Business Profile

Dental Plans

Delta Dental Insurance Company - Georgia

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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

185 total complaints in the last 3 years.
41 complaints closed in the last 12 months.

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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:05/04/2025
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.
Waiting Period Waiver Denied - Break in Coverage from Jan-01-2025 - Jan-31-2025 - I have proof of Payment with COBRA for Jan-01-2025 - Jan-31-2025 - There was no break in coverage.
Business Response
Date: 05/05/2025
Hello,
We will send communication to the member.
Thank you

Customer Answer
Date: 05/06/2025

Complaint: 23284774

I am rejecting this response because: Waiting Period has NOT been waived. I have proof I had coverage between 1/1/2025-1/31/2025

Sincerely,

***** *****
Business Response
Date: 05/06/2025
Hello,
We will send direct communication to the member within 30 days.

Thank you
Customer Answer
Date: 05/06/2025

Complaint: 23284774
I am rejecting this response because: Waiting Period has NOT been waived. I have proof I had coverage between 1/1/2025-1/31/2025

Sincerely,

***** *****
Initial Complaint
Date:03/24/2025
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.
On March 1 I visited my dentist (in network to Delta Dental PPO) for my checkup and cleaning. I got some x-rays, an exam, and a dental cleaning, all of which were covered under my plan. Ideal Dental of ********** is clearly listed on Delta's website as IN the PPO.Delta Dental subsequently refused to pay. I have also complained to my state insurance *****
Business Response
Date: 03/25/2025
Good morning

This is not a refusal to pay from Delta Dental, the denial is due to an issue with the providers information listed on the claim. What we have on file for the dentist is not the same that was added to the claim, please have them contact Delta Dental to resolve this issue.

Thank you
Customer Answer
Date: 04/02/2025

Complaint: 23107039

I am rejecting this response because:
"I did everything I was supposed to do. I consulted the delta dental website and verified Ideal Dental of ********** as being in Delta's PPO. I included with this complaint a search of their site showing ideal dental's address and literally hundreds of listed providers at the site. The claim from delta dental shows "ideal dental of san ******* as the provider. Now delta dental refuses to pay the claim based on an alleged conflict between the information they have on this dentist and what was provided in the claim. I have already contacted my dentist about this and they have submitted a revised claim form. Still delta dental refuses to pay a legitimate claim. I am caught in the middle of this. I did everything I was supposed to do. From my standpoint this appears to be insurance fraud perpetrated by the insurance company. They are refusing to pay a legitimate claim and there is no basis for this."

Sincerely,

***** ****
Business Response
Date: 04/02/2025
Good afternoon

Please have the provider reach out to Delta Dental directly.

Thank you
Customer Answer
Date: 04/02/2025

Complaint: 23107039

I am rejecting this response because:
I have already done as they asked. I phoned Delta Dental of ********** (an approved PPO provider for Delta Dental) and spoke with the office manager two weeks ago.
She stated a revised claim had been submitted. Delta Dental is still refusing to pay a legitimate claim. This is plain, simple fraud a la "The Rain Maker".
Delta Dental's response is totally and completely unacceptable. They need to pay the claim.

Sincerely,

***** ****
Initial Complaint
Date:03/22/2025
Type:Billing 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 provided dental health insurance to me throughout 2024, which I signed up for through the Marketplace. I canceled this policy during December 2024, when I moved out of Florida and the Marketplace changed my plan. After cancellation, Delta Dental continued to send me bills to pay the monthly premium. I called four times over the next two months and spoke to their ***resentatives confirming that this plan was already cancelled and to have the *** confirm the cancellation. In February 2025 I received a letter stating that they canceled my policy for non-payment, and I immediately called to confirm that it was already canceled in December. In March I received a second letter in the post stating the dental plan was canceled because they havent received my payments! Even though I ***eatedly confirmed through several phone conversations that the plan was canceled. I will now check my credit ***ort to make sure this was not wrongfully ***orted. Delta Dental needs to change the official record of my policy to state that I rightfully canceled the policy in good standing - not due to lack of payments.
Business Response
Date: 03/25/2025
Good morning

Please respond with your enrollee id.

Thank you
Customer Answer
Date: 03/25/2025
As requested by the business, Delta Dental: my Enrollee ID is: ***********
Sincerely,
**** ******
Business Response
Date: 03/27/2025
Hello

Can you confirm who you contacted to cancel this plan back in December? You would have needed to contact the Florida Marketplace to do so, the only communication we have from you is in February advising that you moved to ******** and asked if this insurance was still okay to use.

