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

175 total complaints in the last 3 years.
31 complaints closed in the last 12 months.

If you've experienced an issue

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:02/27/2023
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.
CIGNA DENTAL MY PRE-AUTHORIZATION WAS SENT ON 1/12/23, I HAVE BEEN CHATTING WITH THEM FOR A MONTH AND THEY KEEP STATING THEY HAVENT RECEIVED IT. THE DENTAL OFFICE HAS SUBMITTTED IT 5 TIMES AND HAVE SHOWN ME THE CONFIRMATION. I AM PAYING FOR INSURANCE BUT NOT GETTING ANY SERVICE
Business Response
Date: 02/27/2023
Good afternoon,
This complaint section is for Delta Dental members, unfortunately we are unable to assist with Cigna members.

Thank you.
Customer Answer
Date: 02/27/2023

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,

*****************************
Initial Complaint
Date:02/25/2023
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 signed up with delta dental about 8 months ago. The representative that helped me gave me wrong information and told me that coverage for a crown that needed to be fixed would go into affect the next day and there was NO WAITING PERIOD!! So I signed up with Delta Dental. Come to find that was was not true at all and this representative LIED! I paid over 400$ for my part of the crown and Delta Dental was to cover the other portion and refuses. *** filed a claim 2x and asked that they pull the call of the representative and that was never done. I need Dental Dental to make it right and PAY the amount due 600$ to my dentist as I was told by the representative. This needs to happen immediately or I will go to the *** and assure the representative is reprimanded properly for lying and giving false information and take legal action!
Business Response
Date: 02/27/2023
Good afternoon,

Please see our response.

Thank you
Initial Complaint
Date:02/21/2023
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.
To whom it may concern,I am filling a grievance with Delta Dental of *************. Though I live and work in California. My employer has this plan for California residents.Here is my complaintHad a routine crown replacement.. 11 yrs since original porcelain crown was placed with Delta dental insurance!I live in California.. not knowing my current delta insurance was from *************. And that they do not cover porcelain crowns.. I am not allowed to do silver or any other metals.. I have a metal allergy and cant place any form metal on my skin or in my mouth..This is toxic and harmful to my health.I feel I was very deceived and not properly informed of porcelain crowns not being covered..as it has always been cover by delta dental insurance I have had, so I had no question that it wasnt covers.. plus metals are toxic to everyone. My crown was cost $1795. Plus X-rays . California doesnt use silver fillings or crowns anymore, certainly my dental office does not. I will fight this..I will investigate and see if other people will join me in a class action law suit..I expect a 80% coverage for the new crown placed on Oct 18th 2022 Delta dental # ********* ********** Deltadentalma.com ******************************* Sent from my iPhone
Business Response
Date: 02/27/2023
Good afternoon,
Please reach out to Delta Dental of ************* to file your complaint, this Better Business Bureau deals with Delta Dental of California enterprise only .

Thank you
Customer Answer
Date: 02/28/2023

Complaint: 19444861

I am rejecting this response because:

Sincerely,

*******************************
Business Response
Date: 03/02/2023
Unfortunately we are unable to assist.

Thank you
Customer Answer
Date: 03/02/2023

Complaint: 19444861

I am rejecting this response because:

Sincerely,

*******************************
Initial Complaint
Date:02/15/2023
Type:Sales and Advertising 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 am a new client for Delta Dental. I have now made hours of attempts to book an appointment with any of your providers. Your website is horrible in that it allows a dentist to list themselves up to a dozen times. It says ************** 5 miles but that is fraud! It's actually 4 dentists that have listed themselves 39 times. WTF I am so annoyed with your service. How do I get a list of dental offices without any repeats?
Business Response
Date: 02/16/2023
Good afternoon,
Please reply with your enrollee id so we can further assist.

