for seniors and retirees?
Delta Dental offers a plan specifically for seniors called the Delta Dental Individual and Family™ PPO Value for Seniors. The plan provides comprehensive oral health coverage designed to protect the smile – and the health – of people age 65 and older.
Seniors and retirees have other options as well since they are eligible for any Delta Dental Individual and Family™ plans. Shop and compare plans to find the one that’s right for you.