Business Profile

Dental Plans

Delta Dental Insurance Company - Georgia

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Delta Dental Insurance Company - Georgia's headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

176 total complaints in the last 3 years.
32 complaints closed in the last 12 months.

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Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

Initial Complaint
Date:08/12/2023
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My daughter was born without 7 permanent teeth and she has had a bite plane for several months now to open up her bite and allow her other permanent teeth to fully erupt. The next phase of treatment for now is crowns over those baby teeth to keep her bite open until we can do something more permanent when she's 18. *********** submitted the pre treatment along with a very detailed letter and x rays and they keep denying it saying this or that is missing, but when we tell them to look more they actually find it. We have spoken to 7 or more reps and each time is a different excuse or something else they say is needed that they actually have already from when it was first submitted. We have asked for a supervisor and told we will get a call back and never have and had reps hang up on us and 1 told my husband to shut up. I need this reviewed/approved so she can get this work done. We've been on this journey for almost a year now and it's ridiculous they are playing God with her.
Business Response
Date: 08/21/2023
Good morning,
Your complaint has been received and routed to our grievance and appeals department.

Thank you
Initial Complaint
Date:08/10/2023
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
08/10/2023, Delta Dental has tricked me out of $2,337.12. Delta Dental has paid no money at all on any of my dental work, no money at all on my dental claims. I demand a refund.
Business Response
Date: 08/11/2023
Hello,

This is a duplicate entry to complaint 20426470.

Thank you
Initial Complaint
Date:08/09/2023
Type:Billing Issues
Status:
ResolvedMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Delta Dental ************************ Please process payment for services rendered by ****** Dental for XXXXPrater on the following dates: August 17, 2022; September 21, 2022; and October 19, 2022. It is important to note that there was no dual coverage during this period, and Delta Dental was the sole provider of coverage. To verify this information, please refer to the "Group Dental Benefit Plan Certification of Prior Coverage" from Metlife, which is attached for your reference. Additionally, I have provided my Eligibility and Benefits page from Delta Dental, which clearly indicates the effective dates during which Delta Dental is responsible for the services/claim in question. I kindly request that you expedite the processing of this claim. If you require further information, please don't hesitate to reach me at ************ (cell phone). Kindest regards,****
Business Response
Date: 08/10/2023
Hello,

Thank you for your submission. Please have the adult dependent *********************** fill out the attached forms in order for us to move further with your request.

Thank you
Customer Answer
Date: 08/10/2023

Complaint: 20448099

I am rejecting this response because: Delata Dental already has on record permission for me to speak on *************************** account "HIPPA". I forwarded the attached letter via US postal mail. They simply need to receive my letter "evidence" as they instructed me to provide and make payment. US Postal Mail Certified **** **** **** **** **** 62 It hard to read the last digit on this copy. I have the original at home. All material that was mailed is attached (Delta Dental Proff of Coverage and Met Life Letter)

Sincerely,

*********************
Note: Delta Dental Claims/Customer Service:

Please process payment for services rendered by ****** Dental for *********************** on the following dates: August 17, 2022; September 21, 2022; and October 19, 2022. It is important to note that there was no dual coverage during this period, and Delta Dental was the sole provider of coverage.

To verify this information, please refer to the "Group Dental Benefit Plan Certification of Prior Coverage" from Metlife, which is attached for your reference. Additionally, I have provided my Eligibility and Benefits page from Delta Dental, which clearly indicates the effective dates during which Delta Dental is responsible for the services/claim in question.

I kindly request that you expedite the processing of this claim. If you require further information, please don't hesitate to reach me at ************ (cell phone).
Customer Answer
Date: 08/10/2023

Complaint: 20448099

I am rejecting this response because: Delata Dental already has on record permission for me to speak on *************************** account "HIPPA". I forwarded the attached letter via US postal mail. They simply need to receive my letter "evidence" as they instructed me to provide and make payment. US Postal Mail Certified **** **** **** **** **** 62 It hard to read the last digit on this copy. I have the original at home. All material that was mailed is attached (Delta Dental Proff of Coverage and Met Life Letter)

Sincerely,

*********************
Note: Delta Dental Claims/Customer Service:

Please process payment for services rendered by ****** Dental for *********************** on the following dates: August 17, 2022; September 21, 2022; and October 19, 2022. It is important to note that there was no dual coverage during this period, and Delta Dental was the sole provider of coverage.

To verify this information, please refer to the "Group Dental Benefit Plan Certification of Prior Coverage" from Metlife, which is attached for your reference. Additionally, I have provided my Eligibility and Benefits page from Delta Dental, which clearly indicates the effective dates during which Delta Dental is responsible for the services/claim in question.

