The following are several questions commonly asked by our members regarding their benefits. We hope that these answers will help you get the most out of your dental benefits.

A. & B. BASIC AND ENHANCED MANAGED CARE DENTAL PLANS

1. Where can I receive CompBenefits benefits?

CompBenefits benefits are provided by participating general dentists and participating specialists. The participating general dentist you have selected is printed on the face page you receive with your Schedule of Benefits. If you have not already chosen a participating general dentist, please contact CompBenefits Customer Care in order to do so.

Simply call your selected participating general dentist and make an appointment. Please take a moment and confirm the effective date of your coverage, which is printed on your identification card. If you receive your Certificate of Benefits prior to your effective date, please wait until your effective date to make an appointment.

If you need to cancel an appointment, please call your participating general dentist at least 24 hours before your appointment. Dentists work on an appointment basis and need to know your change of plans. If you break an appointment without giving 24-hour notice to your participating general dentist's office, you will be charged for a broken appointment at the rate shown in your Schedule of Benefits.

Your participating general dentist will evaluate your total dental needs. Be sure you understand the recommended treatment plan and any proposed charges. You may request a written copy of your treatment plan. If you have any questions about your treatment plan, discuss them with your participating general dentist. If you have questions regarding your Schedule of Benefits, contact CompBenefits Customer Care.

You may get a second opinion from one of CompBenefits's participating general dentists. Your Schedule of Benefits will show you what your cost will be. Simply call a participating general dentist and let the receptionist know that you'd like a second opinion appointment. Be sure to indicate that you are an CompBenefits member. The dentist will evaluate your situation and discuss it with you.

If any services are rendered, you will be responsible for the cost.

Call you participating general dentist and request an emergency appointment for the treatment of accidental, painful or urgent conditions. Your Schedule of Benefits shows the copayment for emergency appointments. This copayment is in addition to any copayment for treatment. If your participating general dentist is not available, contact CompBenefits Customer Care. We will help you locate another participating general dentist who can provide emergency care. Consult you Certificate of Benefits for specific information regarding "out-of-area" emergency care.

Specialty care is covered. Under the basic plan you may see any participating specialist and receive a 25% reduction in that specialist's normal fee. Under the enhanced plan you must receive a referral from your participating general dentist prior to seeing a specialist. Upon approval, your Schedule of Benefits will apply to your specialists visit under the enhanced plan.

No, you and each of your covered family members may select a different participating general dentist.

A few services are specifically listed as exclusions on your Schedule of Benefits. You do not have any benefits for those services. Any service that is not specifically excluded, but which is not listed with a specific copayment, is available at the participating general dentist's usual and customary fees less 25% unless otherwise noted on your Schedule of Benefits. Usual and customary Fees are fees that are customarily charged for dental services by a participating general dentist. These charges are not determined by CompBenefits.

Yes. You may change your participating general dentist by simply calling CompBenefits Customer Care. If you request a change by the 15th of the month, it will become effective on the first of the following month (if you do not have a balance due with your current participating general dentist).

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