Dental Plan FAQ's
General Provider Questions
- What is the Prepaid Dental Plan?
- How do I join the Prepaid Plan?
- What states are the Prepaid Dental Plans available in?
It is a dental network plan that arranges for provision of covered dental services through a contracted network of private practice dentists. A plan member must see their selected Plan Dentist in order to receive benefits. The member pays any applicable copayment(s) at the time of treatment according to the Copayment Schedule. Except in the case of a dental emergency, services provided by out-of-network dentists are not a covered benefit, unless pre-authorized by the Plan. Except in very limited circumstances, there are no claim forms to submit. You are compensated through the combination of the periodic capitation payment and the member copayment paid at the time of service.
To receive information and forms to join our Prepaid Plan call Provider Relations at 800.434.2638. All dentists and specialists must be credentialed before being accepted as a participating provider. The credentialing process is based on standards developed by the National Committee for Quality Assurance (NCQA) and industry standards.
We market Prepaid Dental Plans in the following states: Alabama , Arizona , California , Colorado , Florida , Georgia , Illinois , Kansas , Kentucky , Michigan , Missouri , Nebraska , New Jersey , New Mexico , New York , Ohio , Oklahoma , Pennsylvania , Tennessee , Texas , Utah , and Wisconsin . For a list of the underwriting entities go to our Legal Notice.