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*) How does the Prepaid Plan work? 1The Sun Life Focus Dental Network is only available for policies issued in North Carolina. 800.434.2638 Prepaid provider services We will have a Provider Relations representative contact the office as quickly as possible. Please enable scripts and reload this page. Is there a fee to join your PPO networks? Please select the state you reside in from the following list to receive plan information: Alabama Arizona California Florida Georgia Illinois Kansas Kentucky Prepaid dental companies are Denticare of Alabama, Inc., United Dental Care of Arizona, Inc., UDC Dental California, Inc., Union Security DentalCare of Georgia, Inc., United Dental Care of Missouri, Inc., United Dental Care of New Mexico, Inc., UDC of Ohio, Inc., and United Dental Care of Texas, Inc. Visit us at www.sunlife.com/us. OR Youll like the affordable monthly rates and the out-of-pocket costs. As part of your welcome notification, you were provided a copy of your Participating Dentist Agreement and your Personal Fee Profile. Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. Who do I contact if I have questions regarding my responsibilities with your PPO Networks? We dont ask for payment or deposit as part of our recruitment process. Welcome to the information gateway brought to you by the CT Dental Health Partnership - Your HUSKY Health Dental Plan. Visit www.dha.com to review The Dentist Guide for guidelines around handling our patients seen in your practice and their claims. Rocky Mountain Health Maintenance Organization, Inc. UnitedHealthcare Insurance Company of the River Valley. Find a dental plan that's right for you and your family, based on your needs and budget. 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: With your Sun Life account, you can manage your benefits online, on your schedule. How will I know when a patient participates in one of your PPO networks? (English / Espaol). Your practice information is included in our directory of participating providers and on our website. 201 W. Preston Street, Baltimore, MD 21201-2399, Applications for Long Term Care (all9709 versions available), Maryland Medicaid Maternal and Child Health Programs, Maryland Money Follows the Person Program, - Rendering Providers without Group Affiliation Video, Maryland Healthy Smiles Provider Services, ePREP Tips for Enrolling in Medicaid Maryland Healthy Smiles, Dental Provider Enrollment Demonstration for Individual Providers, Dental Provider Enrollment Demonstration for Groups, Dental Provider Enrollment Demonstration for Rendering Providers with Group Affiliation, Dental Provider Enrollment Demonstration for Rendering Providers without Group Affiliation, Maryland Healthy Smiles DentalFee Schedule, see. . We use the data in these guides to determine the maximum reimbursement amounts for dental services. Plus, you get plenty of extra benefits such as teeth whitening and bonding, along with: Sign up today. $293.15, once annually. Sun Life Prepaid Dental (4025) Humana HD205 Prepaid Dental (4044) Ameritas & Metlife Preventive PPO (4023 & 4033) . 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. All eligible members will receive an identification card listing their PPO network. 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. Breast Cancer Awareness - Schedule your screening! For non-covered services, whether the fees are listed in your Personal Fee Profile apply depends on (i) whether you have elected to offer your network fees on non-covered services and (ii) in some cases, any applicable state law. (English / Espaol). We understand that cost control is important to some of your Clients. A DentalSave fee schedule is a list representing the maximum charges participating providers can charge plan members for services. Your dentist will give you a comprehensive exam and recommend treatment to get your mouth on the road to healthy. How do I know if I have the most current version of the plan Copayment Schedule(s)? Find A Dentist - Sun Life, US Upon request, Client Services can verify the assignment of the member to your facility over the phone or via fax. Our PPO dentists are allowed to bill the patient for services performed that are not covered by the plan. Pink understands the importance of researching dental networks before deciding to participate. Visit us at, $50 per person/$100 per family (applies to type 2 and 3 services only), Brush biopsies for early cancer detection, minor treatment to control harmful habits, other x-rays (see certificate of insurance), simple extractions, removal of exposed roots, incision and drainage, certain lab tests, pain treatment, therapeutic drug injections, endodontic treatment(Root Canal Treatment), provisional splinting, occlusal adjustments, gingivectomy, osseous surgery, other major periodontic