Q. Are there any waiting periods on this plan?
While there may be an employer-imposed waiting period that must be met before an employee is eligible to enroll, there are no waiting periods to use benefits covered by this plan.
Q. Do members need to select a provider before they enroll?
There is no need to select a provider before enrolling. Once a member is enrolled, he or she can make an appointment with any general dentist within our network. Each family member can select his or her own general dentist from our directory.
Q. Does everyone have to see the same dentist?
Each family member may select his or her own general dentist from our directory. To find a new dentist use the provider locator feature on www.yourdental.com/bhp.
Q. What if an employee needs to see a specialist?
Members who require the services of a specialist (Oral Surgeon, Endodontist, Periodontist, Prosthodontist or Peddontist) may go directly to any participating specialist and receive care at 25% off the provider's usual and customary fee.
Members on the "S" plans may get prior written approval from Solsstice and receive specialty care at the plan's listed copayments.
Orthodontic services may be covered at copayment, depending on the plan selected. Please refer to the plan's documents for more information.
Q. What if an employee needs emergency care?
The Advantage Prepaid Dental plan provides coverage for emergency care and all of our contracted General Dentists provide emergency dental services 24/7.
The employee should refer to the plan's Evidence of Coverage, which explains what to do when emergency care is needed.
Q. What if I have more questions about my organization's plan?
Depending on your questions, BEST Health Plans has several departments that can assist you. To find out who to contact, refer to our contact directory. |
