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Background on State of Illinois Claims Payments

Since the State has a self-insured/self-funded dental plan, Delta Dental of Illinois is only able to pay State of Illinois member’s claims when the State funds those claims.

As you know a budget was approved in July 2018, and the State has started funding the backlog of claims. Claim payments are made when funding has been approved from the State for claims that are received and processed through specific dates, starting with the oldest claims first.

We understand that the budget impasse has been extremely difficult for those impacted by the delay in passing a balanced budget. The budget delay and resulting backlog of bills has placed great strain on our State of Illinois dental plan members and the dentists who treat them. Again, we pay dental claims as we receive funding from the state.

As a reminder, Delta Dental network dentists cannot bill you upfront for any charges other than applicable deductible and coinsurance amounts. However, non-network dentists may bill you upfront. If you need assistance locating a Delta Dental network dentist, please let us know. If a Delta Dental network dentist attempts to bill you upfront for any charges other than your applicable deductible or coinsurance, please notify us immediately.