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Business Profile

Dental Insurance

Delta Dental of Illinois

Reviews

Customer Review Ratings

1/5 stars

Average of 19 Customer Reviews

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Review Details

  • Review fromDavid T

    Date: 02/12/2025

    1 star

    David T

    Date: 02/12/2025

    ******* insurance company with awful customer service, poor coverage, and a joke of a network. Denies basic fillings and is an absolute scam of an insurance provider. If you have the option to get other insurance, I highly recommend you do. Not a pleasant company to work with, and I will definitely not be giving them my business in the future.

    Delta Dental of Illinois

    Date: 02/14/2025

    BBB Complaint Review ID ****** Dear *** or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the review submitted by a Delta Dental of Illinois member.Delta Dental of Illinois cannot find the reviewer in our system. We encourage the reviewer to contact us directly or send their ID card of policy so we can verify coverage and assist the reviewer.We believe the above information responds to this complaint and concludes our handling of this matter. Should your agency need additional information, please contact **************************************
  • Review fromJerry D

    Date: 02/03/2025

    1 star

    Jerry D

    Date: 02/03/2025

    Pathetic bait and switch. They encourage you to get your regularly covered cleaning but then when you need a larger expense covered they say you are maxed out. The ONLY other procedure that our child had was the essential X-rays for his oral surgery. That is bait and switch so they can avoid covering the larger expense. Never again. Better off saving your money and paying out of pocket. At least you know going in what your cost will be. One star is being generous.

    Delta Dental of Illinois

    Date: 02/05/2025

    February 5, 2025 Customer Relations Advocate ********************** of ****************** Illinois, **************************************************************************************************************** ***** Re:BBB Review ID ****** Dear *** or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the review submitted on February 3, 2005. We were able to locate the reviewers information in our benefit system. When a member is covered by a group policy, the dental plan is determined by the group. Delta Dental of Illinois processes claims based on the group policy. Dental plans typically have an annual maximum. In this case, Delta Dental of Illinois process the claim according to the members plan and annual maximum associated with that plan. We encourage all members to ask for a pre-treatment estimate for more comprehensive treatments to help ensure the member knows what their plan will cover and how much they may owe out-of-pocket. We also encourage members to use Delta Dental network providers to help maximize their benefit dollars. If the reviewer would like to discuss this matter further, they may contact us at ************ to provide more information so we can appropriately review and respond.We believe the above information responds to this complaint and concludes our handling of this matter. Should your agency need additional information, please contact **************************************
  • Review fromTony S

    Date: 10/02/2024

    1 star

    Tony S

    Date: 10/02/2024

    **** place is a joke, delta Dental of illinois I was told that due to the frequency of me using my dental card that I would not be reimbursed for the dental visit which I lost $90 first. They tell me june tenth I was reimbursed, and the check was cashed and they never seen a policy or a claim for june twenty first so then I call the dentist to get them to file the claim for june twenty first then I am told They will not be reimbursing me for the 21st of June **** ********* Delta dental is a joke. It is a scam. They take your money and charge you. Whatever, and don't want to reimburse. Stay away from delta dental

    Delta Dental of Illinois

    Date: 10/07/2024

    Re:BBB Review ID: ****** Dear *** or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the consumer review regarding Delta Dental of Illinois. Thank you for the opportunity to respond. The following describes our handling of this matter. The reviewer is covered under their employers group dental plan in which the employer selects the plan design and benefit frequencies. The reviewers plan has frequency limits for certain procedures. The plan covers two of the procedures the member received per calendar year. The reviewer had three of these procedures within three months, which exceeds the frequency allowance for this procedure per the reviewers plan. We believe this resolves this matter. If you have any questions, please contact us at **************************************
  • Review fromEmily K

    Date: 09/05/2024

    1 star

    Emily K

    Date: 09/05/2024

    Terrible company. They lack communication. My son started orthodontic treatment, then needed to switch insurance because my husband got a new job. They made a mistake on adding my child as dependent as secondary dental vs primary. It was corrected then, but did not communicate clearly to me what type of benefit we had, what they need from the orthodontists office. ******************* submitted it as a claim then kept getting rejected. ****************** kept submitting because they were never told, clearly, of what they needed to provide info on. I finally learned today that they needed Estimation of Benefits document/ AKA **** to show how much the previous/former primary dental insurance when he started treatment. This has been going on for 3+ months. Also the insurance coordinator called today and she was placed on hold for 40+ minutes, she talked and provided the info, then got put on hold to process it then she was hung up on.

