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.

How do you know which dental office you selected?

To receive the plan benefits, you must select a dentist from the OHS list of participating dental offices. The dentist you select will be your primary dental provider, coordinating all your dental care needs. If you do not remember which dentist you chose, you may contact the OHS Member Services Department for assistance at 1-800-432-3376, Monday through Friday, 8 a.m. to 6 p.m.

How can you make an appointment with your dentist?

You may schedule appointments by calling the dental office you selected on or after your effective date of coverage. When you call to schedule your appointment, notify the office that you are a member of the OHS dental plan. If you need to cancel your appointment for any reason, please let your provider know within 24 hours of your scheduled appointment. The Schedule of Benefits allows the provider to charge a fee for any broken or cancelled appointment without 24 hours notice.

What should you do if you wish to change your selection of dentist?

Provider transfer requests may be made by calling our Member Services Department. Requests received prior to the 20th of the month will be effective the first of the following month. Transfers can only be processed if you have no balance due or pending appointments at your dental office.

What if you need the services of a specialist?

There are certain procedures that are beyond the scope and competency level of a general dentist and may require the service of a specialist. If necessary, your general dentist will refer you to an OHS participating specialist (where available). After receiving preauthorization from OHS, you can make an appointment with the specialist. As a member with the Enriched Plan S-400, you will be charged according to the benefit schedule. Should you need to see a specialist with the Standard Plan 200, you receive a 25% discount off the specialist's usual and customary fees. If you have questions regarding referrals, please call the OHS Member Services Department.

What can you do if you have questions about the treatment plan prescribed by your general dentist?

You may contact the OHS Member Services Department to make arrangements for a second opinion at no charge. Second opinions arranged on your own, or from a non-participating OHS dentist, will not be covered.

How can you receive Emergency Care from within the service area?

If you require emergency care, first contact your general dentist for an emergency appointment. If you cannot reach your general dentist, contact the OHS Member Services Department for assistance. Arrangements will be made at the closest available office to receive emergency treatment. OHS has a representative available 24 hours a day for emergency assistance.

How can you receive Emergency Treatment outside of the service area?

If you require emergency care and are temporarily 50 miles or more from your participating dental office, contact any licensed general dentist to receive emergency treatment (i.e. relief of pain). Pay for the services rendered and submit the receipt to OHS with your name, social security number, address, phone number and your employer's name. OHS will reimburse no less than 75 percent of the reasonable charges for covered services, subject to any applicable co-payments, up to $100 per claim.

Where may you call for inquires or additional questions?

All inquiries and questions should be directed to the OHS Member Services Department in Jackson Memorial Hospital: 262-7329 or toll-free: 1-800-432-3376. Representatives are available Monday through Friday, 8:00 a.m. to 6:00 p.m.

Upon request Oral Health Services, Inc. shall provide written information about the terms and conditions of the plan to prospective enrollees. Oral Health Services, a CompBenefits Company is licensed and approved by the State of Florida Department of Insurance as a prepaid limited health service organization under Chapter 636 of the Florida Statutes.

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