benefits and claims updates

COVID Updates: Benefits & Claims

June 8, 2020

Having trouble keeping track of all the changes going on in the last few months? You are not alone, and we feel you. It sometimes seems like every aspect of daily life has changed.

We want to make it easier for you to keep your smile healthy. So, the next time you visit your dentist, you don’t lose out due to office closures or disruptions.

Temporary Dental Treatments:

Protective Restorations: This is dentist-speak for a “temporary filling”. Your dental plan covers this, so if you need one you can get it without extra charges. This is considered a separate treatment from the permanent fillings you might need on that tooth.

Palliative Treatment: Another fancy term for an “emergency procedure to treat dental pain”. This is also covered on your dental plan, and rest assured, it’s covered.

Provisional Crown: In other words: a temporary crown. Usually these are replaced after 30 days. But if office closures and restrictions means you have to wait longer than that – it’s ok. If your temporary crown was placed between March 4th and December 31st , your dentist gets paid once the permanent crown is placed.

Periodontal Scaling and Root Planing (SRP): Treating periodontitis (bone loss), usually means getting two areas (quadrants) of your mouth treated at a time. But now your dentist can treat more than two areas on any one date of service through December 31st, 2020.

Emergency Visits to Non-Participating (out-of-network) Dentists: Had to see a non-participating dentist because your regular in-network dentist wasn’t available? Don’t worry. We’ll pay it at the in-network rate.

We’re also working with your employer to adjust claims filing and eligibility deadlines.

Timely Filing of Claims: Your dentist’s office might have missed our regular claims filling deadline between March 19th and June 30th, 2020. Contact our Customer Service Department for additional information.

Extension of Benefits: Did your benefits plan end in the last few months? We can help if you got “stuck” between treatments (a crown, for example). Contact our Customer Service Department for additional information.

Confirmation of Treatment Cost (predetermination) Extension: We will honor all predeterminations approved on or after September 1, 2019, until further notice.

No 6-month time limit for cleanings: Healthy smiles are important to us! If your plan limits you to one cleaning every 6 months, we’re waiving that limitation between cleanings so you can catch up.

Register now to review your coverage.

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