ComplaintsforDelta Dental of Minnesota

• Initial Complaint

  09/29/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  In May, 2023 my daughter, ******, went in for a teeth cleaning. This preventative care, is covered at 100% for patients. In February, 2023 of the same year she had her wisdom teeth removed. Our coverage is for teeth cleanings every 6 months and are considered fully covered. I have just received a bill from the dental office for $305 for ******'s cleaning in May. I have questioned the dentist and discussed this with the insurance. The dentist said she had reached her allowance of $1500 so the remainder of the bill we are responsible for. The remainder of the preventative care, dental cleaning which is covered at 100% every 6 months is now NOT covered because she had wisdom teeth removed. IF cleanings are covered at 100% then this should be covered. Delta Dental PPO plus member Medtronic ******************* subscriber id *********

  

  Business response

  10/10/2023

  For questions or information on Delta Dental of Minnesota benefits and plans please visit www.deltadentalmn.org or call customer service at ************ or **************.

• Initial Complaint

  06/26/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I needed a root canal. I had previously been denied a crown due to out of network so this time I wanted to makes sure I did my due diligence to make sure I chose an in network dentist this time. First- i went to the web site under my account to find network providers 2- I then called said provider who followed up by calling delta dental with my subscriber ID to verify yes I was covered. Date of consult they had a cancelation and I was able to get my root canal immediately. I had the procedure and they had me pay a portion. I questioned it and they said delta would send the check to me and then I was informed it would only be 30% which I said no you guys already cleared my coverage last week. 3- they told me to call delta dental which I did immediately. The Delta dental agent looked me up and said yes that dentist is in network so dentist must be ******* wrong please have them call us. 4- I got a bill so I called yet another agent who also said the dentist was in network. They couldn't understand why it was denied. They got their supervisor and after a lengthy hold told me it came back that I was on a singular plan and that dentist was in fact not in network I stated if it took all of these calls to figure this out how was I supposed to navigate the system and make a correct and informed decision. They said they would make an inquiry. 5- Call back. Called back to see the statusof my inquiry and in fact no inquiry had been started according to the agent. Same agent thought the dentist was in network also. I had to explain the singular network problem. She started an inquiry this time. 6- call to find out status and once again receive an agent who believes the dentist is in network. Finds my appeal and let's me know I have been denied. I now owe over $1000 on a procedure I could have had done a few miles at a different dentist and been completely covered. How am I supposed to navigate this if even repeatedly the agents can't. I have been told I have an old program they don't carry any more and that is the problem. Very angry that I have not been able to make a clear and informed decision to get my dental work covered with my insurance and this is now the 2nd time I feel duped

  

  Business response

  06/28/2023

  For assistance from Delta Dental of Minnesota's ***************** please call **************.

  Customer response

  06/29/2023

   I am rejecting this response because:
  I have already spoken numerous times to agents at that number. I also filed a claim and was rejected. Reason for rejection that i was aware i was on a singular plan. I still dont understand how that helped me navigate their web site, as well as speaking to agents to correctly pick an in network provider. Now that one has been chosen in error they just reject claim. My claim is any reasonable person (including their very own staff) had trouble figuring out which dentist i could go to.
  
  

• Initial Complaint

  10/17/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I joined with Delta Dental on 6/5/2021 I have not used the insurance AT ALL. I have tried to cancel by submitting 2 online **************** Inquiry Forms for ********************************************* of MN prior to October 2022. I have called 4 times now the 1st time on 10/6/2022 after realizing when they tried to take more money from my account for the bill that they STILL had not cancelled it. No resolve in the first call and told they couldn't find proof of my submissions. I called again 2 times on 10/14/2022 was transferred and then disconnected called right back waited on hold and was then told they closed 30 seconds prior. I am currently calling again and 40minutes into it and speaking to a supervisor after being told i needed to pay balance prior to cancelling or let the bill accumulate for 90 days which sounds beyond sketchy. Again also told they cannot find record of any submissions or calls. So after months of trying to cancel and speaking to their useless employee's now I'm a liar apparently that hasn't tried. This is a horrible company WILL NEVER make this mistake again. EVER! I will not be paying them a dime and have NEVER had such a horrible time trying to simply cancel a service I don't and NEVER used. The supervisor would not give me something in writing proving that this whole don't pay for 3 months and we won't bill you and it will auto cancel out your plan then said she needed even more time to investigate my submissions and calls. This is sickening. SICKENING. I WANT THE PLAN CANCELLED I'm not paying for October when I've been trying to cancel prior to October! And I'm sure as h*** not paying for November either!

