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ComplaintsforDelta Dental Plan of California
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Complaint Details
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Initial Complaint
08/14/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I believe that Delta Dental *** misleads thousands of ***** employees with ERS . They advertise that you get certain coverages available, however they know you will not be able to find a doctor who is in network. I believe this to a unethical practice to perpetrate against so many unknowing employees.Initial Complaint
05/26/2022
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
I am writing to contest Delta's refusal to cover the retainer crown for tooth #3 on a bridge I need. The Claim # is ************** (for my insurance) and *************** (for my husband's). I understand that policy states that a crown cannot be covered more than once in 5 years, but I believe the circumstances are different here. I am not having a crown replaced with a standard crown. Instead, I need a retainer crown, which is actually part of a bridge, to help protect my teeth from moving after losing a tooth. A bridge and a crown are not the same thing, and the fact that they have different names and dental codes should be evidence of that. even "crown" and "retainer crown" are not the same thing. I pay a lot for double insurance and with everything else going on right now, it would help tremendously to have Delta cover the bridge in full, while it would not be a huge loss for Delta. I am filing this grievance because after being put on hold for hours and being referred to "supervisors" who weren't actually supervisors, I am hoping that this might be a more effective line of communication with someone who can actually help me. One representative instructed me to fill out a grievance report on the Delta website, but after doing that only for the website to fail, I realized that grievance form was to complain about a provider, not the policy. Thank you in advance for your time and consideration. I look forward to hearing from you.
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BBB Rating & Accreditation
This business is not BBB Accredited
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Customer Complaints Summary
3 total complaints in the last 3 years.
2 complaints closed in the last 12 months.