Thank you

Customer Answer
Date: 03/27/2025
I dont remember who I contacted, but initially I changed plans through the Marketplace on **************, the same website where I first signed up for the plan. When I received a bill stating I must still pay the monthly premium, I did talk to an agent of Delta Dental on the telephone, although I did not note their name.
I also contacted Delta Dental by phone and spoke to an agent in February and March of this year, asking them to stop sending me bills and that I had canceled the plan in good standing.
Customer Answer
Date: 03/28/2025

Complaint: 23102554

I am rejecting this response because:
I dont remember who I contacted, but initially I changed plans through the Marketplace on **************, the same website where I first signed up for the plan. When I received a bill stating I must still pay the monthly premium, I did talk to an agent of Delta Dental on the telephone, although I did not note their name.
I also contacted Delta Dental by phone and spoke to an agent in February and March of this year, asking them to stop sending me bills and that I had canceled the plan in good standing.

Sincerely,

**** ******
Business Response
Date: 04/01/2025
Hello
Thank you for your response. We would need the Florida Marketplace to contact us regarding that you cancelled back in December, without the information from them it has you terminated in February for non payment. We understand your frustration and what you are saying but the information has to come from them.

Thank you
Customer Answer
Date: 04/02/2025

Complaint: 23102554

I am rejecting this response because:
Today, April 2, 2025, I spoke on the phone with an agent from Marketplace. She confirmed that the plan has already been terminated, and she stated that Delta Dental was notified. She also stated that at this point Marketplace does not further contact Delta Dental.

Sincerely,

**** ******
Customer Answer
Date: 04/03/2025

Complaint: 23102554

I am rejecting this response because:
Today, April 2, 2025, I spoke on the phone with an agent from Marketplace. She confirmed that the plan has already been terminated, and she stated that Delta Dental was notified. She also stated that at this point Marketplace does not further contact Delta Dental.

Sincerely,

**** ******
Business Response
Date: 04/07/2025
Good afternoon

As previously stated we received receipt from the Marketplace that the plan was to cancel 2/2025, we would need receipt from December to have this backdated.

Thank you
Customer Answer
Date: 04/10/2025

Complaint: 23102554

I am rejecting this response because:
Marketplace clearly stated and confirmed that the plan was properly canceled in December 2024, which Delta Dental would have properly been notified of via normal Marketplace means. They continued to state that they do not usually provide additional confirmation after the fact and after the date it was canceled. I requested confirmation from them that I can send to you and am waiting on their response. The agent at Marketplace said they will investigate if they can provide this further confirmation.

Sincerely,

**** ******
Initial Complaint
Date:03/12/2025
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.
Delta Dental is refusing to pay for my crowns despite sending my dentist a fax stating they were covered at 50%. I attached the eligibility and benefits info the dental office received via fax with a date and time stamp clearly marked. It shows my plan covers crowns at 50%, with a limitation for children up to 19. Nowhere does it say I lack major coverage or that this is a preventative-only plan. *****, from my dentists office, called Delta Dental and spoke to ******* (Ref# SF ***************) to ask why my crowns werent paid at 50% as indicated. ******* claimed I exceeded the age limit. I told her the eligibility info was misleadingeven to Sarahand asked how they expected me, as the patient, to understand their denial. I have an adult policy through **************, not a childs policyI am 54 years old. They should know this as they have my DOB. When ***** asked ******* to conference me in, she agreed, but as soon as ***** initiated the call, ******* transferred her to an automated survey. Im filing a complaint because I can't get anywhere with DD. How does this plan benefit me? It does NOT state this is a preventative-only plan. It does NOT state I lack crown or major coverage. Delta Dental plans typically state NOT A COVERED SERVICE, NA, or NO COVERAGE under MAJOR. If my crowns werent covered, why does it say Major 50% for D2740 (crown-porcelain/ceramic subst E40)? ***** has never encountered this issue with Delta Dental Premier in the four years Ive been with my dentist. My balance per my insurance is $1,724.50 because Delta Dental failed to pay the estimated 50% outlined in the plan they provided. My treatment decisions were based on their stated coverage. If they had faxed back saying my crowns werent covered, I wouldnt have had the procedure or would have gone to ****** for the work at a quarter of the cost. Delta Dental made a mistake and doesnt want to pay. I canceled my premiums at the end of 2024 and switched to another carrier.
Business Response
Date: 03/17/2025
Hello
We received your complaint. Please allow 30 days for our grievance and appeals team to review the dispute and send a response.

Thank you
Initial Complaint
Date:03/12/2025
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 basic plus major delta dental plan. When I got a implant, they covered nothing! My plan is supposed to cover, but this company gave excuse after excuse to not cover my implant (non were valid). Very upset.
Business Response
Date: 03/17/2025
Hello

Please respond with your enrollee id.

Thank you
Initial Complaint
Date:02/21/2025
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.
Hello, I signed up with Delta Dental Insurance through ************** (after January 2025 and was to be effective Feb. 1, 2025. My member ID is ************. I paid the Delta first month premium of $8.70 on January 8, 2025 with my Mastercard. I cancelled my ************** Health Insurance plan and the Delta Dental plan on January 20, 2025. So Delta coverage has never gone into effect. So it has been a complete nightmare trying to get Delta Dental to refund my $8.70 payment. The Delta phone **** are nice, but are zero help with this issue. It is just the principle of it to me-they owe me my money and are not refunding me. Thank you to the BBB for your help.
Business Response
Date: 02/24/2025
Hello

The refund check shows it was issued around 2/10/25, please allow around 7-15 business days to receive this.

