If you choose to refer a patient to an out-of-network specialist, you may do so, but we request that you inform the patient that they have the option to be referred to an in-network specialist if they desire. *Plan name will vary depending on member's medical plan. Members should be encouraged to select a specialist who participates with the prepaid dental plan by referring to the directory. Sun Life Prepaid Dental (4025) Humana HD205 Prepaid Dental (4044) Ameritas & Metlife Preventive PPO (4023 & 4033) . Enroll now Check out our PPO network comparison tool. Am I allowed to bill the patient if a service is not paid by you? 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This plan is underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA). Maximum Allowable Charge plans. We currently offer dental plans in the following states. Representatives are available to assist you Monday through Thursday from 7:00 a.m. to 7:00 p.m.and Friday from 7:00 a.m. through 5:30 p.m. CT. Where do I submit an SBA claim for the remaining contracted balance? Refer to your plan information for specific guidelines or call Client Services at800-443-2995. In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI). By seeing a Sun Life Dental Network dentist, you will receive discounts off their usual fees by approximately 30% which can save you money. In all instances, you are limited to the charge stated in your Personal Fee Profile. Additionally a claim must be . Typically, there's an increase in costs across the board. Please select the state you reside in from the following list to receive plan information: Alabama Arizona California Florida Georgia Illinois Kansas Kentucky To locate a participating dentist in your area, click PPO Dental on this page under Provider Search to complete the search. Aspen Dental offices make flexible . We dont ask for payment or deposit as part of our recruitment process. In New York, insurance products and prepaid dental products are underwritten or provided and administered by Sun Life and Health Insurance Company (U.S.) (SLHIC) (Lansing, MI). Prepaid dental products are provided by Sun Life Assurance Company of Canada (Wellesley Hills, MA), under Form Series BDC-IDSA. Plans with a Specialty Benefit Amendment, allows the member to receive specialty care from a specialist who participates with the plan or from an out of network specialist. Access to nationwide network of dentists with United Concordia's Advantage Plus network with more than 72,000 dentists . .$31 D0145 Oral evaluation for a patient under three years of age and counseling with primary Sun Life Family Dentistry Sliding Scale Low Cost. Our PPO dentists are allowed to bill the patient for services performed that are not covered by the plan. Copyright Maryland.gov. Our PPO networks inclusion dentists shrank with Teeth Health Alliance, L.L.C. (DHA) and dentists under access special with extra dental networks. All eligible members will receive an identification card listing their PPO network. We will never ask for money as part of the application process: Were aware of fraudulent job postings and offers of employment posted on social media, job boards and messaging apps. Breast Cancer Awareness - Schedule your screening! Its the only way a candidate can apply to a role at Sun Life. Option 1 - Plan sponsors can choose the status quo. E.T., to speak with a live Customer Service Representative. Have a local Employee Benefit Representative contact you. Services not listed on the Copayment Schedule are not covered by the Plan. Please contact your Sun Life Group Benefits representative. Please contact your Sun Life Group Benefits representative. Visit us at www.sunlife.com/us. Dental provider frequently asked questions, Preferred Provider Organization (PPO) topics, Participating and adjustable policyholder information, Your Rights and Protections Against Surprise Medical Bills, The dos and donts of mandatory COVID-19 vaccines, Mask requirements in the evolving vaccination workplace, Looking to improve Cardiac outcomes in Disability, Mental Health in the Workplace: It Starts at the Top with Regular, Real Required Conversations. We encourage you to refer to this information for any questions you may have. Plus, each plan includes plenty of extra . If you have a question about your monthly roster or the eligibility of a specific patient, please contact Client Services at800-443-2995. Option 1: Search by your Group ID Group ID Where can I find my Group ID? * - (*$19 in IL, TN.) We also direct patients to participating providers via telephone referrals through our Client Services lines. Visit us at www.sunlife.com/us. Breast Cancer Awareness - Schedule your screening! Slo haga clic en TRANSLATE en la barra azul de arriba, 2023 The Connecticut Dental Health Partnership. The process is the same for all funding arrangements and all market segments. Can I file claims for the difference in copayments and costs? How does the Prepaid Plan work? Plus, each plan includes plenty of extra benefits such as teeth whitening and bonding, along with: Sign up today. Product offerings may not be available in all states and may vary depending on state laws and regulations. If you have any comments or problems, please call Provider Relations at 800-434-2638. You may contact Change Healthcare or Tesia. Dental PPO's can be viewed as an excellent alternative. If their plan