The University of Arkansas dental plan, administrated by Delta Dental of Arkansas, covers basic dental exams, restorative care, cleaning services and preventive dental services. More intensive dental procedures including fillings, extractions, oral surgery, crowns, bridges, partials, implants and fluoride treatments are also covered. The Dental Summary provides a benefit overview.
Employees who enroll in the university's dental plan have the freedom to choose any licensed dentist for covered services. However, it works to your advantage to choose a dentist from from the Delta Dental PPO or the Delta Dental Premier networks. Once you are enrolled you can search for a dentist, review your benefits and check your claim status by logging in as a subscriber at Delta Dental.
The dental plan is designed to assist you in maintaining good oral health. This plan is a self-insured and self-funded preventive plan and does not provide orthodontia benefits.
Dental Claims and Appeals
In most cases, the dental provider will submit the claim for you. To submit a claim, complete and fax the Delta Dental Claim form.
If you have denied claim with Delta Dental, you may appeal the denied claim following the steps below:
- Write to the Delta Dental Claims Administrator within 180 days of the date on the notice of the claims denial.
- State why the claim should not have been denied.
- Include the denial notice you received from Delta Dental and any other documents, information or comments that you believe may have an influence on your appeal.
- Send your appeal to:
Customer Service Support
PO Box 15965
North Little Rock, AR 72231
For an expedited review of an urgent care claim, submit your request by phone, in writing or by fax. See pages 31 and 32 of the Delta Dental Summary Plan Description for additional information.
Premium conversion allows you to pay your dental insurance premiums on a tax-exempt basis. Your premiums are deducted from your pay before federal, state and social security taxes are calculated. Once you elect to pre-tax your premiums, you cannot change or cancel your premiums during the calendar year unless you are within 31 days of a qualifying event as defined by the IRS. If eligible, complete the Premium Conversion Change form to change your premium status.