![]() ![]() Open Enrollment: The period of time when eligible employees and their dependents can enroll or make changes to their Dental Select plan. Member ID: A unique number assigned to identify an individual covered by a Dental Select plan. Both the subscriber and the dependent are considered members. Member: Any individual enrolled and covered by a Dental Select plan. Contracted dentists have agreed to use Dental Select’s fee schedules with discounted rates. A dependent is a member but not the subscriber on the plan.Įffective Date: The date insurance coverage starts.Įligible Dependent: A dependent of an insured person who is eligible for dental coverage.Įligible Employee: An employee who is eligible for benefit coverage, based on the requirements of their employer’s dental plan.įee Schedule: A list of set fees that are updated annually, are not contingent upon individual conditions and do not vary within that year. Deductible: A portion of dental care expenses that must be paid by an individual before their dental plan pays benefits.ĭependent: A child or person for whom another person such as a parent or relative may claim a personal exemption tax deduction. Claim forms are also used when requesting a pre-determination of benefits.Ĭo-insurance: The subscriber’s share of costs for services, usually figured as a percentage of the total charge.Ĭo-pay: The fixed dollar amount required at the time service is rendered. ![]() Tele-dentistry is covered on the same basis as in person services.Īnnual Maximum (Max): A maximum dollar amount that a plan will pay towards costs incurred by an individual during the 12-month benefit period.Ĭlaim Form: A standard form most commonly submitted by the dentist that requests a payment of benefits for services provided. What coverage will I receive for tele-dentistry services? All charges are subject to all terms and conditions of the Policy. Use of a contracting provider does not guarantee that all charges will be covered under the Policy. Services rendered by a contracting specialist will be reimbursed as follows: after the deductible, we pay the contracting specialist according to the contracted fee schedule as payment in full. Preventive services are not typically included in your deductible.Ĭan I choose to see a specialist rather than a general practitioner? What services are included in my deductible?īasic and Major services apply. If you are unsure, you can verify eligibility with a Customer Care representative at any time. If you lose your ID cards, they can also be accessed through the Dental Select mobile app or by logging into the member web portal.Īfter your effective date, new hire or other applicable waiting periods, you may begin using your benefits. ![]() ID cards will be mailed to either the member or employer, as specified, and will arrive approximately 7 – 10 working days from the time Dental Select receives the enrollment or change form. Keep in mind that you can choose and change your dentist at any time. You can also search for a dentist using our mobile app. How do I find and choose a dentist? Click here to search a map of dentists in your area. You may make changes to or cancel your plan during your group’s open enrollment, or if there is a qualifying event such as: marriage, divorce or legal separation, birth of a child, loss of employment, new employment, or death of insured. When can I change or cancel my plan, including adding or deleting dependents? To contact, please call 80 Monday through Friday 7:00 a.m. Unless otherwise directed by your doctor, it is recommended that you visit your dentist twice a year for a dental exam.Ĭustomer Care is responsible for all phone inquiries including eligibility, benefits, ID card requests, updating information and addressing claims issues. ![]()
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