Woman sitting in a dentist chair

Dental Benefit

First, know that all SCAN plans provide the medically needed dental services that are covered by Original Medicare.

For routine dental care, like preventive care, cleanings and other dental work, most SCAN plans also offer the option to sign up for additional dental coverage. This is offered at an additional monthly premium. This dental coverage is supplemental and is also offered through Delta Dental.

There are two supplemental plans to choose from, with different monthly premiums and copayment amounts.

If you’ve already signed up for one of the optional dental plans, you’ll have received a letter from Delta Dental with the name of your dentist. You can change to another dentist that is part of the DeltaCare USA network at any time. To do so, call Delta Dental.

 

Frequently Asked Questions about the Dental Benefit

Q: What are “routine or supplemental” benefits?

SCAN is able to offer extra benefits that are not covered by Original Medicare. These extra benefits are called “routine or supplemental benefits.” Some supplemental benefits may come with an additional monthly premium. Generally, these supplemental benefits are optional and you have to sign up separately if you’d like to receive the additional benefits.

Q: What if I don’t want dental coverage or already have dental coverage through another insurer? Do I have to have supplemental dental coverage through Delta Dental?

No, supplemental dental coverage is optional and signing up for a Delta Dental plan is completely up to you.

Q: How do I enroll in one of the supplemental Delta Dental plans?

To request an optional supplemental Delta Dental enrollment form, please contact SCAN Member Services.

If you’re new to SCAN, you can enroll in Delta Dental within 60 days of your effective date. After we receive your completed dental enrollment form, your dental coverage will start on the first of the following month.

For example, if we receive your completed dental enrollment form on Feb. 15, you can start using your supplemental dental benefits on March 1.

If you’re already a SCAN member and you’re not currently enrolled in a supplemental dental plan, you can enroll in a Delta Dental plan during the annual enrollment period— or AEP—which runs from Oct. 15 to Dec. 7 each year, or within 60 days of Jan. 1.

Q: How can I find or change a dentist?

To find a new dentist or change to another one, visit the Delta Dental website. The “Find a Dentist” search tool lets you search by distance, location, dentist name, practice name or keyword. You can choose a different dentist at any time. Once you select a dentist, you will need to call Delta Dental to switch to the new dentist.

Or if it’s easier for you, you can call Delta Dental customer service at 1-855-830-6583 (TTY: 711).

Q: I already have a dentist. How can I find out if he or she is a Delta Dental dentist?

Ask your dentist’s office staff if they are part of Delta Dental “DeltaCare USA” plan. You can also use the “Find a Dentist” search tool on the Delta Dental website or call Delta Dental customer service at 1-855-830-6583.

Q: Will I get a Delta Dental member ID card?

Yes. Delta Dental will send you a welcome letter along with your ID card. The letter will let you know the name of your assigned dentist. Please make sure the name on the letter is correct. If not, please call Delta Dental.

Q: I’ve lost my Delta Dental member ID card. How can I get a new one?

If you have a Delta Dental online account and want a member ID card for your records, just log into your account and print an ID card.

If you haven’t registered for your Delta Dental online account, click here and follow the instructions for signing up. Once you’ve registered, you can print an ID card.

If it’s easier for you, you can also ask for an ID card by calling Delta Dental customer service at 1-855-830-6583 (TTY: 711).

Q: Once I’m enrolled, where can I find my Delta Dental benefits?

Delta Dental will mail you a welcome kit that includes a benefit booklet. The benefit booklet lists all the covered services by a code, description and copayment.

If you have questions about your Delta Dental benefit booklet, call Delta Dental at 1-855-830-6583 (TTY: 711).

Q: What will happen at my first visit to a Delta Dental office?

It’s important that you feel comfortable with those providing your dental care, which is why we recommend making your first visit an evaluation appointment.

During this appointment, the dentist will only examine your teeth and go over a recommended treatment plan with you. This way, you can meet the dentist and the office staff before deciding if you’d like to make a follow-up appointment for a cleaning or any recommended procedures.

  • Based on the results of your exam, your dentist will talk to you about the treatment plan that he or she feels is best for you. The treatment plan is a list of all dental care (procedures) your dentist feels you need. You’ll review costs and decide what to do next:
    • If any emergency care is needed, that will be listed first.
    • Your dentist may recommend a procedure(s) that isn’t covered as part of your Delta Dental benefits. If you’re concerned about the cost, ask your dentist to list the procedures in order of importance. That way, you can better understand and plan for your expenses.
    • Your dentist cannot provide procedures that aren’t included in your Delta Dental benefit plan without written consent (your signature).
    • You have the right to refuse any procedure—whether it’s included in your Delta Dental benefits or not—for any reason.

Q: My dentist recommended an expensive procedure that I’m not even sure I need. What can I do?

Ask your dentist if there’s a less expensive procedure option available.

You have the right to refuse any procedure—whether it’s included in your Delta Dental benefits or not—for any reason.

If you’re not sure about a procedure your dentist says you need, call Delta Dental and ask if they’ll authorize a second opinion.

Q: I haven’t been to the dentist in several years, but my teeth feel fine. Why should I go now?

Although your teeth might look and feel fine, there could be hidden problems that need attention.

This is why many people who haven’t been to the dentist in a while are surprised when a checkup shows they need additional dental work beyond a cleaning, which can be expensive.

Outside of daily care, the best way to avoid bigger, more expensive and painful dental problems is to see your dentist regularly.

Q: I’ve changed my mind and don’t want the dental benefit anymore. How can I disenroll from Delta Dental?

You can cancel your supplemental dental coverage at any time. Canceling your dental coverage will not disenroll you from your SCAN plan.

Please mail a signed letter to:

SCAN Health Plan
ATTN: Member Services
3800 Kilroy Airport Way, Suite 100
Long Beach, CA 90806

Your letter needs to clearly state that you wish to disenroll from the Delta Dental benefit. Be sure to also include your printed name and SCAN member ID number (located on your SCAN member ID card).

You can also contact SCAN Member Services to begin the disenrollment process.

  • After we receive your request to disenroll, disenrollment will start on the first of the following month. For example, if we receive your request on July 15, your dental coverage will stop on Aug. 1.
  • If we receive your request after the last day of the month, you’ll need to pay your dental premium for the following month. So, if we receive your request on Aug. 1, you’ll still need to pay your dental premium for August.
  • If you don’t pay your supplemental dental premium, we may disenroll you from your dental plan as well as your SCAN medical benefit.

    Non-payment of plan premiums for your optional supplemental plan may result in dis-enrollment from your SCAN plan. If this happens, you'll be returned to Original Medicare and may not be able to re-enroll with SCAN until the next annual enrollment period.

Q: What if I change my mind and want to re-enroll in the dental benefit again?

You may re-enroll in the dental benefit again during the next annual enrollment period, which runs from Oct. 15 to Dec. 7 each year.