Notice
Change Healthcare announced a breach of HIPAA privacy and is reaching out to individuals whose personal information may have been compromised. Although this incident does not involve Delta Dental of New Jersey or Connecticut, Change Healthcare is a vendor we used and we are providing this information to help our members who might be affected.
Holiday Hours
Happy Holidays! We are looking forward to a healthy, smile-filled 2025.
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Delta Dental of Connecticut does not have a missing tooth exclusion
Does Delta Dental have a missing tooth exclusion?
No, Delta Dental does not have a missing tooth exclusion. Delta Dental covers the tooth replacement procedures for members who had a tooth fall out or extracted prior to having dental coverage with Delta Dental.
Are you missing a tooth?
When someone loses a tooth because of severe tooth decay, a mouth injury, or some other oral health issue, a dentist can replace it with an implant, bridge, crown, or dentures. These dental procedures are more costly than something like a filling and are considered a “major service.”
What’s a missing tooth exclusion?
Members covered by a dental plan with a missing tooth clause means the dental insurance company will not cover the costs of replacing the tooth if the tooth fell out or was extracted before the current dental coverage started. Members who have a dental plan with a missing tooth exclusion would be responsible for paying all the costs for the tooth replacement procedure.
We do recommend that members request a pre-treatment estimate from their dentist and submit it to us. By doing this, a member will have an idea of what Delta Dental will cover and the potential out-of-pocket costs for the member.
It’s important to note that if employers require a waiting period, the member will need to wait that specified amount of time before having a tooth replacement procedure. If a member is unsure if their dental plan has a waiting period, please ask them to check their policy documents.
No, Delta Dental does not have a missing tooth exclusion. Delta Dental covers the tooth replacement procedures for members who had a tooth fall out or extracted prior to having dental coverage with Delta Dental.
Are you missing a tooth?
When someone loses a tooth because of severe tooth decay, a mouth injury, or some other oral health issue, a dentist can replace it with an implant, bridge, crown, or dentures. These dental procedures are more costly than something like a filling and are considered a “major service.”
What’s a missing tooth exclusion?
Members covered by a dental plan with a missing tooth clause means the dental insurance company will not cover the costs of replacing the tooth if the tooth fell out or was extracted before the current dental coverage started. Members who have a dental plan with a missing tooth exclusion would be responsible for paying all the costs for the tooth replacement procedure.
We do recommend that members request a pre-treatment estimate from their dentist and submit it to us. By doing this, a member will have an idea of what Delta Dental will cover and the potential out-of-pocket costs for the member.
It’s important to note that if employers require a waiting period, the member will need to wait that specified amount of time before having a tooth replacement procedure. If a member is unsure if their dental plan has a waiting period, please ask them to check their policy documents.
Delta Dental of Connecticut is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
