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Denta-Chek Dental Plans | office (410) 997-3300 |
fax (410) 997-3796 | ||
toll-free (888) 478-8833 |
Q: Who Is Eligible?
A: Denta-Chek Dental Plan Subscribers and their eligible dependents.
Dependent children can be covered to age 26. Coverage of a child who
attains age 19 will be continued while he or she is incapable of
self-sustaining employment by reason of mental incapacity or
physical handicap. Children may take out their own individual plan
when they are no long eligible.
Q: Must I Use A Participating Dentist?
A: YES, benefits are only available through participating dental offices. In addition to general practice dentists, there are many specialists, such as oral
surgeons, orthodontists, endodontists and periodontists who will
provide care for you and your family under this plan. Click on the 'Find A Dentist' button above to find dentists
that participate in the Denta-Chek plan, or call our
office to find out who participates and how your present dentist can
participate. If your are interested in insurance that will provide the same level of benefits when using any dentist, or if
you reside outside of the Denta-Chek service area, we invite you to look at the PrimeStar insurance plans by clicking on the
'Fully Insured Plans' button above.
Q: What Services Are Covered?
A: Preventive services including semi-annual office examinations, semi-annual cleanings and x-rays are covered in full when using a
participating general practice dentist. Other services rendered by participating general practice dentists, such as fillings, crowns, bridges, root-canal therapy, are covered at set co-payments that
are substantially below the usual and customary fees for those services. Should you need to use a participating specialist such as an
oral surgeon, periodontist or endodontist, you will receive a 25% reduction from the providers usual and customary fee. Orthodontic services
from participating orthodontist are covered at set fees for standard 2-year cases, or you will receive a 25% reduction in the usual and customary fee for all other
orthodontic services. Please see the Certificate of Benefits And Surcharges for a complete list of covered services and co-payments.
Q: What If I Cancel Before I've Completed A Full Year Of Coverage?
A: Enrollment in the dental is for at least one year. If you decide to drop the plan before completing a full year of coverage, you will owe the plan the usual, customary and reasonable
fees for any services rendered, reduced by the sum of the Monthly Subscription Fees and Subscriber's Charges (co-payments) paid by or on behalf of the Subscriber and Dependents.
Q: Money Back Guarantee
A: If you are not completely satisfied with the plan, the plan
will refund your subscriber fee if your written notice of
cancellation, Certificate of Coverage and ID card are returned
during the first 30 days of coverage. However, you will have to
pay the dentist his or her usual fees for any services rendered.
The application fee is not refundable. Once
coverage has been in force for mare than 30 days, no fees are
refundable.
Q: When Is Coverage Effective?
A: Coverage will go into effect on the first day of the calendar month provided that we receive your completed application and initial payment by the 20th of the prior month.
Q: Are there any other limits?
A: As with other plans, there are services which this plan does
not provide, such as services which are covered under Workers'
Compensation or Employers' Liability Laws. For a complete list
of exclusions, check your certificate of coverage.
Coverage | Monthly Cost |
---|---|
Applicant Only | $16 |
Applicant + 1 Dependent | $22 |
Applicant + 2 or More Dependents | $28 |
There is also a one-time $10 application fee. |