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How to Use Your MIChild Program
Once enrolled in the MIChild program, follow these
steps to use your dental benefits:
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Learn about how the MIChild dental program works
and what is covered.
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Make an appointment for the MIChild enrollee with
a dentist who participates in the MIChild program. A list of participating Delta
Dental dentists is provided to the enrollee upon enrollment or click here to access the online directory.
Tell your dentist you are covered by the MIChild
dental program, and ask if the dentist participates in the MIChild program. (Checking
on this is important because services will not be
covered if they are provided by a nonparticipating
dentist.)
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Once treatment has been completed, normally your
dentist will send a claim form to Delta Dental. To help them, please give the dental office
staff this information:
a. The MIChild enrollee's full name and address.
b. The MIChild enrollee's Social Security number.
c. The MIChild enrollee's date of birth.
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If your dentist has any questions about your MIChild
dental program, have him or her contact Delta Dental.
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Once your claim has been processed, Delta Dental
will pay the participating dentist directly and
send you an Explanation of Benefits showing the
portion of the charges paid by Delta Dental and
the portion for which you are responsible (if any).
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If your dentist is not participating in Delta Dental's MIChild program,
the dental treatment will not be covered. You will have to make full
payment to the dentist.
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Routine dental services provided by an out-of-state
dentist are not covered. However, for emergency
dental services provided by an out-of-state dentist,
Delta Dental will make payment up to a maximum of
$50 to reimburse you for the emergency treatment.
Questions/Help
If you have any questions about your plan, you may
call our toll-free number, 1-800-482-8915. Please be
ready to tell us your name, the MIChild enrollee's Social
Security number and your daytime telephone number. Please
also tell us that your child is covered under MIChild.
You may also write to Delta Dental's Customer Service
department, P.O. Box 30416, Lansing, Michigan 48909-7916.
In your letter, please include this same information
along with your question.
If you need to report a change of address or have questions
about enrollment in MIChild, you should call the State
of Michigan/Maximus at 1-888-988-6300. |