
GETTING STARTED
Identification Card
You will be issued an identification card upon enrollment in
your plan. The card identifies you as a CompBenefits member. If your card is
lost or stolen, call Member Services to get a new card mailed to you.
Making An Appointment
When you need dental care, simply call your participating
general dentist's office to make an appointment. When you call, make sure
you have your ID card handy, in case you are asked questions regarding your
dental plan.
Orthodontics
Orthodontics (Braces) are a covered benefit under the
Healthy Kids program only when medically necessary. Please reference the
Schedule of Benefits for a complete listing of the required medical
conditions to qualify for orthodontic coverage. In order to qualify for this
coverage, your general dentist must refer the case to CompBenefits for
initial review. If an Orthodontist consultation is approved, you will be
referred to a Participating Orthodontist. The Orthodontist will render a
consultation, and submit his findings along with records and models to the
CompBenefits Orthodontic Consultant for final approval. Orthodontic
coverage, along with all other coverage, is subject to the $1,000 annual
maximum benefit limitation each benefit year. The cost of any procedure,
including orthodontics, received in a benefit year above the $1,000 annual
maximum benefit will be the member's responsibility.
Members who do not qualify for the Healthy Kids orthodontic
benefit can receive a 25% discount from participating orthodontist's usual
fees by identifying themselves as a Healthy Kids member and showing their
Healthy Kids ID card to a participating orthodontist. The discounted benefit
will not count against your $1,000 annual benefit maximum.
Plan Ahead For Preventive Care
If you are a new patient to the dentist you have selected,
please contact the office to discuss the necessary procedures for
transferring your records from a previous office. Your dentist may want to
see you for an initial examination or consultation. You may be rescheduled
to begin preventive care or other needed treatment. Two visits allow the
dentist to do a thorough assessment and develop a plan of care for you
before any treatment is started. This also helps the dentist to stay on time
with appointments, in turn keeping you from having a long wait in the
office.
Specialty Care
You may be referred by your participating general dentist to
a participating specialty dentist (i.e. endodontist, orthodontist, oral
surgeon, periodontist, prosthodontist, or pediatric dentist).
Second Opinions
Both you and your dentist decide on your course of
treatment. If you are not satisfied with your participating general
dentist's treatment plan, we encourage you to solicit a second opinion from
another participating dentist.