Dental Benefits — More Than Just a Nice Smile for You

Transcription

Dental Benefits — More Than Just a Nice Smile for You
Dental Benefits —
More Than Just a Nice Smile for You
Overall health starts with good oral health.
During a preventive exam, dentists can detect much more than cavities and broken fillings.
They can spot oral characteristics of certain medical conditions — from osteoporosis and
diabetes to heart and kidney disease — before they become serious and costly to treat. For
this reason, dental benefits can be an important part of your overall health and wellness.
ConnectiCare offers everything you need to make dental benefits part of your health
care solution. You’ll have a choice of dental plans with familiar, PPO-style open access.
Broad, quality provider networks. No referrals and no paperwork. And, coverage for
out-of-network services.
Service
BeneCare, an experienced, respected dental plan administrator, manages ConnectiCare’s Dental Plans providing you with
quick, personal, professional service.
■ By phone — experienced Member Service representatives answer questions and solve
problems quickly
■ Online — click into www.connecticare.com and follow the links to BeneCare’s helpful
Web site for:
•Valuable dental news and information, dental glossary, FAQs, provider finder, links to
helpful resources
•Self-service features including your personal claims history and your plan’s coverage
To enroll
Your employer or benefits administrator supplies the enrollment form. Enrollment is open
for a limited time, so be sure to respond promptly.
CONTINUED ON OTHER SIDE
Put Quality Behind Your Smile
Choosing a dentist
Use the ConnectiCare Dental Provider Directory or go to www.connecticare.com and
follow the links to the BeneCare Provider Locator
■ Each family member may choose his or her own dentist
■ You may change dentists at any time
■ Chances are, your dentist already participates
If your favorite dentist isn’t in our network, you may not need to switch – ConnectiCare
welcomes new providers, just ask yours to apply!
What’s covered?
ConnectiCare Dental Plans are designed to cover the important preventive care adults and
children need for good oral health, along with a variety of services to repair or restore.
Each plan is different, based on the plan design your employer chooses. See your benefits
administrator or review your Certificate of Coverage for specific coverage and exclusions
in your company’s plan.
Getting Care
■ In network
Simply make an appointment with a participating provider and go!
•Choosing network providers means no paperwork, no claim forms
•No referrals required – you have open access to participating specialists
•Pre-determination of coverage may be recommended for some procedures,
but your dentist handles everything
■ Out of network
You’re also covered for services if you see a dentist outside the network, but you will pay
a larger share of the costs. You’ll need to pay the dentist at the time of service, and then
submit the dentist’s bill for reimbursement of covered expenses. Not all procedures are
covered, and pre-determination of coverage may be recommended for some procedures.
Check with your benefits administrator or review your Certificate of Coverage for details.
Annual Maximum Look Back Program
This program allows you to access additional benefit dollars, helping you to maximize
your benefits.
Put Quality Behind Your Smile
175 Scott Swamp Road, P.O. Box 4050, Farmington, CT 06034-4050
www.connecticare.com
© 2012 ConnectiCare Insurance Company, Inc.
BeneCare is a registered trademark of Dental Benefit Management, Inc.
Dental Group EE 1211