What is the minimum group size for a DeltaVision® plan?
DeltaVision® requires a minimum of 10 employees enrolled in a program.
How can I request a quote for DeltaVision® benefits for my company?
Submit an online request for proposal or contact your sales representative at (800) 392-1167 to request a quote or more information about DeltaVision®.
How do I gain online access to benefits?
Delta Dental will set up a benefits manager account to be controlled by one person within your organization. Through this account, you will have the ability to make enrollment changes, terminations and additions. Please contact your client manager at email@example.com, or (877) 488-5130 for a username and password.
Will my employees have to file claims for benefits?
Your employees will not need to file claims for in-network benefits. If your company offers out-of-network benefits and an employee visits an out-of-network provider, he or she will be required to submit a DeltaVision® Member Reimbursement Request Form to be reimbursed for the services and materials.
How will my employees verify eligibility and plan coverage?
Your employees will have access to Member Benefits, a secure online portal where they can verify eligibility, access claims history, review plan benefits and request ID cards. Your employees will need to create an account using their date of birth and member ID on their first visit. Employees may also call DeltaVision® customer service at (877) 488-5130 with specific eligibility questions.
How can I reach my client manager?
Please call (877) 488-5130, or email firstname.lastname@example.org.
How can members reach customer service?
DeltaVision® customer service representatives are available Monday through Friday from 7 a.m. until 5 p.m. Central Time. Your employees may reach them by phone at (877) 488-5130, or by email at email@example.com.
What are the DeltaVision® benefits plan options for my company?
DeltaVision® offers multiple plans to meet the unique needs of your organization. We offer eye health plans for a wide range of companies, from employers with at least 10 employees, up to and including the largest employers. We have plans available for fully-insured, self-funded and voluntary programs. Please visit our vision plan options page to learn more.
Will my employees receive an ID card?
Yes, DeltaVision® members will receive an ID card in the mail upon enrollment. If they have not yet received their card or have lost their ID card, members may print a temporary card online after logging in to their account. They will need to create an account using their date of birth and member ID on their first visit.
What if an employee loses his or her DeltaVision® ID card?
In the event of a lost or misplaced member ID card, please contact our customer service center at (877) 488-5130, email firstname.lastname@example.org, or print a temporary card online.
Are member Social Security numbers used on the ID cards?
At Delta Dental, we take pride in safeguarding our members' private information. Social Security numbers are kept in members’ secured files only and are not displayed on identification cards. Each DeltaVision® benefit plan group is given a unique group number, and the subscriber will receive two ID cards showing the subscriber’s ID number.
Will members be required to pay a co-pay when they visit a provider?
Yes, members will need to pay a co-pay, a one-time payment for an eye exam or materials, when they visit a DeltaVision® network provider. Members can determine the co-pay amount by logging in to their online account. They will need to create an account using their date of birth and member ID on their first visit.
Will members be required to pay out of pocket for any materials?
Members will be responsible for additional materials or services not covered within their benefits.
- Photochromic lenses – included in the DeltaVision® plans with a $60 co-pay
- Progressive lenses – included in the DeltaVision® plans with a $50 co-pay
- Tinting – $16 at participating discount providers
- Scratch coating – $16 at participating discount providers
- Polycarbonate lenses – covered in full for members under the age 19; available to members over the age of 19 with a $30 member cost at participating discount providers
Will members need a claim form if they see a network provider?
Claim forms are not required for services received from DeltaVision® network providers. Participating providers will file all in-network claims.
How will claims be paid for out-of-network visits?
Out-of-network providers require members to pay for their services. Members will need to submit a DeltaVision® Member Reimbursement Request Form with a copy of the original receipt to:
Advantica Claims Department
P.O. Box 8510
St. Louis, MO 63126-0510
Fax: (314) 849-4830 or (800) 501-8432
Out-of-network reimbursements are sent directly to DeltaVision® members within 30 days.
Will members be able to choose contact lenses instead of eye glasses?
Yes, subject to plan frequency and co-pay, members can use their benefits to purchase contact lenses in lieu of eye glasses.
What types of lenses can members and their families purchase? Are progressive lenses covered?
To further meet the needs of our members, DeltaVision® plans allow members to purchase the most popular lens options at controlled costs.
We recommend that they discuss the benefits and cost differences with their eye doctor. DeltaVision® offers coverage for photochromic lenses and progressive lenses.