reimburses dental claims based on the current year fee guide, they might want to have options to limit the cost increase in 2021 (for ASO) or at their next renewal (for insured). Please contact National Electronic Attachment (NEA) for specifics at 770-441-3203, Fax 770-441-3204 or visitwww.nea-fast.com. All rights reserved. These include preexisting conditions, annual maximums, and managed care cost containment measures. To initiate a fee guide change, you need to contact your Account Executive. Prepaid dental companies are Denticare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., United Dental Care of Colorado, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., Union Security DentalCare of New Jersey, Inc., United Dental Care of New Mexico, Inc., UDC Ohio, Inc., United Dental Care of Texas, Inc., and United Dental Care of Utah, Inc. How do I join your PPO networks? No communication to plan members will be required. Sun Life Dental Secure Choice Dental Plans Affordable, convenient dental care that will really make you smile. Option 2 If you have plan sponsors that prefer to ensure that the increases to their costs are more limited, they can initiate a fee guide change. Our Client Services number is 800-442-7742. How do patients find out that I am a participating dentist? Yes, we accept electronic attachments. Please contact Client Services at800-443-2995and provide us with the name of the specialist you would like for us to contact. Your practice information is included in our directory of participating providers and on our website. 865 North Arizola Road Casa Grande, AZ - 85122 Claims should be submitted to the address on the back of the patient's ID card. 2020 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. Content is not approved for use in GA, NM, AZ, CA, CO, OH, OK, PA and TN. At the time of enrollment, you must choose a Plan Dentist for eachfamily member from the list of participating general dentists. In certain states prepaid dental products are provided by prepaid dental companies affiliated with SLOC. , For questions about the application process, call the Division of Dental, Labs, & Clinics at 410-767-1691.. How is Sun Life helping members maintain coverage? 15% discount on endodontic procedures and 25% discount on all other specialty procedures. Learn about the federal COVID-19 legislation updates and the state of the 2020 presidential election. Sun Life Assurance Company of Canada. Please enable JavaScript in your browser. Voluntary plans. Prepaid dental products are provided by UDC Dental California, Inc., an affiliate of Sun Life Assurance Company of Canada (Wellesley Hills, MA), under Form Series UDC-CA-IDSA. In that case, well continue to pay dental claims in alignment with the fee guide in their contract. Coverage includes dental and vision benefits for one low cost, through payroll deduction. new fillings: replacement fillings simple extractions, removal of exposed roots, incision and drainage certain lab tests, pain treatment, therapeutic drug injections endodontics (Root Canals) endodontic treatment (Root Canal Treatment) Type III major dental services, including: Get in touch 1 Zelis Network Analytics data as of January 2022 and based on unique dentist count. Visit us at, Participating and adjustable policyholder information, Your Rights and Protections Against Surprise Medical Bills, The dos and donts of mandatory COVID-19 vaccines, Mask requirements in the evolving vaccination workplace, Looking to improve Cardiac outcomes in Disability, Mental Health in the Workplace: It Starts at the Top with Regular, Real Required Conversations. All our roles are posted on ourWorkday career site. We market Prepaid Dental Plans in the following states: Alabama , Arizona , California , Colorado , Florida , Georgia , Illinois , Kansas , Kentucky , Missouri , Nebraska , New Jersey , New Mexico , New York , Ohio , Oklahoma , Pennsylvania , Tennessee , Texas , Utah , and Wisconsin . This page includes a brief summary of the Indemnity PPO Dental plan benefits. 2022 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. Please consult your merchant processor or financial institution for specific rates. The credentialing process is based on standards developed by the National Committee for Quality Assurance (NCQA) and industry standards. The Sun Life name and logo are trademarks of Sun Life Assurance Company of Canada. We dont ask for payment or deposit as part of our recruitment process. Nationwide counts are state level totals. monthly. Please contact Client Services at800-443-2995 with questions regarding specialty benefits. All rights reserved. The full increase in cost will show in the plan's experience and will impact the next renewal or their first ASO bill of 2021. How is the quality of the network assured? Except in very limited circumstances, there are no claim forms to submit. Start Saving Today with a Dental Saving Plan! (800) 277-3633. Ready to learn more about Sun Life Dental? What are the guidelines for submitting pre-estimates? Provider complaints regarding an administrative, payment, or other dispute between the participating provider and the Plan that does not involve a utilization review analysis and does not include routine provider inquiries that the carrier resolves in a timely fashion through existing informal processes should be sent to: All dentists and specialists must be credentialed before being accepted as a participating provider. 