procedures, initial placement, replacement and maintenance of inlays, onlays, crowns, fixed partial dentures (bridges), and partial and complete dentures, harmful habit appliance (children under 16). As a member, you have access to a wide range of information about dental health care and how it relates to your general health and preventive wellness. You can call Provider Relations at 800-434-2638 from 7:00 a.m. to 4:30 p.m. CT , Monday through Friday.. Who do I call if I have questions regarding my Personal Fee Profile? The member pays any applicable copayment(s) at the time of treatment according to the Copayment Schedule. Copyright Maryland.gov. Whichever plan you choose, the low monthly rate and out-of-pocket costs will give you many reasons to smile. PDF State of Florida DENTAL Fee guide of previous year for example, if the contract currently covers the current year fee guide, this would mean that the plan would stay at the 2020 fee guide in 2021. Coverage includes dental and vision benefits for one low cost, through payroll deduction. The office manager will discuss costs and work with you to find payment options that fit your budget. Yes. See benefit schedule: Fixed copayments See benefit schedule: Fixed copayments See benefit schedule: Fixed copayments 100% in -network; . Telephone:850-386-2300, Sun Life Learn about the federal COVID-19 legislation updates and the state of the 2020 presidential election. Breast Cancer Awareness - Schedule your screening! $25.68. Take care of your and your family's teeth with affordable dental care. The program addresses areas of credentialing, utilization reviews, professional standards, the monitoring and resolution of member complaints and appeals, and the assessment of the satisfaction of our providers and eligible members through surveys and evaluations. All rights reserved. Schedule B Indemnity plan People First Plan Code #4084 Schedule of benefits TYPE I - PREVENTIVE DENTAL SERVICES D0120 1Periodic oral examinationestablished patient $23 D0140 Limited oral evaluationproblem focused1. 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. Typical Dental Plan Benefits and Limitations. Learn about the federal COVID-19 legislation updates and the state of the 2020 presidential election. 2020 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. For the dental care you need at a price you can afford, choose the Secure Choice Dental Plan that is right for you. Am I allowed to bill the patient if a service is not paid by you? Voluntary plans. How do patients find out that I am a participating dentist? Aspen Dental offices make flexible . You are compensated through the combination of the periodic capitation payment and the member copayment paid at the time of service. 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). Sun Life Our fax line for pre-estimates is 563-242-0184. This dental plan does not provide coverage for pediatric oral health services that satisfies the requirements for minimum essential coverage as defined by the Patient Protection and Affordable Care Act. In addition, you can access eligibility online. Sun Life Dental Features Annual Deductible Benefit from a dental plan that pays some or all of your dental expenses for covered services when you visit an in-network dentist after you satisfy your annual deductible$25 for you, $50 for you and a dependent, or $75 for your family. P.O. Contact the benefits administrator at the phone number on the patient's dental ID card. $1,500 calendar year maximum (English / Espaol). Some prepaid plans, (DHMO series plans), include a third payment based upon the services provided. Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. Please contact Client Services at the number indicated on the patient's ID card or you can utilize one of our self-service options. This dental insurance plan provides variety of benefits and allows you and your family to use any dentist or specialist you choose. Sun Life Assurance Company of Canada. Affordable Dental Costs and Flexible Financing Options. A complete array of group dental programs, including: Active and Passive PPO plans. Supplemental Health benefits can close coverage gaps and ease medical plan decision making, Million dollar claim cost drivers and legislative updates, Leave and accommodation compliance Fall 2019, COVID-19 Response: Employment Compliance Considerations for Re-opening the Workplace, How the CARES Acts loan programs could protect your Business Employees and Benefits, Compliance Issues Related to COVID-19 Vaccine Mandates by Employers, Get to know Sun Lifes new Client onboarding experience, 2022 High-cost claims and injectable drug trends analysis, Current healthcare challenges and impacts on the future of care, The growing role of digital innovation in insurance, An introduction to help meet your COVID-19 vaccine and testing needs, Employer compliance