Thank you
Customer Answer
Date: 02/24/2025

Better Business Bureau:
Hello, I received the refund check on 2-24-2025 (deposited to my bank same day) from Delta Dental so thank you to the BBB for your help. Delta Dental-something needs to change there as it took over a month to get the refund check and was beyond ridiculous. I have had other dental providers through ************** and they all have processed the refund 3-4 days after cancelling through ************** and goes back to my credit card (and not a paper check). So hopefully the refund process will be changed there as its 2025, not 1985 and it shouldn't take over a month to receive the refund. I am just glad I found out how Delta Dental operates as I will never buy coverage from them again and will make sure to share my experience with others. Also, your Delta **** are nice, but most have zero clue how to check status of the refund and/or how to initiate it. Just wanted to give Delta a nickel's worth of free advice. Thank you again to the Atlanta BBB especially with the **** unofrtunately now being shut down.

Sincerely,

******* ******
Initial Complaint
Date:02/20/2025
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.
These are all of the reference numbers pertaining to my issue. SF2025020657976448 SF ***************** SF20241216566053552 We continue to receive checks that do not belong to us. The most recent check number (for a check that should be sent to the patient) is check #**********. This check was issued after we reached out to your organization with a termination of treatment date. All checks for this case (including prior to the termination of treatment date) should be sent to the patient it pertains too. We do not accept insurance checks on any kind. This provided such terrible experience for me and the patient to the point that they are no longer being treated at our office.
Business Response
Date: 02/21/2025
Hello

Please submit your complaint to Delta Dental directly

Thank you
Customer Answer
Date: 02/21/2025

Complaint: 22968011

I am rejecting this response because I have spoken to many representatives about this issue with no resolve.

Sincerely,

****** *********
Business Response
Date: 02/24/2025
Hello

Please submit a provider dispute on the Delta Dental portal or you may mail in a provider inquiry form.

Thank you
Initial Complaint
Date:02/11/2025
Type:Customer Service 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 received covered dental care and delta dental is refusing to accept my dentists claim and pay me what I am due.
Business Response
Date: 02/12/2025
Hello

Please respond with the date of service as well as your enrollee id.

Thanks
Customer Answer
Date: 02/13/2025
please forward the following to delta dental
Dates of service
11/21
12/16
member ID ************
Business Response
Date: 02/14/2025
Hello

We have not received these claims that you are referring to. We also have not received a call from your provider at all to see if there could be an issue as to why we are not receiving these. Please have them contact Delta Dental so this can be resolved.

Thank you

Customer Answer
Date: 02/14/2025

Complaint: 22929645

I am rejecting this response because:
A three way recorded call was placed 2/10/25 with my wife and my dentist including a delta dental representative. If you look in your call records you will find this. There was no further help offered by that representative. So yes, there was a call placed.

Sincerely,

***** *****
Business Response
Date: 02/18/2025
Good morning

We understand, however as stated there is no claim on file for the dates indicated.

Thank you
Customer Answer
Date: 02/19/2025

Complaint: 22929645

I am rejecting this response because:
The claims have been submitted electronically multiple times and by mail now as well. If these have not worked, we need an email to submit it another way. Next up, we will be reporting to the insurance commissioner.

Sincerely,

***** *****
Initial Complaint
Date:02/10/2025
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 husband, ***** *****, received dental care with Dr. **** ********** in ***********, ** in November and December of 2024. Delta Dental is refusing to receive or give further information on whether they have received claims from this provider in order to pay us back for covered services. I have been in contact with them three times and they have made no progress toward paying us the money we are owed.
Business Response
Date: 02/11/2025
Hello

Please have your spouse complete a HIPPA authorization form in order for us to assist you.

Thank you
Initial Complaint
Date:02/08/2025
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 dentist did two crowns on the same day. Dental Dental has reimbursed me for only one even after additional paperwork they requested was submitted twice.
Business Response
Date: 02/10/2025
Hello

Please reply with your enrollee id.

Thank you

Customer Answer
Date: 02/10/2025

Complaint: 22917702

I am rejecting this response because:

Sincerely,

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

the ID # requested is: 1207944380-02
Business Response
Date: 02/11/2025
Hello

Thank you. I am showing the x-rays were received and was sent over for review. Please allow around 7-10 business days.

Thank you
Customer Answer
Date: 02/11/2025

Complaint: 22917702

I am rejecting this response because:

This crown was done on 12/4/2024. Thats over 2 months ago and the dental office submitted the information to Delta Dental close to that date and I also submitted the requested information after that to Delta Dental. I think over two months to process this claim is excessive. And now theyre asking for 7 to 10 more days.
Sincerely,

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

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