Delta Dental of Arizona
PO Box 43026
Hours of Operation
|Important Forms & Documents
The City of Mesa has contracted with a third party administrator (TPA) Delta Dental of Arizona, to deliver our dental benefit program including coverage, verification, claims processing, appeals process and pre-estimation of benefits. Members may contact Delta Dental customer service, Monday through Thursday, 730am to 5pm MST; Friday, 730am through 430pm MST (except holidays) or visit the member portal at any time.
Dental Contact Information/Claims Address:
|Dental Plan administered by:||Delta Dental of Arizona|
|Address:||PO BOX 43026, Phoenix, AZ 85080-3026|
|Dental PPO Network:||Delta Dental PPO Network and the extended Delta Dental Premier Network|
|Customer Service Number:||1.602.588.3981|
City of Mesa Dental Plan Highlights:
Members may choose among three different dental plans depending upon their needs. On any of the three plans, you may choose any licensed dental care provider.
|Dental Features||Preventive Choice Plan||Dental Choice Plan||Dental Choice Plus Plan|
• No deductible for preventive and diagnostic services
|Preventive (Plan Pays)||100%|
|Basic (Plan Pays)||80%|
|Major (Plan Pays)||Not Covered||80% after deductible|
|Orthodontia (Plan Pays)||Not Covered||80% up to $1,500 per year;
|Annual Max||$1,000 per person||$2,000 per person||$2,300 per person|
Dental Plan Monthly Premiums:
Below are the monthly Active employee contribution amounts for the Dental Plan coverage.
|Tier||Preventive Choice Plan||Dental Choice Plan||Dental Choice Plus Plan|
How do I register online with Delta Dental of Arizona?
Registering your account at Delta Dental is easy. Simply follow these steps to register:
- Go to www.deltadentalaz.com
- Click the "Member" button and then click "Register Here".
- Enter the employee/retiree information
- The Member ID will be the employee ID preceded by 4 or 5 zero’s to make a total nine-digit number (ex. 000099999).
When I search for my dental provider, it says they are in both the PPO Network and Premier Network...What is the difference?
Delta Dental of Arizona (DDAZ) contracts and manages one of the largest dental provider networks in Arizona (and in many other states). And just like with medical, using an in-network dentist will provide you access to discounted rates for your dental services. The City’s Dental plans have access to two networks: Delta Dental PPO and Delta Dental Premier Networks.
Both networks offer discounted rates to our members and the Plan. The difference between the two networks is not in the quality and experience of the providers but in the discounts that apply - the discounted rates in the PPO network are deeper. DDAZ’s PPO member dentists have agreed to accept a PPO discounted fee schedule without balance billing members for the difference between billed charges and the PPO fee schedule. Dentists who exclusively participate in DDAZ’s Premier Network have agreed to accept a Maximum Plan Allowance for their services that are slightly less discount off of billed charges than the PPO network discounted fee schedule – and again no balance billing to members.
How do I find out if my dentist is in or out-of-network?Just like with medical, you’ll want to ask the right question— “…are you contracted with Delta Dental of Arizona’s PPO or Premier Network?” You can also check yourself by registering at www.deltadentalaz.com, click on the Provider Search tab and then “Find a Network Dentist.”
So what if the online directory shows my dentist is in both the PPO and Premier Network…what happens then?If a provider is listed as participating in both networks, you will get the benefit of the richer or deeper discounted network (i.e. the PPO network). Reason that many dentists participate under both networks is because many employers simply choose to provide access to only one of the networks-- not both. The City has chosen to provide maximum network access with both networks available to members…this way if your dentist decided to NOT participate in the deeper discounted PPO network, did however choose to contract in the Premier Network, you would still get access to discounts and have your claim processed as in-network.
Is there a way I can know if a dental procedure is covered under my Plan and if so, pre-determine my out of pocket cost under our Plan?
Absolutely! In fact, it’s encouraged if the estimated costs for your procedures are over $200 to avoid as many out-of-pocket surprises as you can. It’s called a “pre-treatment estimate.” This is a free service that Delta Dental provides members so they can make more informed decisions about dental care and lets you know the following:
- Is the procedure covered under the Plan?
- What is your out-of-pocket estimate?
- Will the procedure exceed your Plan maximum?
Most in-network dentists will help you process a pre-treatment estimate or do it for you. Your dentist will provide DDAZ the proposed treatment plan along with relevant e-rays, etc. DDAZ will process the procedure(s) as if it were an actual claim, and provide a pre-determination Explanation of Benefits (EOB) illustrating how the procedure can be covered under your Plan.