Are pre-authorizations required for specific dental treatments?

Yes, pre-authorizations are required for specific dental treatments. Delta Dental of California requires pre-authorization for certain dental procedures to ensure that the treatments are medically necessary and covered by the dental plan. Pre-authorization helps determine if the proposed treatment conforms to the coverage guidelines specified in the plan. This process ensures that members receive appropriate dental care and prevents unnecessary procedures. Dental procedures that typically require pre-authorization include orthodontics, oral surgery, crowns, and some complex restorative treatments. To obtain pre-authorization, members or their dental providers must submit a treatment plan and any necessary supporting documentation for review. Delta Dental of California aims to make the pre-authorization process quick and efficient to facilitate a smooth dental experience for its members while ensuring high-quality care.