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Frequently Asked Questions

How are orthodontics covered under the Dental Expense Plan and DPOs?

Health Insurance Quote - FAQ
Under the Dental Expense Plan, eligible orthodontic services are covered for members under age 19 at a 50 % coinsurance level, up to a lifetime benefit maximum of $1,000. Orthdontic services are only covered if the employee has been a full-time employee for at least 10 months. Under DPOs, patients under 18 years at the start of treatment have a co-payment of $1,000 or 50% of the bill (whichever is less).

Will I have a new orthodontics maximum if I was previously covered under Airborne's dental plan?

Frequently asked questions
When you enroll in the Premium Dental Buy-up plan that includes the orthodontic benefit, Delta Dental will coordinate the amount paid under your previous dental carrier and apply it to the lifetime orthodontic maximum of $1,500. Delta Dental will pay 50% of any amount remaining up to the lifetime maximum. Please have your dental office submit a treatment plan to Delta Dental to prorate any remaining benefits. See similar questions...

Who is covered by my dental benefit plan? What does my dental plan cover?

ADA.org: Insurance Frequently Asked Questions (FAQ)
This information should be provided by the plan purchaser, often your employer or union, and by the third-party payers. In order that you and the dentist may be aware of the benefits provided by a dental benefit plan, the extent of any benefits available under the plan should be clearly defined, limitations or exclusions described, and the application of deductibles, copayments, and coinsurance factors explained to you. This should be communicated in advance of treatment. See similar questions...

My spouse and I each have a dental benefit plan. Who in our family is covered by these plans?

ADA.org: Insurance Frequently Asked Questions (FAQ)
Your program covers you. Your spouse's program covers him/her. You may have additional coverage from each other's programs if they cover spouses and dependents. In no case should the benefit derived from the two coordinated programs exceed 100 percent of the dentist's charges for treatment. The primary plan for covering your children depends on the regulations in your state. Most plans use the "birthday rule" (spouse with birthday occurring earlier in the calendar year is primary). See similar questions...

What are the benefits and covered services under my dental plan?

Delta Dental of Idaho - Frequently Asked Questions
Click on Your Benefit Booklet & ID Cards after logging into the secure Subscriber Log-In section to view and print your dental benefit information. You may also contact your employer. See similar questions...

What dental services are covered by the plan?

ADMS - FAQ's
Each member will receive a complete list of services which are covered by the plan. For those services not listed, the dentist may charge his/her usual and customary fee, less 25%. See similar questions...

Is accelerated orthodontics covered by dental insurance?

Orthodontics FAQ Houston Texas Fast Braces & Orthodontist Se...
Some insurance policies cover orthodontics, and some do not. we have information regarding approximately 5,000 different insurance groups, and our office can ascertain and verify all possible insurance benefits. See similar questions...

What deductibles are required by members of the Dental Expense Plan?

Health Insurance Quote - FAQ
Members of the Dental Expense Plan are required to satisfy a $50.00 deductible per person per calendar year. If you have family coverage, no additional deductibles are charged after any three members have each met their $50.00 deductible. See similar questions...

What is the annual benefit maximum under the Dental Expense Plan?

Health Insurance Quote - FAQ
Under the Dental Expense Plan, the most the plan will pay for any one person per calendar year is $3,000. This maximum applies to all eligible services except orthodontics, which has a separate $1,000 lifetime benefit maximum. Members of Dental Plan Organizations (DPOs) are not subject to annual benefit maximums. See similar questions...

What expenses are covered under the MBF Dental Plan?

Office of Labor Relations
Benefits are payable for Covered Dental Charges incurred during a benefit year while eligible for these benefits. Covered charges include, but are not limited to, routine oral exams, extractions, fillings, crowns, oral surgery, and root canal therapy. Dental implants are covered at 50% of Reasonable and Customary allowances; this benefit will be included in the dental plan $2,500 annual maximum. There is also a separate orthodontic benefit with a $2,500 lifetime maximum. See similar questions...

What is orthodontics?

Orthodontics and Braces FAQ's: Information on Orthodontic De...
Orthodontics is the field of dentistry that focuses on enhancing a patient's profile and smile by straightening their teeth. Braces and other orthodontic treatment alternatives are used to correct a patient's bite and align their teeth, resulting in improved dental health and increased self-confidence. Click here to search our dentist directory and find an orthodontist in your area today! See similar questions...

How do I know what my co-pay will be for an expense covered by the PHBP Medical Plan?

Welcome to The Joint Industry Board of the Electrical Indust...
Yes. In addition to the same co-pays for covered medical services, your reimbursement for out-of-network expenses will be subject to an annual $300 individual/$500 family deductible through 2007. See similar questions...

I can't afford dental insurance or a dental plan. What can I do?

Braces FAQ Frequently Asked Questions: Thinking about gettin...
If you don't have dental insurance and can't afford a a discount dental plan, there is still an alternative. If there is a dental school in your area, call them and ask if they have a clinic. Often orthodontists and dentists in training will practice on patients in the school clinic, under the watchful eye of experienced teachers who are themselves dentists and orthodontists. This service is offered to the public at a minimal cost. See similar questions...

Can I coordinate my dental insurance with a discount dental plan?

DentalPlans.com Frequently Asked Questions - Answers about D...
You will need to consult with your dental office to verify if they can coordinate a discount plan with your current insurance. See similar questions...

How do I change my dental plan coverage?

Frequently Asked Questions: Dental Plan, Benefits, Human Res...
Each year during Open Enrollment, you may elect to enroll in the First Commonwealth DMO dental plan, change from one dental plan to another, or add coverage for a spouse or dependent child to First Commonwealth coverage. You may also enroll in the Blue Cross dental plan. Similarly, you may add coverage for an eligible family member to the Blue Cross dental plan. Evidence of good dental condition is not required. See similar questions...

When can my dependents be added to my dental plan?

Frequently Asked Questions: Dental Plan, Benefits, Human Res...
employee may enroll his or her spouse and eligible dependent children within 31 days from the date of employment. Employees may also add coverage for a spouse or children within 31 calendar days from the date of a qualified change in family status (marriage, birth, adoption, etc). Otherwise, evidence of good health is required in order to enroll dependents in Plan A at any other time. See similar questions...

How can I find an orthodontist or a discount dental plan?

Braces FAQ Frequently Asked Questions: Thinking about gettin...
To help find an orthodontist near you, it's best to get personal recommendations. Ask friends who have braces (or whose kids have braces). If your insurance covers orthodontics, see if it is limited to specific dentists/orthodontists. Or, post a query on ArchWired's Metal Mouth Message Board; our readers are all over the US and around the world, and are very helpful! Dental plans come and go; some are better than others. See similar questions...

What if I currently offer a dental plan?

Willamette Dental: Employers > Value-Added Services > Freque...
Great! Most employers give their employees a dental choice by offering a Willamette Dental plan as a dual choice option with either a traditional insured dental plan, or a self-funded plan. See similar questions...

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