A preauthorization of benefits allows you to know in advance what procedures are covered, the amount your plan will pay toward treatment and your financial responsibility. Preauthorization’s are submitted by your dentist.
Services over $250 are always recommended to be preauthorized. There are also certain procedures that require a preauthorization of benefits before treatment is performed for your treatment to be covered by your benefits. Even if it is not required, Delta Dental encourages preauthorization’s for extensive treatments or if you visit an out-of-network dentist. For Kid Care CHIP preauthorization is required for oral surgery and highly recommended for all other services to determine medical necessity.