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Register and/or log in today to access your benefits online! It looks like your browser does not have JavaScript enabled. Our representatives are available to assist you Monday through Thursday from 7:00 a.m. to 7:00 p.m CT. How do I get reimbursed for services? As a member, you have access to view your plan information, claim status and more through your Sun Life account (previously named Online Advantage). 2 Sun Life's dental networks include its affiliate, Dental Health Alliance, L.L.C. Prepaid dental products are provided by Sun Life Assurance Company of Canada (SLOC) (Wellesley Hills, MA), under Form Series BDC-GDSA. What states are the Prepaid Dental Plans available in? This dental insurance plan provides variety of benefits and allows you and your family to use any dentist or specialist you choose. As part of your welcome notification, you were provided a copy of your Participating Dentist Agreement and your Personal Fee Profile. How do I sign up for electronic claims? The Secure Choice Plan is provided by UDC Dental California, Inc. Get in today for a limited-time deal on dentures and implant dentures. All rights reserved. Please be cautious. Sun Life Assurance Company of Canada. Here are some examples of fee guide changes available to plan sponsors: If your Client chooses one of the approaches in Option 2, we advise them to send a communication explaining any changes to their plan members. All rights reserved. Except in the case of a dental emergency, services provided by out-of-network dentists are not a covered benefit, unless pre-authorized by the Plan. Do all patients have the SBA? Plus, each plan includes plenty of extra benefits such as teeth whitening and bonding, along with: Sign up today. All rights reserved. Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 15-GP-01 and 16-DEN-C-01. Visit us atwww.sunlife.com/us. Celebrating 25. years of smiles. Can I send electronic attachments? 2022 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. They can make this request immediately, or upon renewal. Sun Life Assurance Company of Canada. What is the Specialty Benefit Amendment (SBA)? Learn about the federal COVID-19 legislation updates and the state of the 2020 presidential election. Each dentist is only counted once. This is our default and no action is required from your Clients. Please enable scripts and reload this page. Our Secure Choice Dental plans keep you smiling. INDIVIDUAL PLAN FEES monthly $10.40 -OR- $109.82, once annually (Save $14.98*) INDIVIDUAL +1 PLAN FEES monthly $16.74 -OR- $185.86, once annually (Save $15.02*) FAMILY PLAN FEES monthly $25.68 -OR- $293.15, once annually (Save $15.01*) For the dental care you need at a price you can afford, choose the Secure Choice Dental Plan that is right for you. Please contact Client Services at the number indicated on the patient's ID card or you can utilize one of our self-service options. DHMO plans for residents of California. SHARE The following monthly costs are effective 1/1/2023 - 12/31/2023 How does Sun Life handle services performed by teledentistry? Do plan members have to select my facility to be on my roster? Do I need a referral to see the patient? Our PPO networks include dentists contracted with Dental Health Alliance, L.L.C. (DHA) and dentists under access arrangements with other dental networks. The patient's responsibility is the difference paid by us and the fee for the service actually performed. P.O. If a plan sponsor chooses this option, the full increase in the 2021 fee guide passes on to the plan member. Your dentist will give you a comprehensive exam and recommend treatment to get your mouth on the road to healthy. Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. The SBA rider is offered with prepaid plans that provides members enhanced benefits associated with Plan Specialists, plus limited benefits with using a Non-Plan Specialists. Contact the benefits administrator at the phone number on the patient's dental ID card. If Member requires dental specialty services that cannot be provided by selected Plan Dentist, Member may obtain from a Plan Specialty Dentist the services marked as dental specialty services (S) in this Section 1. Prepaid dental products are provided by Sun Life Assurance Company of Canada (Wellesley Hills, MA), under Form Series BDC-IDSA. We offer the Sun Life Dental Network and Sun Life Focus Network . For dental providers who want to participate in the Maryland Healthy Smiles Dental Program as an individual provider or group practice, complete a Medicaid provider application at ePREP.health.maryland.gov . How can I have a specialist, to whom I refer, added to the network? Admittedly, few patients ever scrutinize a dental provider the way we do. (PPACA). A DentalSave fee schedule is a list representing the maximum charges participating providers can charge plan members for services. HUSKY Health Dental ProvidersNEWS and INFO. And our interest in customer service extends to the area of member satisfaction, with regular evaluations of selected dental offices and the care received there. Our Secure Choice Dental plans are available for families, singles and retirees who are looking for an affordable dental plan. All rights reserved. How do I know if a patient has the Specialty Benefit Amendment?