    Delta Dental of Illinois

    Date: 09/06/2024

    September 6, 2024 Customer Relations Advocate ********************** of ****************** Illinois, ********************************************************************************************************************** Re:Review ID ************ To Whom It May Concern:Delta Dental of Illinois is in receipt of your correspondence regarding the above matter. Based on the information included with the correspondence, it appears that this complaint was sent to us in error. We cannot verify any record that matches the member in our systems and the complainant may not be a Delta Dental of Illinois subscriber. Therefore, for Delta Dental of Illinois to investigate further please provide a copy of the members ID card (FRONT AND BACK).It is possible the complainant is a subscriber with a different Delta Dental member company in a different state. To obtain information from a different member company you will need to contact them directly. Your time is appreciated with this request for additional information. If the Bureau has additional questions, please contact **************************************
  • Review fromJacquie R

    Date: 06/27/2024

    1 star
    I am an office manager for a small H31353**4313937303032H practice and recently DD of IL has been rejecting perfectly correct claims thus delaying payments. I reached out to a rep who said I had to make some changes and include the member ID in box #** of the claim form, even though it's already in box #**. I checked with ******* who handles our electronic claims and they said they never heard of this before and it shouldn't be necessary nor is it possible to do. I've sent many emails to the original rep who said she was going to reach out to her department head but I haven't heard back. Meanwhile the rejected claims are piling up. This is clearly a tactic for DD of IL delaying paying claims. This is a disservice to H31353**4313937303032H providers and patients. We are an in-network provider and cover high contractual fees to be in network. Our fees have been increased by only $1 in 10 years! We are very displeased with DD of IL and considering going out of network where we'd get paid more and efficiently.
  • Review fromKarina R

    Date: 05/23/2024

    1 star

    Karina R

    Date: 05/23/2024

    This is a terrible company, terrible service. It is not worth the monthly payment. They are very deceiving; they make it so hard trying to make you give up calling them or claiming anything. Please avoid this vendor. Someone should investigate how legit they are.

    Delta Dental of Illinois

    Date: 05/30/2024

    May 30, 2024 Customer Relations Advocate ********************** of ****************** Illinois, ********************************************************************** ***** Re: BBB Complaint Review ID ****** Dear Sir or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the review submitted by a Delta Dental of Illinois member regarding their recent experience with our claims process. We first want to state that the members experience does not meet our standards. The first time the member called they were told that no claim was on file for their date of service on January 11, 2024. Two subsequent calls to customer service were made by the member and were followed by the same result. The member was advised to email the claim directly to our Customer Experience Representative (CER) for processing, however, the claim submitted was found to have an error with the subscribers date of birth, and as a result, it was not processed. The Customer Experience Representative had not documented the error that needed correction. The member was not made aware of the correction needed until they called again to inquire about their claim. The member was informed that after correcting this error, the claim could be resubmitted. Upon review, the claim was processed, and payment was sent to the member on May 29, 2024. During this period, the member called and was informed that the claim was in process. We apologize for the repeated calls to our *************************** and the delays in claims processing. We have addressed and coached the Customer Experience Representatives involved. Please know this is not the customer experience we desire and thank the member for their patience. We believe the above information responds to this complaint and concludes our handling of this matter. Should your agency need additional information, please contact **************************************
  • Review fromshontae w

    Date: 05/21/2024

    1 star

    shontae w

    Date: 05/21/2024

    This is the worst of the worst when it comes to issuing payments. I was told by a supervisor ******** that they do not do stop payments until a payment has been out for 30 days and then the payment is only issued on a Tuesday and will go out on Wednesday as those are the only days payments are issued and sent out. I have waited almost three weeks on this payment and now I have to wait another week to have it sent out and another week or so to receive it again, so it will be about 5 weeks total before I get my payment. I will be canceling this plan with Delta Dental.....AND THEY DO NOT OFFER DIRECT DEPOSIT!

    Delta Dental of Illinois

    Date: 05/30/2024

    May 30, 2024 Customer Relations Advocate ********************** of ****************** Illinois, ********************************************************************** ***** Re: BBB Complaint Review ID ****** Dear Sir or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the review submitted by a Delta Dental of Illinois member regarding their payment. The member had expressed concerns regarding the delay in receiving a check due to an address change. It was communicated to the member that they are required to provide address changes or updates to their employer to correct their address on file.The member contacted customer service and requested to speak to a supervisor regarding an overnighted payment. However, the member was advised we could not issue an overnighted payment due to following company standard procedure, which stops the original payment and reissues a check on the following week. Further, standard procedure requires a check to be active for 30 days before a stop and reissue is done.To address this concern, the members address has been corrected and the process has been initiated to stop the original check and expedite the reissued check to the correct address. We have taken steps to ensure the member will receive the check promptly. We believe the above information responds to this complaint and concludes our handling of this matter. Should your agency need additional information, please contact **************************************
  • Review fromAndrea B