Thank you.
Customer Answer
Date: 02/16/2023
Don't know what they are asking for. If you need an account number try doing your job and looking it up.
Initial Complaint
Date:02/14/2023
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.
July 2022 I reached out to Delta Delta dental for assistance with enrolling into a Dental plan. I specifically asked for a plan that covered orthodontics and the agent advised she would be providing a plan that covered orthodontics. 2/13/2023 I went to an orthodontist and was advised that my insurance does not cover braces. I reached out to Delta Dental since I was sure I specifically asked for and was told my plan covered orthodontics. The agent I spoke with on 2/14/23 advised the plan only covers orthodontics for individuals up to 17 years of age. I never had any intent of adding my kids to my dental plan and I never gave the impression or discussed adding my kids so why would I knowingly request a dental plan that covers orthodontics for 17 and under when I only wanted the plan to cover orthodontics for myself. I have other insurance which covers myself and my kids for routine and emergency dental care. The initial agent assisting me failed to disclose the details of the plan provided when I reached out to ensure I was getting the correct dental plan for my needs. Ive been paying for a plan since based off of misinformation and a failure by the initial agent to properly advise that there was a age restriction on orthodontics coverage.
Business Response
Date: 02/14/2023
Good afternoon,
Your complaint has been routed to the appropriate department. All correspondence regarding your complaint will be sent to you directly from Delta Dental due to no HIPAA authorization being filled out.

Thank you.
Initial Complaint
Date:02/04/2023
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 the dental office submitted 3 claims to delta dental, they were all denied. I have not received anything from Delta dental telling me why the claim was denied. I need them to pay for my claim!
Business Response
Date: 02/07/2023
Good morning,
Please respond with your enrollee id so we can assist you.

Thank you
Customer Answer
Date: 02/07/2023

Complaint: 19335122

I am rejecting this response because:

MEMBER ID **************

Sincerely,

***************************
Business Response
Date: 02/07/2023
Thank you can you please provide if you are with Delta Dental of California or the name of your employer you have the insurance with?
Initial Complaint
Date:02/02/2023
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.
UNFORTUNATELY FOR SOME REASON DELTA DENTAL IS BILLING ME FROM APRIL OF 2022. IN WHICH I NEVER SEEN A DENTIST OR USED THE INSURANCE. THEY ALREADY KNEW THAT I WAS SIGNED UP FOR THIS PLAN DUE TO FRAUD ON BEHALF OF A 3RD PARTY COMPANY THAT SIGNED ME UP AS WELL AS NUMEROUS OTHER UNSUSPECTING PEOPLE FOR INSURANCE FOR A COMMISSION. IN OTHER WORDS THEIR OWN PERSONAL GAIN. I NEVER EVER CONSENTED TO OR AGREED TO USE DELTA DENTAL AT THAT TIME. I NEVER USED THE INSURANCE EVER AND THE DENTAL INSURANCE WAS CANCELLED BY THE 3RD PARTY WITHIN 30 DAYS SO THEY TOLD ME. I AM BEING BILLED $89.88 FOR NOTHING. I NEED HELP RESOLVING THIS MATTER
Business Response
Date: 02/03/2023
Good afternoon,
Your complaint was submitted to the appropriate department. All correspondence regarding this will be sent directly to you from Delta Dental due to no HIPAA form filled out with the Better Business Bureau.

Thank you.
Initial Complaint
Date:02/02/2023
Type:Sales and Advertising 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 insurance was paid through my employer, which I was covered til 09/31/2021. I had dental service done 12/2020 until 09/31/2021 which was not paid by delta dental. I was informed of this issue 01/2023 and contacted delta dental to find out details. Once being informed that the claims were submitted after the deadline I contacted the dentist office and and received time stamps of electronic submissions of the claims within the covered timeframe that were sent to delta dental. I completed a grievance with delta dental 01/2023 and asked for the bills to be paid since I was covered at that time, and to make this issue right. Delta dental denied the grievance and still states they have no submissions of the claims within the timeframe.
Business Response
Date: 02/03/2023
Good morning,
Your complaint has been received. Please see the attached letter regarding no HIPAA authorization filled out with the Better Business Bureau.

