T-185
Frequently Asked Questions
How can I get more information?
You can contact our Member Services Department at 1-800-342-5209, M-F,
8am-6pm EST. You may also locate us on the web at www.compbenefits.com for
more information or to find a provider near you.
How does In-network coverage work?
Upon enrolling in the plan, you may seek treatment from any dentist listed
in the network directory. Your dentist will charge specific co-payments
for covered procedures. This means fewer out-of-pocket expenses for you
when using in-network coverage.
What if I seek Out-of-network care?
If you should decide to seek dental services outside of the Dental Access
network of participating dental 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 for direct
reimbursement of approved claims. A fixed dollar amount is reimbursed for
each covered procedure, not to exceed what would have been payable if a
Dental Access participating provider rendered the service. Your
responsibility under this option includes any cost that remains after
reimbursement and maximum benefit limitations.
May I change my provider?
If you need or want to change your in-network provider selection, simply
select another dentist from the provider directory to receive covered
benefits. You are not required to notify CompBenefits of the change in
dentist selection.
What if I need a Specialty Dentist?
Dental Access members may seek treatment from a specialty dentist at any
time without a referral. Certain dental procedures will require the
services of a specialty dentist (i.e. oral surgery, endodontics and
periodontics). In those cases, if you select a participating specialty
dentist, you will be charged the specialty dentists' appropriate
co-payment from our Benefit Schedule.
Who is responsible for filing dental claims?
Members seeking services from an out-of-network dentist will be reimbursed
by CompBenefits according to the Benefit Schedule. Depending on the
out-of-network dentist's policy, you may be required to file your claim
for reimbursement. You will receive timely payment directly from
CompBenefits.
When is my benefit year?
"Benefit Year" for the first policy year begins on the Effective Date
and ends on the 31st of December of the same year. Thereafter, the Benefit
Year will be the calendar year.