    Date: 12/14/2023

    1 star

    Andrea B

    Date: 12/14/2023

    Terrible coverage. They barely pay a fraction of the costs. Example - I had two fillings replaced. The cost was about $498, which I had to pay upfront, out of pocket. Delta "reimbursed" $190 or so. I have had much better coverage with other companies and I did have to wait for a check in the mail. If you have a choice, go with another insurer.

    Delta Dental of Illinois

    Date: 12/15/2023

    December 15, 2023 Customer Relations Advocate ********************** of ****************** Illinois, ********************************************************************** Illinois ***** Re:BBB Review ****** To Whom It May Concern:Delta Dental of Illinois is in receipt of your correspondence regarding the above matter. Based on our investigation this review was sent to us in error. The complainant is not in our system as Delta Dental of Illinois subscriber it seems the reviewer might be a member of Delta Dental of ********; they can be reached at ************. While we are all under the Delta umbrella they are a separate entity and we do have access to their records nor do we set their rates. We believe the above information responds to this review and concludes our handling of this matter. Should your agency need additional information, please contact **************************************
  • Review fromLori S

    Date: 11/27/2023

    1 star

    Lori S

    Date: 11/27/2023

    I signed up for Delta Dental of Illinois in January of 2022 and my rate total is $87.68 for myself and my son. In July 2023 I recently signed my mother up for the same dental package and her rate is about $50.10 and I asked why the rates had been changed and I was told that the company decided go up and there rates. However, when I asked about my rate the customer service representative told me that my rate was grandfathered in at $43.84 then I received a letter letting me know my rate a month will be $95.00 a month without a prior email or letter about the increase. I recently talked to a supervisor on today and I asked could I assess my application to let know if I was aware of the price increase on my monthly premium. My complaint is I have an issue about the price increased that the corporation decided to send me a letter a couple months ago. I am sure this is a tactic that this customer does to customers who have individual dental insurance

    Delta Dental of Illinois

    Date: 12/01/2023

    Re: BBB Review ID ****** Dear Sir or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the review submitted by a Delta Dental of Illinois member.Delta Dental of Illinois assesses many factors, such as market trends and data, cost of dental services and usage of the insurance, in establishing rates. A key factor is spreading risk among individuals who purchase these plans. Spreading the risk generally results in better pricing for all. Individual members are pooled with other individual members. These factors are used to establish a risk calculation, which is used to develop rates. These same factors go into establishing renewal rates; however, inflation and the experience of those in the pool play a factor. Initial rates are based on statistical predictions and renewals include actual experience. Rates were increased at renewal because the initial predictions did not match the actual experience. Rates are not always increased at renewal; it all depends on the various data and analysis.Additionally, the Illinois ********** of ********* (***) regulates plans and rates for dental benefit programs in the state. Delta Dental of Illinois plans and rates are filed with the *** and the *** reviews and approves the risk calculations and rates for each plan to ensure they are reasonable and based on correct formulas. Renewal rates are also filed, reviewed, and approved by the ***.We believe the above information responds to this review and concludes our handling of this matter. Should your agency need additional information, please contact **************************************
  • Review fromJames D

    Date: 09/07/2023

    1 star

    James D

    Date: 09/07/2023

    worst dental insurance company I've dealt with in my life and I've been on this earth for a long time definitely looking for a new insurance company !...this one is almost as bad or worse than United healthcare must be the water in Illinois not sure ...(I think the smaller the company the better off)....but I don't know who's training these people but they've been pretty useless not even going to get into all the details????????

    Delta Dental of Illinois

    Date: 09/11/2023

    Dear *** or Madam,On behalf of Delta Dental of Illinois, this letter serves as the response to the review submitted by a Delta Dental of Illinois member on September 7, 2023. Our customer service team determined that the reviewer had an issue regarding a claim. The provider's information was not included on the claim form, causing the claim to be rejected. Our team has confirmed that we now have the necessary information to process the claim. A supervisor on our Customer Experience team has contacted the member to discuss the issues with the claim that resulted in it being rejected and informed them payment will be issued. We understand the reviewers frustration and apologize that their service expectations have not been met. We value our members and always strive to provide excellent customer service.We believe the above information responds to this review and concludes our handling of this matter. Should your agency need additional information, please contact **************************************

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