You can see any provider you choose, including specialists. Do I need a referral to see a specialist? Once you are enrolled in the State Dental Plan, you can review your eligibility status, claims information, and benefits by visiting the Delta Dental Consumer Toolkit ® at This toolkit will also enable you to print your own ID cards and can provide you with oral health tips. Where can I find information about my plan and coverage levels? If I have billing questions related to my Midwestern Dental coverage, who do I call?įor all Midwestern Dental billing related matters, please contact their Central Billing Office at 73 or 73. Please contact your former Midwestern Dental office of record and follow the prompt for records request, where you will be able to request a copy of your records.

How can I receive a copy of my dental records from Midwestern Dental? Member’s out-of-pocket expenses will vary based on whether the provider is a PPO, Premier, or non-participating provider. Under the State Dental Plan, you can see any provider at any time, and treatment will be paid based on the specific provider you have chosen. Your dentist can verify your coverage at the time of the appointment by contacting Delta Dental. Although you will receive an ID Card with an Alternate ID on your initial enrollment with Delta Dental, ID cards are not required to receive treatment. Do I need an ID card to receive treatment? Note: The State Dental Plan’s payment for orthodontic services will not exceed a lifetime maximum of $1,500 per eligible person. The new provider will submit a new treatment plan to Delta Dental for an estimate of coverage through the State Dental Plan. Member’s out-of-pocket expenses will vary based on whether they are a PPO, Premier, or non-participating provider. If you are a Midwestern Dental member who transitioned to the State Dental Plan, you will need to select a new dental provider to complete your orthodontic treatment. What if I am in the middle of orthodontic treatment? You are responsible for any coinsurance payment that may apply. Payment is sent directly to Delta Dental participating providers. Individual family members can select their own provider. You do not have to select the same provider. You and your family can see any provider you choose. Does everyone in my family have to use the same provider? You can also call Delta Dental’s Customer Service department at 80. You can find participating dentists by visiting the Delta Dental website at and clicking on Find a Dentist. Where can I find a participating dentist or see if my current dentist participates? You would be responsible for paying the dentist whatever he or she charges, and you may have to submit your own claims. In this case, Delta Dental would pay you directly based on the dentist’s submitted fee or Delta Dental’s nonparticipating dentist fee, whichever is less. If you see a dentist who does not participate in either the Delta Dental PPO or Delta Dental Premier ® network, you will still be covered, but you may have to pay more. If you choose to visit a Delta Dental Premier ® provider, you will still receive the same protections and coverage as you would with a Delta Dental PPO provider, but it may cost more, as the Delta Dental Premier ® providers accept a different fee schedule as payment in full. This is because providers who participate in the Delta Dental PPO network agree to accept the lowest fees as payment in full. The difference between the two networks is that you will receive greater savings when you receive care from a Delta Dental PPO network provider.

While you can visit any provider, you will save the most money by visiting a dentist from one of two provider networks: Delta Dental PPO and Delta Dental Premier ®. The State Dental Plan provides you the opportunity to see any provider you choose, regardless of whether that provider participates in Delta Dental’s networks.

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