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The national network of Delta Dental companies protects more smiles than any other insurance company.

Have a question about coverage or looking for dental insurance? Connect with your Delta Dental to learn more.

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Delta Dental of Nebraska

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Forms and resources

Member forms
Dental Claim form
Authorization to Release Information form
Request for a copy of a canceled check

Individual and Family plan forms
NE Individual & Family℠ Enrollment or Update form (dental plans A – C)
NE Individual & Family℠ Enrollment or Update form (dental plans A – C) - Español
NE Healthcare Reform Individual & Family Enrollment or Update form

Additional resources
Understanding your dental benefits
Glossary of dental terms
Selecting a dentist
Dental Care Cost Estimator
Find a Dentist tool tutorial

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Understanding Your Dental Plan
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Transparency in Coverage
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Notice of Non-Discrimination
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© 2024 Delta Dental of Nebraska and its affiliates. All rights reserved.
Delta Dental of Nebraska is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.