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.

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%.

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.

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.

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).

Answer: Yes. Services covered under the plan are available at the rates (copayments) specified in your Schedule of Benefits at participating dental offices only. The only exception is if you are out of the service area and have a dental emergency. Please refer to your Evidence of Coverage document for specific instructions for care and reimbursement when outside the Plan’s designated service area.

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.

Yes. Emergency services are covered by the plan. However, the member will be responsible for the co-payment for each type of service during the emergency visit.

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.

You will need to consult with your dental office to verify if they can coordinate a discount plan with your current insurance.

Yes. The Peoples Dental Plan can coordinate services with dental insurance plans. In order to receive discounts from the Peoples Dental Plan you must see one of our providers. After paying the reduced fee, you will need to file a claim form with your insurance.

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.

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.

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.

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.

Discount dental plans are an affordable and easy-to-use alternative to dental insurance. Plan members are granted access to a large network of participating dental care providers that have agreed to offer their services at a discounted fee.

See Dental Services and Enhanced Dental Fees for a partial list. Request the full schedule and codes from Medicaid (see Contacts).

Usually you must get health care from doctors and hospitals that are part of your Plan. But there are some benefits and services that are never covered by your Plan. You use your regular Medicaid card to get these services. Benefits and services from outside your plan are called carve-outs. You can get carve-out services with your regular Medicaid card. You can go to any doctor who accepts Medicaid, even if the doctor is not in your Plan.

Medicare Supplement policies are standardized into twelve plans, labeled “A” through “L,” each with its own set of benefits. Plan A covers the most basic benefits: coinsurance for hospitalization plus coverage for 365 additional days after Medicare benefits end; coinsurance or copayments for medical expenses like doctor office visits and outpatient services; and, if you require blood transfusion, coverage for the first three pints of blood you receive.