Plan E Overview
Take Care of Your Teeth with OHS/CompBenefits and Help Prevent
Excessive Costs
It's a widely accepted fact that dental disease is preventable. Dentist
stress regular brushing, flossing and periodic check-ups. OHS/CompBenefits
makes preventive care affordable. OHS/CompBenefits will enable you to take
better care of your teeth, and you'll pay less to do it. You'll get great
benefits. You'll save money. You'll help prevent tooth decay and gum disease
which could save your teeth.
Dental Access
Dental Access provides the protection, flexibility and the coverage most
families desire. The plan offers both in-network and out-of-network
benefits, which gives you and your family the ability to receive care from
any dentist in the community. While most of the time there will be higher
out-of-pocket costs for care obtained out-of-network, Dental Access provides
you the comfort of having this flexibility.
In-Network Coverage
In-network treatment and services are provided by private practice
dentists who contract with OHS, a CompBenefits Company to care for you and
your family. These dentists agree to provide the comprehensive benefits
outlined in your Group Dental Benefit Book and to accept the OHS/CompBenefits
Fee Schedule. Upon enrolling in Dental Access, you may seek treatment from a
participating dentist by selecting a dentist from OHS/CompBenefits'
participating Dental Access provider directory. Your participating dentist
will charge specific co-payments for covered procedures. This means fewer
out-of-pocket expenses for you when using your in-network coverage. When
making an appointment, please identify yourself as an OHS/CompBenefits
patient and please verify that the dentist participates in the network.
Out-of-Network Coverage
If you should decide to seek dental services outside of OHS/CompBenefits'
network of participating Dental Access providers, you would simply receive
dental care from any licensed, practicing dentist. You will pay for the
treatment rendered, complete a claim form and submit the form to OHS/CompBenefits
for direct reimbursement of approved claims. There are no deductibles on
dental coverage. A fixed dollar amount is reimbursed for each covered
procedure. Please refer to the Out-of-Network Maximum Reimbursement Schedule
for additional information. Your responsibility under this option includes
any cost that remains after reimbursement and maximum benefit limitations.
Your plan also covers a portion of the cost associated with emergency dental
care that you may receive from a non-participating provider.
In-Network Advantage
