Frequently Asked Questions

General Plan FAQ

Eligibility
The term eligibility refers to who may be covered by a Delta Dental of Idaho individual plan. Only permanent residents of Idaho including spouses and/or dependent children are eligible. Coverage can be purchased by singles, two-person households or families. Individual dental plans may be purchased regardless of existing dental, health or Medicare insurance plans.
What is the cost of these plans?
For individual and family or ACA compliant plans, you can visit the Plans & Pricing page to see the premium cost per person for each plan, based on the age of each subscriber. You can also call (855) 70-DELTAID and a representative will help you. If one of these plans meets your needs, enroll on our website deltadentalid.me, or request that an application and product brochure be sent to you.
What services are not covered?
These plans provide a broad array of dental services, but like any policy, there are certain exclusions and limitations as well as amounts you will pay out of pocket. You can obtain information on the specific and general exclusions, limitations and other policy provisions by reviewing the plan details on the Plans & Pricing page or by calling (855) 70-DELTAID and speaking to a representative.
Can I see my own dentist?
You must use a dentist in our Delta Dental Premier® or Delta Dental PPOSM networks for individual and family or ACA compliant plans. We have a large network of participating dentists in Idaho as well as nationwide, so there is a good chance that your dentist is in the network. To determine if your dentist is in network or if you need help finding a dentist, you can select find a dentist (choose Premier or PPO) or call (855) 70-DELTAID. We do not cover procedures by dentists who are not participating as a Delta Dental dentist.
What is the difference between Premier, PPO and non-participating dentists?
Delta Dental Premier or PPO Participating Dentist means an Idaho dentist who has signed an agreement with Delta Dental of Idaho to participate. The Delta Dental Premier or PPO participating dentist accepts Delta Dental’s payment and the patient’s co-payment, if any, as payment in full.

Delta Dental Nonparticipating Dentist means a dentist who has not signed an agreement with Delta Dental, or a Delta Dental participating plan in another state, to participate with Delta Dental. It is the Subscriber’s responsibility to make full payment to the nonparticipating dentist.
When does my coverage start?
When valid enrollment documentation is received on the 1st through the 15th day of the month, coverage will become effective the first day of the next month. When valid enrollment documentation is received on the 16th through the last day of the month, coverage will be effective the first day of the second month. Coverage is contingent upon underwriting acceptance. Your Subscriber contract period is for 12 months. Coverage continues for 12 months; and will automatically renew for another 12-month period.
Are your contracts annual or monthly?
Annual contracts but payments are drawn from the customer’s designated account on the 20th of each month for the following month’s premiums. However, we do accept full annual payments. If the 20th is on a weekend or holiday, premiums will be drawn on the next business day.
How do I pay?
Individual and Family plans – Premiums may be paid monthly or annually. A credit card is needed for automatic monthly withdrawal. For your convenience, you can log on to www.deltadentalid.com/subscribers.aspx to setup or change your automatic monthly payment settings. Annual payments must be paid with a check mailed to Delta Dental of Idaho, P.O. Box 2870, Boise, Idaho 83701.

ACA compliant plans – Premiums may be paid monthly or annually. A credit card is needed for automatic monthly withdrawal. For your convenience, you can log on to www.deltadentalid.com/subscribers.aspx to setup automatic monthly payments. Different from our individual and family plans, if automatic billing has not been setup, a monthly statement will be mailed to you at the beginning of each month.
What if I have other dental insurance or am part of a Medicare plan – can I get dental coverage?
Yes, Delta Dental provides dental benefit plans regardless of existing dental coverage or Medicare. You will want to review your Medicare Advantage or Medicare supplement plan to determine if dental coverage is included or if you need to purchase additional dental benefits.
How do I renew my dental plan?
Your contract will automatically renew on your anniversary date unless you notify Delta Dental of Idaho in writing of your intent to cancel within 30 days of the contract expiration date. You will receive a notice of renewal at least 45 days prior to expiration of this contract. If you cancel this individual dental plan for any reason other than moving out of the state of Idaho, or you gain benefits through another provider, you will have to wait 24 months before you can re-apply for coverage.
How do I review and manage my account?
Once you’re enrolled, visit www.deltadentalid.com/subscribers.aspx to update your contact information. You can also view and print your ID card, contract, payments made, benefits and claims information. Also available is our free mobile app allowing you to access your ID card, view contracts, look up benefits and find a dentist near you. This app can be downloaded via the Apple App Store https://itunes.apple.com/us/app/delta-dental-mobile/id632244310?mt=8 and Google Play https://play.google.com/store/apps/details?id=com.deltadental.HealthApp.


Health Exchange Plans FAQ

What is the difference between Delta Dental of Idaho’s individual and family plans and Delta Dental of Idaho’s ACA compliant individual plans?
Our individual and family plans offer a wide variety of procedure coverage and premium pricing based on the individual or family needs. Our ACA compliant plans do not offer as many procedure coverage options, but do provide a certified pediatric plan option that is compliant with the Affordable Care Act. You can purchase from either family of plans directly through Delta Dental of Idaho, or in partnership with your broker.
What is the difference between Delta Dental of Idaho’s ACA Compliant plans and Your Health Idaho Exchange plans?
Our ACA compliant GrinWell Plus Preferred Pediatric and GrinWell Plus Basic Pediatric plans were created to provide a certified pediatric dental plan option that is compliant with the Affordable Care Act. When technology limitations on yourhealthidaho.org limited adult dental coverage, we created these two plans to enable adults to enroll in the same plan as their children and benefit from the ease of having only one plan, one contract, and one bill.
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