Benefits and Claims
Delta Dental of Arkansas
Attn: Customer Service Support
P.O. Box 15965
Little Rock, AR 72231
Some employer dental plans include a non-duplication clause for coordination of benefits. In this case, Delta Dental is the secondary carrier, and payment is determined by deducting the primary carrier's payment from the amount that Delta Dental would have paid if there had not been a coordination of benefits.
Delta Dental Premier, Delta Dental PPO or Delta Dental Premier Plus PPO refers to our dentist networks. Delta Dental of Arkansas has two networks – Delta Dental Premier and Delta Dental PPO. Your plan will determine which network is available to you. The Delta Dental Premier Plus PPO plan gives you the option to choose a dentist from either network. When a dentist participates in Delta Dental’s network, they agree to accept Delta Dental’s discounted fee as full payment for dental services. Delta Dental PPO dentists have agreed to a deeper discount for dental services, which saves you the most money.
Delta Dental PPO | Delta Dental Premier | Non-Participating | |
(A) Initial fee charged by your dentist | $100 | $100 | $100 |
(B) Our contracted plan allowance | $75 | $95 | $72 |
(C) % allowance paid under your plan | 80% | 80% | 80% |
(D) Delta Dental pays | B x C = $60.00 | B x C = $76.00 | B x C = $57.60 |
(F) You Pay | B– D = $15.00 | B – D = $19.00 | B – D = $42.40 |
Delta Dental of Arkansas
Attn: Benefit Services
PO Box 15965
Little Rock, AR 72231
- Tooth implants
- Tooth whitening
- Athletic mouth guards
- Braces and retainers
- Treatment for TMJ (temporomandibular joint disturbances)
- Services to correct cosmetic dentistry
- Dental care started prior to the date the patient became covered under this plan
Delta Dental of Arkansas
PO Box 9085
Farmington Hills, MI 48333-9085
Paper claims for Delta Dental of Arkansas members should be mailed to:
Delta Dental of Arkansas
PO Box 15965
Little Rock, AR 72231
ACA Marketplace
EHB benefits include the following:
1. Ambulatory patient services
2. Emergency services
3. Hospitalization
4. Maternity and newborn care
5. Mental health and substance use disorder services, including behavioral health treatment
6. Prescription drugs
7. Rehabilitative and habilitative services and devices
8. Laboratory services
9. Preventive and wellness services and chronic disease management
10. Pediatric services, including oral (dental) and vision care
The specific services that must be covered under each of the 10 general categories identified above vary on a state-by-state basis.