  

  Business response

  10/24/2022

  Delta Dental of Minnesota has processed this termination as requested.  Delta Dental of Minnesota **************** can be contacted at ************** for any additional assistance.

• Initial Complaint

  08/31/2022

  Complaint Type:

  Customer Service Issues

  Status:

  Answered

  More info

  Aug 30th, ****************************************************************** network. I have state medical assistance insurance. Every time I would called I was transferred to care coordination where after waiting for someone to answer the phone call was ended. This occurred multiple times every time I called. Even though I shared what was happening to customer service they would still transfer me. Today I called 4 times to find a provider and each time I was never connected to care coordination. I have tried to look for a provider through their website but each place I called stated they do not take my insurance. The fourth time I called I was transferred to a different customer service department I believe where the person tried to help me by providing phone numbers of providers. When I called those clinics I received the same response that they don't take my insurance. Finding care should not be this difficult. I have had this issue before until I was finally able to find a dental provider, unfortunately the service was poor that I had to go back multiple times to fix the issue, which was never resolved in 2020. I have gone through work arounds by purchasing groupons, and not having any dental care done until I opted in for dental insurance at one of my jobs and just worked to save money to cover my dental care. It wasn't until then that I received proper care and they fixed the poor job of my 2020 dental experience. I ended up leaving the place of employment where I was paying for the additional dental plan and was not offered the option to pay out the year to have continued care. Now I am stuck with no dental and repeated hardship with delta dental to find a new provider.

  

  Business response

  09/08/2022

  This subscriber is enrolled in a Dental Plan that receives Care Coordination for finding a provider and/or scheduling an appointment. To assist this subscriber with scheduling an appointment with a network provider, Delta Dental has performed outreach and left messages.  For plan questions and scheduling assistance, please contact Delta Dental at **************.   

  Customer response

  09/08/2022

   I am rejecting this response because:
  
  The provider has not left me any messages regarding my dental plan I personally had to repeatedly called multiple times over a few days before I received some assistance. I dont appreciate the dishonesty notes in their message. I have continued to navigate the issues with my own prompting and effort. Due to there response I dont believe the company will assist in issues without my continued calling to resolve multiple issues. 

• Initial Complaint

  06/16/2022

  Complaint Type:

  Customer Service Issues

  Status:

  Answered

  More info

  In early 2022, after a few email exchanges and phone calls with representatives from Delta Dental, I applied online as directed by their team to become a provider for their dental insurance network. On February 11, 2022, I received an email that the documents I submitted to Delta Dental were accepted. On March 9, I received an email from Kaitie at Delta Dental asking if i would like to be a provider for more of their plans. I responded via email on March 29 that I would like to be a provider with all the same plans as ***************************. Kaitie let me know which plans he was involved with and I signed up for those. I made a couple of phone calls and one email (no one responded to the email) to ask if Delta had everything they needed from me and to inquire about how much longer it would be before I was considered a participant with them. Mid April, I was advised that I was now a participant and could proceed as such. On 6/13/22 I became aware that one of the plans specifically mentioned in the emails we previously exchanged, was not being reimbursed as a participating provider. A few emails back and forth over the past couple of days have shed some light on the situation. It seems that Delta Dental did not receive the paper work I sent to them to become a provider. Instead of alerting me to this or responding to my inquiries about if they needed anything more from me, someone at Delta pulled my information from another account and credentialed me that was. This was done unbeknownst to me. This affects me negatively both financially and by creating extra work and stress for me and my team and our patients. I have attempted to resolve the issue with Kaitie at Delta Dental with no success. I am requesting reimbursement for the funds lost due to not being fully credentialed as a participant of the plans I requested, even though I supplied all information that was requested of me.

  

  Business response

  06/24/2022

  Delta Dental of Minnesota Provider relations had been in contact with this provider to assist with network enrollment.

  Customer response

  06/27/2022

   I am rejecting this response because:
  
  I was contacted by a manager at Delta Dental by phone on June 17. She informed me she would be reaching out to me the following week to discuss a resolution. She acknowledged the mistake of her team and requested additional time to look into the matter because of the upcoming holiday and her employees being out of the office. She assured me I would hear from her by the middle to end of the next week. I have not heard anything back from her. No resolution has been attempted. 

  

  Business response

  06/30/2022

  Delta Dental of Minnesota Provider relations had been in contact with this provider to provide assistance.  

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