Dental Coverage Changes for 2019 - Updated

Effective January 1, 2019, Delta Dental of Virginia will no longer administer the Pediatric Oral benefit for our Individual & Family and Small Group Plans.

Optima Health will cover this service and all related pre-authorizations, claims, and appeals in 2019 for Small Groups who renew between February and December 2018. Providers will be instructed to send all claims to the following address:

ATTN: Claims Department
Optima Health
P.O. Box 66446
Virginia Beach, VA 23462

Members enrolled in a Small Group plan effective on or after January 2019 should seek necessary services from a licensed dental provider in the Commonwealth of Virginia.

Also effective January 1, 2019, Optima Health will no longer offer the Delta Dental Preferred/Bundled dental partnership. If you have any questions, please contact your Optima Health Sales team.

Sincerely,
Your Optima Health Team

Please note: Pediatric dental coverage is an essential health benefit under the Affordable Care Act (ACA); however, since carriers like Delta Dental offer stand-alone dental plans in our service area, 2019 Optima Health Small Group plans are ACA compliant without the benefit included.