How can I reduce Out-Of-Pocket Expenses?

By using one of our PPO Providers you have the benefit of reduced out-of-pocket expenses. You also get additional peace of mind knowing that our providers go through an extensive credentialing process.

How does the plan work?

1. The PPO plan allows you to seek treatment from any licensed dentist.
    
2. Once services are performed, you or your dentist must file a claim form in order to receive reimbursement.
    
3. Your claim will be paid based on your group's schedule of benefits. Benefits will be payable after your deductible and coinsurance (if applicable) are satisfied. Your plan also has an annual limit on benefits available.

The dentist may agree to file your insurance claim for you. However, if he/she does not, you may be required to pay the entire bill at the time services are rendered and submit a claim to CompBenefits for reimbursement.

Where should I send my claims?

Claim forms can be obtained from your Group Benefits Administrator,  CompBenefits Member Services, or from this web site and should be sent to:

CompBenefits Claims
PO Box 8236
Chicago, IL 60680-8236

Your provider may also file your claims electronically.

What is a predetermination?

The purpose of submitting a predetermination is to help you understand how your benefits will be paid for your proposed treatment plan.

When is a predetermination needed?

If a planned treatment is going to cost over $200, you should ask the dentist to file for predetermination of benefits before services begin.

How can I get further questions answered?

You may contact CompBenefits with any questions or concerns at  1-800-342- 5209, M-F 8 am – 6 pm EST.