I kindly request that you expedite the processing of this claim. If you require further information, please don't hesitate to reach me at ************ (cell phone).
Business Response
Date: 08/11/2023
Hello,
Unfortunately there is no record on file of a signed HIPAA form. Please fill the forms out and once received we can further assist.

Thank you
Customer Answer
Date: 08/11/2023

Complaint: 20448099

I am rejecting this response because: HIPPA was already communicated numerous times over the phone. Please find HIPPA attached.
The information requested by Delta has been forwarded to Certified mail. See attached. Please re-run charges and make payment to service provider. ...will continue this process until claim is paid by Delta Dental, GA.

Sincerely,

*********************
Business Response
Date: 08/24/2023
Hello,
Please have the form filled out by the adult dependent. Verbal authorization is not the same as written.

Thank you
Customer Answer
Date: 08/24/2023

Better Business Bureau:

I am writing to inform you that the case has been successfully closed, and the claim has been settled. After a year of interaction, the claim has finally been paid.
However, I would like to express my disappointment with the communication and business processes throughout this experience. The lack of effective communication and inefficient business processes have made this journey challenging.
It's worth noting that after my membership has ended, the only means of correspondence available for claim settlements will be via phone and US mail.
Thank you for your attention to this matter.
Sincerely,
*********************

Please close case.
Initial Complaint
Date:08/09/2023
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
On approximately March 2023 I received a crown that was cracked from my dentist, *************************. They have refused to pay the claim on the grounds that they needed a picture of the root . on July 13 my doctor new ********************** sent a picture and an explanation of my ***** which makes it impossible to x-ray the area on this tooth. The reason for the crown been replaced was that it was cracked I dont know what it has to do with the root.
Business Response
Date: 08/10/2023
Hello,
Please respond with your enrollee id so we can further assist.

Thank you
Initial Complaint
Date:07/26/2023
Type:Order Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My dental office submitted the proper signed paperwork to add myself as an out of network provider six times from March 2023 through July 2023. Delta Dental refuses to properly process the paperwork, resulting in denied claims for my patients who are paying their monthly premiums for dental care. Delta Dental is terrible on the phone, continuing to tell us to submit and resubmit in various ways via email and fax without ever processing the information. Keep in mind that we have successfully signed me up as a provider with dozens of other dental insurance companies in this same time period with no challenges whatsoever.This behavior is a disgrace to the dental industry, and is harmful for my patients as they pay premiums but are unable to redeem the benefits that they are paying for. This matter needs to be resolved immediately, and I will continue to escalate the situation the the *** Office of the Attorney General and the *** ********** of ********* Services if necessary.
Business Response
Date: 08/03/2023
Hello,
Please follow the proper dispute process with Delta Dental directly. This is for enrollee complaints only.

Thank you
Initial Complaint
Date:07/18/2023
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I have delta dental through my employer, we have no other choice for dental insurance. Appox March or April of 2023, I went to my dentist for an annual cleaning which is covered under my policy. However, during the visit, they discovered that I needed something called a deep cleaning because I hadn't been to the dentist since COVID. Before agreeing to this, I asked them to check for a pre authorization and check for coverage. They said Delta would cover 80% and I'd pay 20%, I agreed. They did deep cleaning and I didn't think,anymore about it until my provider keep sending me bills for much higher cost that it should have been. When I inquired. I was told delta deided the claim because something wasn't submitted properly and was told that the claim would be resubmitted. The claim was resibmitted with what delta asked the provider to provide. I went back for another procedure in June and was told delta still hadnt paid the provider and now was dening the claim because both sides of my mouth for the deep clean were done the same day....i was never told this by delta on that day of the procedure or by my provider on that day of the procedure. Delta should have disclosed that to me and to the provider. Delta need to pay the provider the $600.
Business Response
Date: 07/21/2023
Hello,
Please send your enrolle id so we can further assist you.

Thank you
Customer Answer
Date: 07/21/2023
My enroll id is I believe my social,security number which I am not sure how secure this commuincation is. You have my first and last name along with my address this should be enough to look up my info.
Business Response
Date: 07/25/2023
Hello,
Thank you for your response. That is the information used to look you up with. You *** be under a different enterprise of Delta Dental. We service Delta Dental of California, Georgia, and Pennsylvania. If you could provide what group you are with that *** be a little more helpful to find out if you are under this enterprise.

