Notice
Monday, January 20: Our Customer Service line (800-452-9310) will be closed in observance of Martin Luther King Jr. Day. Accounts with dedicated customer service numbers can still call between 9:00 AM and 5:00 PM ET, but may experience longer wait times. We apologize for any inconvenience this may cause.
Need benefit information and claim status in a hurry? The MySmile self-service website and Interactive Voice Response system (800-452-9310) are available 24/7.
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.
Delta Dental Advantage Program
Features a large subset of our Delta Dental Premier network and includes a larger portion of participating dentists in New Jersey than our PPO network (6,100 New Jersey dentists/dental offices)
- Cost-effective program for New Jersey employers and employees
- Large New Jersey-based network, plus access to nationwide Delta Dental Premier network
- Flexibility to choose any licensed dentist
- Members have access to the statewide Advantage Program network of participating dentists, one of the largest in New Jersey.
- Members will likely save by visiting a dentist who is part of our Advantage network. However, if a member sees a Delta Dental Premier dentist who does not participate in our Advantage network, the member receives benefits as if he or she has Delta Dental Premier coverage.
Benefits
- Great value for New Jersey employers and employees.The Advantage Program offers a large network of dentists in New Jersey. This is a cost-effective option for employers with New Jersey-based employees.
- Member flexibility. Members gain access to two dental networks: the Advantage Program network and Delta Dental Premier. They may have the lowest out-of-pocket costs when they see dentists who participate in the Advantage Program network.
- Employer flexibility. Benefit levels, including copayments, deductibles, maximums, and covered services can be customized. A full array of funding options (risk and self-funded) are available. Programs are available to groups as small as 51 employees.
- Cost protection.Participating dentists have agreed not exceed a schedule of fees as payment in full, and cannot “balance bill” patients for any amounts above those fees.
Extras
(available for groups of 51+ employees)
Carryover MaxSM option rewards members for their commitment to oral health. Qualified members can bank part of their unused benefits from one year to the next, which means additional benefits available in future years!
Optional extra protection for those at risk of periodontal disease.
- Oral Health Enhancement Option provides additional benefits for those managing periodontal disease for members who receive preventive care services.
- Integrated Oral Health Option provides additional benefits for those managing certain health conditions for members who receive preventive care services.
Resources—including articles and videos—to help members to manage benefits and protect their oral health.
Delta Dental of New Jersey 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.
