Formerly known as American Dental Plan

 


STATE OF FLORIDA
  Schedule of Benefits

  FAQs

  Search for Providers
  Schedule of Benefits

  FAQs

  Claim Form
  MyCompBenefits
  Contact Information



Plan One — Prepaid/Select 15

Frequently Asked Questions

The Prepaid/Select 15 dental plan provides a wide variety of benefits through participating general dentist and specialist providers. At the time of services, you pay the participating provider for any applicable charges according to the schedule of benefits. The plan features:

  • No claims to file
  • No hidden costs
  • No maximums
  • No waiting periods


What is Plan One?

Plan One is a Prepaid Plan also known as the Select 15 plan. This plan requires you to select and be assigned to a participating general dentist provider. The CompBenefits Provider Directory provides a listing of participating general dentists. These dentists are contracted with CompBenefits to charge you according to the Select 15 schedule of benefits and copayments.

How do I obtain a listing of Participating Providers?

You can obtain a listing of participating Prepaid Providers including General Dentists and Specialists (Endodontist, Orthodontist, Oral Surgeon, Pediatric Dentist, Periodontist, and Prosthodontist) through this website at Plan One - Search for Providers or by contacting our Customer Care Department at 866-879-3630.

How do I select or change my assigned Participating General Dentist Provider?

You may select or change your assigned participating general dentist provider simply by contacting our Customer Care Department at 866-879-3630. You may also register through this website at MyCompBenefits.com. Once you have registered at MyCompBenefits.com, you would then follow the instructions for selecting your provider by clicking on the policy number and then clicking on the provider search to start the process. Any provider selections processed by the 15th of the month will be effective the first of the following month.

How many times a year can I visit my Participating General Dentist Provider?

You are encouraged to visit your dentist regularly. With your CompBenefits dental plan, you are not limited to a specific number of visits per year.

How can I get more information?

You can contact our Customer Care Department at 866-879-3630, M-F, 8am-6pm EST. Customer Care can assist you with changing your dentist, information about your plan, or obtaining emergency services.

Is there any maximum coverage limitation?

There are no limitations on benefits.

How do I make appointments?

Making an appointment is easy. Simply call the participating general dentist provider office you have selected to schedule an appointment. Please contact the participating provider on or after the date you receive your certificate of coverage and ID card. Your enrollment information with that participating provider will already be on hand, confirming that you are eligible for treatment with their office.

What if I need a Specialty Dentist?

Should you need a Specialty Dentist (i.e., Endodontist, Oral Surgeon, Orthodontist,  Periodontist, Prosthodontist, Pediatric Dentist), you may be referred by your Participating General Dentist, or you may refer yourself to any Participating Specialty Dentist. Upon identifying yourself as a CompBenefits member, you will receive a 25% reduction from usual and customary fees for services performed. Specialty services are available only in areas where the dental plan has a Participating Specialty Dentist.

How do I pay for services?

If your visit is for covered preventive care, like a routine exam, cleaning, or x-ray, there is no charge for the procedure. The CompBenefits program prepays the dentist. For other procedures, a copayment may be required. See your Schedule of Benefits and Copayments for specific amounts. You pay the copayments directly to the participating provider.

What if I go to a non-participating dentist?

You will not be eligible for any benefits with non-participating dentists. You must receive treatment from the participating general dentist provider you have selected.

Are there any exclusions or limitations under this plan?

Please refer to the Schedule of Benefits for plan exclusions and limitations.
 


© Copyright 2006-2008 CompBenefits Corporation.