challenges regarding COVID-19 vaccine mandates and testing, Updates and answers to your questions on COVID-19 vaccines and more, What employers need to know about federal infrastructure negotiations and vaccine mandates, Compliance 2021 mid-year update: Key leave, accommodation and COVID developments, 2021 High-cost claims and injectable drug trends analysis, ComPsych Webinar: Support in an Uncertain World, Bundling dental and vision to help employees build their diabetes health care team, 2022 Year in Review Compliance Update Webinar, Caring for our members means more than protecting their income, FMLA Leave Administration Tuneup: Employer Choices Worth Reviewing, How Do You Manage Mental Health Conversations To Ensure Compliance, 2023 High-cost claims and injectable drug trends analysis. Sun Life Dental Nationwide counts are state level totals. What are the guidelines for submitting pre-estimates? These fee guide changes will impact experience that will be taken into account at their next renewal. Dental PPO's can be viewed as an excellent alternative. Indemnity w/ PPO (4084) Type I: Preventative Services (Routine cleanings, X-rays, etc.) Dental Insurance Plans / Health | MyBenefits / Department of - Florida For plans with a Specialty Benefit Amendment,(SBA), the member is responsible for the discounted fee as listed in the copayment schedule. Celebrating 25. years of smiles. monthly. They can make this request immediately, or upon renewal. Are there fees assessed for payments by Virtual Credit Card? Type I preventive dental services, including: Type II basic dental services, including: Type III major dental services, including: Type IV orthodontic dental services(only for dependent children under age 19), Toll Free:800-277-2300 Type 1 diabetes and the high cost of insulin, Employment law: Requests to telework as an ADA accommodation post-COVID, 2022 Sun Life Stop-Loss Research Report: High-cost claims and injectable drug trends analysis, Empowering employees and employers with services to meet todays healthcare challenges, Collective Trauma: A Guide for your Organization, The First 100 Days: The Biden administration's impact on the employee benefits industry, Year-in-review: Key absence and disability compliance developments from 2020, The U.S. Supreme Court Weighs in on COVID-19 Vaccine Mandates, Vaccine mandates under Bidens COVID-19 Action Plan, Group stop-loss captives: A path to self-funding, Connecticut Paid Family and Medical Leave webinar, The final countdown: 2020 Pre-Election Update, How to prepare for a successful virtual enrollment experience this upcoming enrollment season, Updates on COVID-19 Legislation, Employer Compliance and Liability Issues. Please contact your Sun Life Group Benefits representative. A complete description of insured benefits, including limitations and exclusions, will be provided in the Certificate of Insurance. All rights reserved. This option will impact plan members who will pay more out of pocket as applicable. Affordable dental care you can feel good about. Nationwide counts are state level totals. 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. 2020 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Whats important to know is that some of these increases are higher than what weve seen in the past. Call 855-CT-DENTAL (855-283-3682) to FIND A DENTIST online here. Effective January 1, 2023, dental services areavailable to all adults over the age of 21 who receive full Medicaid benefits. This resource is designed exclusively for HUSKY Health members and includes information that can impact your oral health and overall health and well-being. DHA Payor list - Dental Health Alliance, L.L.C. Claims should be submitted to the address on the back of the patient's ID card. HUSKY Health Dental ProvidersNEWS and INFO. For assistance, call the Provider Enrollment Helpline at 1-844-4MD.PROV(1-844-463-7768)or emailMDProviderRelations@automated-health.com. 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 . Refer to your plan information for specific guidelines or call Client Services at800-443-2995. We offer the Sun Life Dental Network and Sun Life Focus Network . Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states except New York. As an experienced dentist with over 40 years managing his own dental practice, Dr. Enroll now Our Secure Choice Dental plans are available for families, singles and retirees who are looking for an affordable dental plan. Please contact Client Services at800-443-2995and provide us with the name of the specialist you would like for us to contact. 