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Eligibility and Enrollment

In this section, we provide details on how to enroll members, electronic eligibility and more. If you have an urgent eligibility update, please email eligibility@deltadentalil.com and use URGENT in the subject line or call 1-800-752-7971.

Eligibility and Enrollment on the Employer Connection

You can make additions, deletions or changes to enrollment and generate eligibility reports through the Employer Connection. See our How To Guide to learn how.

You can view our video below which highlights all of the features of the Employer Connection.

*Please use Google Chrome when accessing the Employer Connection.

Electronic Eligibility

Our preferred method of accepting eligibility is electronic. Below are the guides you will need to get started.

Enrollment Meetings Material Samples

Delta Dental of Illinois provides welcome kits for your members directly to you either by email or mail. These include an overview of the plan highlight sheet, how to guides for finding a dentist and accessing benefits and claims online and other information on using their dental plan.

Access materials that are standardly in enrollment kits on the Welcome to Delta Dental of Illinois page.

Dental ID cards are mailed to members’ homes; DeltaVision ID cards are generic and available in a PDF version and included with the enrollment kit if applicable.

ID Cards

ID cards are typically mailed to members’ homes unless groups specify differently.

Dental

Delta Dental PPO Plus Premier
Dentists will typically need the following information to confirm a member's eligibility:

  • Date of birth
  • Primary member's name
  • Group name

Members can print a copy of their ID card through Delta Dental of Illinois' Member Connection. Members can also download our Delta Dental mobile app to access an electronic version of their ID card. The app includes the ability to view dental coverage and claims information, obtain a LifeSmile oral health score, find a dentist and access a cost estimator tool to gauge the cost of common dental treatments in their areas. The Delta Dental mobile app is optimized for iOS and Android devices (smart phones and tablets) and is available for free to download in the Apple App Store or Google Play Store. Simply search for "Delta Dental."    

DeltaCare
Members must select a primary DeltaCare dentist. DeltaCare dental facilities receive a monthly roster of DeltaCare patients from Delta Dental of Illinois based on members’ primary dentist selections.

DeltaCare members can change their primary dentist at any time by calling our customer service department at 800-942-3772. However, all changes must be received prior to the 20th of the month in order for the member's change to be effective for the upcoming month.

If a member or their dependents make a change after the 20th of the month, the change will take effect in two months.

If a member needs to see a specialist, their primary dentist must provide a written referral to a DeltaCare network specialist per program guidelines (program guidelines indicate the procedures that can be referred and the protocols associated with such referrals by procedure code). There is an authorization process for both non-emergency and emergency referrals. Members should contact our customer service department at 800-942-3772 to confirm the specialist’s eligibility on any referrals provided.

DeltaCare ID cards will list the following information:

  • Name
  • Group Number
  • Member ID Number
  • Facility Number

Vision

DeltaVision®, in association with the EyeMed Vision Care Access, Select and Insight networks, offers vision care plans that give enrollees/members access to a national network of both independent providers and leading optical retailers. Members and their covered dependents will receive network benefits when they visit a vision care provider in their designated EyeMed network.

DeltaVision® ID cards are exclusively available in an electronic version. They are not personalized and all that the vision care provider will need to verify coverage is the primary member's name and date of birth. Download the DeltaVision ID card that corresponds with your group's EyeMed Vision Care network below (available in both English and Spanish).

Members can access their vision benefit information anytime, anywhere on EyeMed's mobile-friendly member website at eyemedvisioncare.com/member or with EyeMed's free mobile app, which is available to all DeltaVision members. The mobile website and mobile app allow members to access their ID card, view benefit information and find an in-network vision provider, all while on-the-go. To download the EyeMed mobile app, visit the Apple App Store or Google Play Store and search for "EyeMed Members."

Visit EyeMed's Customer Service Information page.

Please note: DeltaVision is provided by ProTec Insurance Company, a wholly owned subsidiary of Delta Dental of Illinois, in association with EyeMed Vision Care networks.

Employee Wellness Program

We offer a wellness program that includes oral health flyers, Intranet banners, posters and more to help you promote your dental plan or encourage your members to use their plan.

We have a host of materials already developed and can also customize materials for your group. Below are links to sample materials:

We also send monthly emails to all of our groups with an article for groups to share with their members in English and Spanish and an Intranet banner. If you are not receiving these emails, let us know. Access a sample email.

For more information, access our LifeSmile Wellness guide.

We also offer several oral health resources and tools on our oral health website to help promote oral health education and wellness to your members.

Enrollment Forms