Are pre-authorizations required for specific dental treatments?

Delta Dental of California does have specific policies regarding pre-authorizations for certain dental treatments. Typically, pre-authorization is required for procedures that are more complex or costly, such as major restorative work, orthodontics, and oral surgery. The purpose of obtaining a pre-authorization is to ensure that the proposed treatment is covered under the member's specific dental plan before proceeding. To determine the exact requirements and whether pre-authorization is necessary for a specific treatment, it is advisable to review the member's benefits plan. The plan details usually outline what procedures require pre-authorization and the process for obtaining it. Members can also check the current web page for additional information on pre-authorizations and other coverage-related queries. Overall, it is best practice for members to be informed about their coverage details to avoid unexpected costs. Therefore, reviewing the policy and consulting any resources available could be quite helpful.