- Standard Progressive lens are covered at a $50 copay.
- Photochromic lenses are covered at a $60 copay.
Is the DeltaVision® frequency limitation based on date of service, or by group contract year?
Frequencies are based on the group’s contract period. For example, if a member of a group with a frequency limitation of 12 months and a contract year starting January 1, purchases a pair of frames on January 15, he or she will not be eligible for benefits for new frames until January 1 of the next year.
What coverage will members have for LASIK?
Delta Dental has partnered with QualSight® to offer preferred pricing to DeltaVision members who are interested in laser vision correction. QualSight has a proprietary network of independent, credentialed ophthalmologists at 800 locations nationwide. They also provide a toll-free telephone number, (877) 437-6108, which is specifically dedicated to DeltaVision® members. Different LASIK procedures are available because every patient is different. There is no charge to the member for the initial consultation appointment, and the QualSight provider will advise the patient as to the best procedure that offers the best possible outcome, based upon their prescription and expectations. Out-of-network benefits are not available.
How can my employees get more information about LASIK and find out if they are eligible?
For information on LASIK benefits from DeltaVision® through QualSight, click here. QualSight, the nation’s largest LASIK program manager, offers a laser vision correction program through the National Networks of Credentialed Ophthalmologists.
If a member’s vision is corrected through laser vision correction, will he or she be able to disenroll from DeltaVision®?
No. Members must remain enrolled in the plan through the enrollment plan year, regardless of which covered vision benefits they use.
Does Delta Dental mail an explanation of payment after services are received?
Members who visited an out-of-network provider will receive an explanation of payment (EOP) along with their reimbursement check. The EOP also accompanies provider payments for in-network services. Members may access a copy of the EOP by logging on to their DeltaVision® account.
How can my employees find a DeltaVision® provider?
Provider information is updated and made available to members via:
- Website. Members can use our online provider search engine to locate a provider. Members can find providers, based on distance from a city, state and ZIP code with a search radius between five and 50 miles. The results can include a printable provider directory and driving directions with a map for easy reference.
- Email Inquiry Service. Members may email provider location requests to CustomerService@DeltaVisionMO.com. A customer service representative will respond by telephone or email within 24 hours of the inquiry.
- Customer Service/Operations Center. Members can call our toll-free telephone number, (877) 488-5130, Monday through Friday from 7:00 a.m. to 5:00 p.m. Central Time.
What if no network providers are available to my employees?
If an employee believes there are no network providers available in the area, please have the employee contact us for assistance. We may be able to help find a network provider who is accessible. If no network providers are available, that employee will generally be able to visit an out-of-network provider and obtain reimbursement based on his or her plan, if your plan includes this option. Please refer to the question above, “How will claims be paid for out-of-network visits?” for further information about reimbursement for out-of-network visits.
Are there optometrists and ophthalmologists in the DeltaVision® provider network?
Yes. The DeltaVision® provider network includes both optometrists and ophthalmologists.
Can members see one network provider for an exam and purchase glasses through another network provider?
Yes, members may visit one network provider for services and another for materials. Network providers will verify eligibility and plan coverage to obtain authorization to provide services. Note: If the member wants to have his or her prescription filled by a network provider other than the one who performed the exam, they should check with the provider first to ensure that the office will fill another doctor’s prescription.
How can we request that a vision provider be added to the DeltaVision® network?
To refer an eye health provider to the DeltaVision® network, please complete the provider recruitment form and return it:
c/o Advantica Provider Recruitment
380 Park Place, Suite 150
Clearwater, FL 33759
(Please include all information requested on the form in your email)
What if one of my employees is dissatisfied with a network provider or the materials received through a network provider?
If members have a complaint, they should contact customer service at (877) 488-5130. Representatives are available Monday through Friday from 7 a.m. until 5 p.m. Central Time.
Are out-of-network benefits offered with DeltaVision® plans?
Yes, but out-of-network benefits are generally reimbursed lower than in-network benefits with DeltaVision®. Members will also need to pay in advance and then submit a DeltaVision® Member Reimbursement Request Form for payment after visiting an out-of-network provider.
How is the DeltaVision® plan insured and administered?
DeltaVision® is underwritten by Advantica Insurance Company. DeltaVision® is administered by Delta Dental of Missouri and Advantica Administrative Services, Inc. (Advantica®).