Effective July 1, 2011, Delta Dental of Illinois (DDIL) will be the claim administrator for State of Illinois Group Dental Plans. Your group dental plan will offer a dual dental network (Delta Dental PPO and Delta Dental Premier). You can go to any licensed general or specialty dentist, regardless of whether the dentist participates in one of the dental networks. In many cases, you can reduce your out-of-pocket expenses by using a network dentist. If you use a non-network dentist, you generally have to pay the entire bill at the time of service and/or file your own claim, depending on the payment arrangements you make with your dentist. Claim payments for in and non-network dental providers will continue to be released according to the claim process date and available funding, as determined by the State of Illinois. Claims not paid timely will be paid interest in accordance with Illinois law.
If you have questions about your dental benefit program, contact Central Management Services, Bureau of Benefits, Member Services at 1-800-442-1300. If you have questions* about a claim or a provider for services rendered July 1, 2011 and after, contact DDIL at 800-323-1743, press 5 or email email@example.com. Customer service hours are 8:30 a.m. to 5:00 p.m. Monday-Friday, central standard time. You can also use this number to access the automated phone system which allows you to find a network dentist or check claim status 24 hours a day.
Please be advised that the State of Illinois group plans are self-funded. This means that claims are paid by the State as funds become available. Currently, reimbursement time for network dentists is different than that for non-network dentists as indicated below. Funding has been approved for claims processed through:
|Quality Care Dental Plan||
2/23/2013 (13 weeks)
Premier: 2/23/2013 (13 weeks)
|7/14/2012 (45 weeks)|
|Local Care Dental Plan||
5/25/2013 ( No Delay)
Premier: 5/25/2013 ( No Delay)
|5/25/2013 ( No Delay)|
|College Choice Dental Plan||
4/20/2013 (5 weeks)
Premier: 4/6/2013 (7 weeks)
|12/29/2012 (21 weeks)|
Claim payments are made when funding has been approved from the State for claims that are received and processed through specific dates.
For an example of how you could save by using a Delta Dental network dentist, click here.
If you use a non-network dentist, you may have to pay the entire bill upfront at the time of service and/or file your own claim, depending on the arrangements you make with the dentist. Network dentists - Delta Dental PPO and Premier - are reimbursed directly by Delta Dental of Illinois. Now, you may elect to have reimbursement sent directly to a non-network dentist, referred to as assignment of benefits, if the dentist accepts assignment. You must consent to authorize payment of benefits directly to a non-network dentist. If you do, the dentist cannot collect any payment from you at the point of service other than any applicable fees such as deductibles, copayments and amounts over the Schedule of Benefits.
*Issues regarding services, including claims payment, rendered prior to July 1, 2011, will continue to be handled by Humana CompBenefits at 800-999-1669.
This website is specific to State of Illinois Group Dental Plans. Here you can find a network dentist, access your dental benefits information and much more. Use the left hand navigation for information about your specific dental program: Quality Care Dental Plan, Local Care Dental Plan, and College Choice Dental Plan. Below are resources to help you get the most from your dental benefit plan.
You have access to the Delta Dental PPO and Delta Dental Premier networks. (Please note: DeltaCare USA is a dental HMO product and does not apply to your plan.)
Click here for a guide to help you find a network dentist.
Use the Member Connection to access claims status, retrieve benefit and eligibility information, print a temporary ID card and more. Click here for information about how to register for the Member Connection.
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