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 registered trademarks of Sun Life Assurance Company of Canada. Claim forms must be filed, and certain limitations and exclusions apply. In that case, we'll continue to pay dental claims in alignment with the fee guide in their contract. You can call Provider Relations at 800-434-2638 with questions, or to obtain your network fee for any procedure not listed in your Personal Fee Profile. This way, the plan takes on part of the increase and 2% passes on to the plan member. Questions? Please contact your Sun Life Group Benefits representative. 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. Prepaid dental products are provided by Sun Life Assurance Company of Canada (Wellesley Hills, MA), under Form Series BDC-IDSA. Provincial dental fee increases for 2022 - Sun Life FAMILY PLAN FEES. 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. Sun Life Retiree Dental Insurance - PEF Membership Benefits Program To access all of the tools we have available for our dentists, including the DHA Dentist Guide, please login with the username and password that was provided in the acceptance letter you received. Its the only way a candidate can apply to a role at Sun Life. 2020 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. Companies that access DHA through the Dental Benefits Providers, Inc. access arrangement. The Sun Life name and logo are trademarks of Sun Life Assurance Company of Canada. Well follow our standard practice and communicate with plan sponsors in Q1 2021 once all provincial fee guides have been published. Did you know that more than 75% of American adults suffer from various forms of gum disease and dont even know it? We currently offer dental plans in the following states. 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 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? The full increase in cost will show in the plans experience and will impact the next renewal or their first ASO bill of 2021. 2022 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. For plans that do not have the SBA, the member is entitled to a discount of 25%, (15% for endodontic specialty). Members should be encouraged to select a specialist who participates with the prepaid dental plan by referring to the directory. In New York, prepaid dental products are provided and administered by Sun Life and Health Insurance Company (U.S.) (Lansing, MI). Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. Option 1 Plan sponsors can choose the status quo. Here are the fee guides that have been issued to date: To help plan members continue to have access to the dental care they need, well update our system with the 2021 fee guides. . Sun Life Dental Secure Choice Dental Plans Affordable, convenient dental care that will really make you smile. All rights reserved. Our plan flexibility offers competitive dental benefits without sacrificing excellent service. What is the Specialty Benefit Amendment (SBA)? 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). If I have a problem with a claim from you, which number do I call? All rights reserved. B. (PPACA). 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 . How do I submit a claim for one of your patients? Sun Lifes approach to 2021 Dental Fee Guides, Building a musculoskeletal health strategy, Forms for businesses with under 50 employees, Forms for businesses with over 50 employees, Group Benefits for small and medium businesses, Group Benefits for small and medium businesses overview, Supporting you and your employees on your health journey, Qubec: increase of 4.2% overall (compared to 2.6% in 2020), Ontario: increase of 4.6% overall (compared to 1.27% in 2020), Alberta: no change (compared to 4.4% in 2020). 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. The State of Florida offers you comprehensive dental coverage through an array of dental plans. All rights reserved. Get in touch 1 Zelis Network Analytics data as of January 2022 and based on unique dentist count. Sign up for the PEF Retirees Dental plan (Group Number 935636) by calling: 844-738-8118, Monday through Friday, 8:00 a.m. to 8:00 p.m. Feel free to co-brand the flyer by adding your logo or practice name in the upper right corner. www.ctdhp.org and www.ctdhp.com are official websites for The Connecticut Dental Health Partnership. Heres how you canprotect yourselfand what to do if yoususpect fraud. Our PPO networks include dentists contracted with Dental Health Alliance, L.L.C. (DHA) and dentists under access arrangements with other dental networks. Even if your network fee would otherwise apply, in the event that your usual fee is lower than the network fee, you may not bill the difference between your usual fee and the network fee. Typically, there's an increase in costs across the board. In certain states prepaid dental products are provided by prepaid dental companies affiliated with SLOC. All rights reserved. Sun Life Assurance Company of Canada. 5 Averages based on 2022 Q2 Sun Life internal data. All general dentists and specialists must be credentialed before being accepted as a participating provider.
