Formerly known as American Dental Plan

 


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Plan Two — Indemnity/Schedule B

Frequently Asked Questions

The Indemnity/Schedule B dental plan provides a wide variety of benefits. With this plan, you are responsible for the difference between the dentist charges and the plan Schedule of Benefits. The plan features:

  • Freedom to use any dentist
  • No waiting periods


What is Plan Two?

Plan Two is a Indemnity/Schedule B Plan that allows you to use any dentist or specialist, and be reimbursed for covered services according to the Plan's Schedule of Benefits.

How many times a year can I visit the dentist?

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. However, some benefits do have frequency limitations. Please review the schedule of benefits for additional information.

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 information about your plan, and assist you with any claim questions.

How do I make appointments?

Making an appointment is easy. Simply call any dentist to schedule an appointment. The dental office can confirm your coverage by contacting our Customer Care Department at 866-879-3630.

How does my bill get paid?

The dentist may agree to file your insurance claim for you. However, if they do not, you may be required to pay the entire bill at the time services are rendered by the dentist. You will then be responsible for submitting a claim to CompBenefits for reimbursement. Your claim will be paid based on your Schedule of Benefits. Benefits will be payable after your deductible (if applicable) are satisfied. Your plan also has an annual limit on benefits available.

What is a predetermination/pretreatment estimate?

By submitting a predetermination/pretreatment estimate claim form, CompBenefits will notify you and your dentist of the benefits payable based upon the planned dental treatment.

When is a predetermination needed?

If a planned treatment is going to cost over $300, you should ask the dentist to file for a predetermination of benefits before services begin. Predetermination is not necessary for emergency treatment.

Where should I send my claim form for actual services or predetermination/pretreatment estimate?

Dental claims forms can be printed from this website or you can contact our Customer Care Department at 866-879-3630. Please send all dental claim forms to:

CompBenefits Claims
PO Box 803843
Chicago, IL 60680-3843

Are there any exclusions or limitations under this plan?

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

 


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