Does Delta Dental require “predetermination” of benefits?
Predetermination is the review of a treatment plan before starting treatment. It enables us to notify the enrollee and the dentist which proposed services are allowed under an employer’s plan, what Delta’s reimbursement will be and what the enrollee’s copayment will be. Predetermination is not mandatory. However, we strongly recommend that enrollees ask their dentist to request a predetermination for all dental work that is anticipated to cost $200 or more.