Thank you.
Customer Answer
Date: 07/25/2023
My delta dental is with ************* Schools in,******** ****. I am assuming I am with delta dental of ****. My subscriber id is *********
Business Response
Date: 07/31/2023
Hello,
For Delta Dental of **** unfortunately, we are unable to assist with complaints for that enterprise. Please reach out to them directly to file a grievance.

Thank you
Initial Complaint
Date:07/14/2023
Type:Delivery Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Not received my insurance reimbursement from my dental visit. Their error and it has been over 4 weeks almost 5 weeks.
Business Response
Date: 07/21/2023
Hello,
Please respond with your enrollee id.

Thank you
Initial Complaint
Date:07/07/2023
Type:Product Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Delta Dental charged me ***** a month for several years. I have rarely got to use it. The last year of my policy was impossible, I had to change dentists twice as very few take them. Got wrong info from them. NEVER was able to get an appointment for a simple cleaning. Called, canceled, explained, told a refund, filed lengthy complaint with one of their people over the phone for my refund...still no money or anything. Just want me to jump through more cumbersome ************...My son needed wisdom teeth out....ZERO people near us that could do so with this ins.WANT MY WHOLE YEAR OF STRESS AND NO SERVICE REFUNDED PLEASE.***** x 12 = $673.80 ***************************** ************
Business Response
Date: 07/11/2023
Good morning,

Your complaint was routed to the appropriate department for review.

Due to no authorization being filed all correspondence will be sent to you directly from Delta Dental.
Thank you.
Customer Answer
Date: 07/11/2023

Complaint: 20288789

I am rejecting this response because:
I have tried doing it through them and waiting for communication, even spent a half hour on the phone with somebody filing my complaint, and Ive heard nothing in months. I dont trust them to follow through. Theyve given me no reason to think that they will.
Ill just hope for the best and hope they do the right thing.

Sincerely,

*****************************
Business Response
Date: 07/17/2023
Good morning,
We apologize for your inconvience. At this time we have submitted the complaint to our grievance department for review. If you are still unsatisfied you may file a complaint with your local department of insurance or department of labor.

Thank you
Customer Answer
Date: 07/17/2023

Complaint: 20288789

I am rejecting this response because:
It literally offered nothing or solved anything, just more excuses and run around and hoops for me to jump through, which is all that Ive experienced thus far with this company.

Sincerely,

*****************************
Initial Complaint
Date:07/05/2023
Type:Order Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I had credible coverage with Delta Dental of ********** from 11/2021 through 08/31/2022. We had to change our coverage due to job changes. My policy number was *********, At that time we immediately switched to Delta Dental Plan with AARP. MY policy with Delta Dental AARP is 1225681335-01. Group # *****-04901 We enrolled in the new plan on 9/1/2022.We have been denied some coverage. They say we need to wait one year with AARP for major dental work. My dentist assumed since it was a Delta plan and was surprised that they had limitations even though it is under the Delta Name. I have lost about $2,000 dollars. We were not informed that there would be any delay in coverage and have consistently paid monthly fees. We were not told we would have to inform AARP in advance of previous affiliation with Delta. We had hoped that our verbal discussion with the agent relayed that we were continuing Delta customers. So, there should not be any waiting period.
Business Response
Date: 07/11/2023
Good morning,
Delta Dental has received your complaint and is being reviewed. Please allow time for processing.

Thank you
Initial Complaint
Date:07/03/2023
Type:Product Issues
Status:
ResolvedMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I have an active PPO plan with Delta Dental. My ID number is ************. My group number is 19113-00001. My 2 children have orthodontics allowance of up to $2000 for each child. Both children had braces installed on 6/19/2023 at Care Dental at *********************************************. The provider filed preauthorizations for both children on 3/25/23 and 5/22/23. Today 7/3/23 is the second follow up appointment and the provider has informed me that Delta has not responded to the claims filed and we are not able to continue to receive treatments. I have not failed in paying my monthly premiums and I must receive my benefits from this company. The claim number for the first child is ************** and for the second child its **************. They never answer phone calls, I cant get any information and the doctor is asking me for money that I cannot afford to pay. Ive been with Delta for 7 years! Please help us with resolving this case as soon as you are able to. Thank you.
Business Response
Date: 07/07/2023
Hello,
Delta Dental has just received these claims for both children last week 6/26/23. I am unsure of what other follow *** were needed before then but these are currently processing. Please allow time for these to process.

Thank you.
Customer Answer
Date: 07/07/2023

Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

Sincerely,

*********************

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Delta Dental Insurance Company - Georgia is NOT a BBB Accredited Business.