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Dental Benefits are provided for you and your eligible dependents in accordance with the Schedule of Maximum Allowances listed. The benefits provided cover a comprehensive range of services rendered by licensed dentists to maintain and restore good dental health.
There is no "deductible" of covered dental benefits which you are required to pay before you qualify for benefits. Dental benefits are payable for the first dollar of expenses you or an eligible dependent incur for any covered dental service and are payable up to the maximum amount shown in the Schedules.
Members and their eligible dependents are free to use the services of a dentist of their choice or a participating dentist.
Participating Dentist Program
The Fund has made arrangements with many local dentists who have agreed to accept the fees listed in this booklet as payment in full (unless otherwise noted in our fee schedule). Should you decide to use any of the participating dentists, no charges will be made for any of the dental services listed and payments will be made directly from the Fund to your dentist. Frequency limits and general exclusions remain the same no matter which dentist (participating or otherwise) you might choose.
A participating dentist may charge you for services not listed in this booklet and for services more frequently than allowed by the plan or if you exceed the annual or lifetime maximums.
Please keep the list of participating dentists in your Fund booklet. The list of provides the names, addresses and phone numbers of the dentists who are currently participating with the Fund’s dental plan. These dentists have agreed to provide covered dental procedures at no out-of-pocket expense (unless otherwise noted in our fee schedule) to Fund members and their eligible dependents. The list is provided as an informational service only, for the convenience of covered members and eligible dependents. The Fund does not recommend the services of any particular dentist. The participating providers have been selected because they have agreed to accept the Fund’s fee schedule as payment in full for services. If you or your eligible dependents are charged for any covered services by a participating provider, do not pay and contact the Fund Office immediately. The Fund requests that you report any irregularities including rudeness, unsanitary conditions and difficulty in obtaining appointments at convenient hours to the Fund Office. Dentists who board qualified in orthodontia, periodontia, endodontia or oral surgery are listed separately from general dentists. This list will be reviewed and updated from time to time by the Fund. Therefore, you should contact the Fund Office before going to a participating dentist to verify his/her status as same.
DISCLAIMER
The Fund’s list of participating dentists is provided as an informational service only, for the convenience of covered members and their eligible dependents. The Fund does not recommend the services of any particular dentist. The Fund makes no representation as to the quality of services provided by any dental provider. Each Fund member and eligible dependent is responsible for making his/her own decision about the use of dental providers.
HEALTHPLEX IS NOW UTILIZING AN OUTSIDE VENDOR TO PROCESS THEIR CLAIMS. THE NEW MAILING ADDRESS IS:
HEALTHPLEX, INC.
PO BOX 211672
EAGAN, MN 55121
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