Dental

Click here to watch a short video on how your coverage through Delta Dental® will keep you and your teeth healthy.

All SCAN plans provide the medically needed dental services that are covered by Original Medicare.

Many SCAN plans cover comprehensive dental within your plan benefits which includes preventive care like x-rays, exams and routine cleanings as well as procedures like fillings, root canals and bridges.

And most SCAN plans offer the option to sign up for PPO dental coverage as well as other optional supplemental plans at an additional monthly premium. SCAN offers dental coverage through Delta Dental.

Check your Evidence of Coverage to see exactly what your plan includes.

If you’ve already signed up for one of the 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.

Contact Delta Dental

To speak to a Delta representative, call: 1-855-830-6583 (TTY: 711), Monday through Friday, from 5 a.m. to 6 p.m.

Visit The Delta Dental website

Frequently Asked Questions about the Dental Benefit

Q: Can I choose the PPO dental plan even though I don’t see it in my Evidence of Coverage (EOC)?

No, not all plans have the PPO dental option available. You can only choose a PPO dental plan if the benefit is offered in your Evidence of Coverage.

Q: Can I go to any Delta Dental Dentist?

It all depends on the plan you have. If you have the HMO plan that is part of the standard SCAN dental benefit, you’ll need to select a dentist from the DeltaCare USA network.

If you choose to upgrade to the Delta Dental PPO plan, you can see ANY dentist that accepts Medicare, whether they are a Delta Dental dentist or not. Keep in mind, though, that you may pay more if you see a dentist outside of the Delta Medicare network.

Q: How does the optional PPO Dental plan work?

The optional PPO dental plan lets you see dentists and dental specialists from a network of dentists. And, you may change dentists whenever you choose.

The dentists in the network have agreed to offer you lower fees, so your out-of-pocket costs will be much less when you use an in-network dentist.

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. You would need to check your EOC for your dental benefits.

Q: With the PPO plan can I see dentists outside the network?

Yes. You can choose to see ANY licensed dentist with the optional PPO plan. Just remember that their fees may be higher because they have not agreed to the in-network fees. Also keep in mind there is an annual limit for seeing out-of-network dentists.

Q: How do I enroll in one of the optional supplemental Delta Dental plans such as the PPO plan, Basic, Enhanced or Essential Dental plans?

If you’re new to SCAN, you can enroll in Delta Dental within two calendar months of the day your SCAN coverage starts.

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 from Oct. 15 to Dec. 31, or within two calendar months from Jan. 1.

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

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'll 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. If you’re new to Delta Dental, you’ll receive 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.

If you’re an existing Delta Dental member and your dentist hasn’t changed, you won’t get a new card unless you ask for one.

Q: How can I get a new Delta Dental ID card?

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?

You can find your Delta Dental benefit booklet here. 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.
  • You have the right to refuse any procedure for any reason whether it’s included in your Delta Dental benefits or not.

 

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 for any reason whether it’s included in your Delta Dental benefits or not.

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.

To disenroll from the optional dental plan, call 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.
  • IMPORTANT: 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 dental enrollment period, which runs from Oct. 15 to Dec. 31 each year.

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