Thank you.
Customer Answer
Date: 02/07/2023

Complaint: 18971023

I am rejecting this response because: I waived my hippa rights by disclosing my personal health/dental information. I have completed a formal grievance by phone with a Delta dental agent, which was denied by Delta dental. When I spoke to another agent I was met with an attitude. Delta dental needs to uphold the image that was submitted confirming the billing was billed and submitted to their company within the timeframe. And cover the services that were rendered under my policy at that time.

Sincerely,

*********************
Business Response
Date: 02/09/2023
Good morning,
The message is just explaining to you that your complaint was submitted and correspondence will be sent to you directly from Delta Dental rather than on this site because there was no HIPAA filled out with the Better Business Bureau.

Thank you.
Initial Complaint
Date:01/31/2023
Type:Order 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.
Two of my children received dental care. We contacted Delta Dental prior to any procedure to ensure we were compliance with coverage. I received an invoice from my provider and contacted Delta Dental to discuss coverage. I spoke to a Supervisor named ****** and expressed my concerns regarding the partial coverage. She mentioned that this particular filling for my 5 year old daughter was only covered once every two years and suggested to contact the previous dentist office to discuss compensation. My family and I moved from AK to TN, discussing with her previous dentist regarding compensation is no option for my family. How do we expect to get preventative care if you are only covering procedures once ever two years? Did you want my 5 year old daughter to wait for another year for this procedure to be completed where the bill and preventative cost would be 2x-3x as much than it is today? Please explain to me how this makes sense.
Business Response
Date: 02/01/2023
Good evening,
Please respond with your enrollee id so we can assist.
Thank you
Customer Answer
Date: 02/01/2023
Member# *********
group# *****
Business Response
Date: 02/03/2023
Good morning,
Please see our response.
Thank you
Customer Answer
Date: 02/03/2023
Please see attached insurance information.
Business Response
Date: 02/07/2023
Good morning,
Can you please advise if you are with Delta Dental of California or possibly a claim number so I can better assist you.

Thank you
Customer Answer
Date: 02/09/2023
Delta dental of **********
Business Response
Date: 02/14/2023
Hello,

Thank you for your response. Unfortunately we are unable to assist you with this as we only service the Enterprise of Delta Dental of California. We are unable to see your information.

Thank you
Customer Answer
Date: 02/14/2023

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,

*************************
Initial Complaint
Date:01/26/2023
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.
Delta Dental does all it can to avoid paying for services. This company repeatedly refused to pay for a covered service my daughter has received from Lufkin endodontics. The company says it needs documentation (radiographs) from my daughter's dentist. I call and ask the dentist to send the documentation Delta has requested. . The dentist then sends the documentation with an *** so that it's explained to this company that Delta says it has no record of receiving the documents. This has happened twice. What can a consumer do if the company repeatedly says it has lost or not received my Documation. The dentist says it was sent. The dentist has no reason to not send it. Delta on the other hand has reasons to "misplace" the documentation in the hopes that the consumer will not follow up. The dentist office tells me that the reason they want cash up front from consumers covered by delta is this exact reason. A great deal of dentist refuse to deal with this company due the dishonesty and greed this company exacts on consumers and businesses. The company scams, drags its feet and fights every effort to avoid paying for services. I am currently in the middle of a third attempt to get delta to pay for covered services. We have once again sent the supporting documentation the requested. I called and asked delta to send me an email with the exact instructions they need to receive and file the documents. Guess what...they didnt send the email. I have copied the *** account, number and refusal explanation to the documents again. I'm certain I will have to call numerous times to follow up and and babysit Delta through its measured profit driven inadequacy.
Business Response
Date: 02/03/2023
Good afternoon,
Please reply with your enrollee id so we can assist with your complaint.

Thank you.

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