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Members - Q & A

 

Who do I contact with a change of address?

Do I need to verify that my dentist is a participating dentist?

Yes.  By checking with your dentist or our Customer Service representatives, you are assured that your dentist is still participating in the network.  Consult your human resources department or a benefit booklet for more information regarding your specific plan design.

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What are the advantages of using a participating dentist?

A participating dentist is a dentist who has signed a participation and membership agreement with DeCare Dental Networks.  The dentist has agreed to accept our allowable charge as payment in full for covered dental care.  A participating dentist is not allowed to bill more than DeCare Dental's allowable charge.  A participating dentist will also file the claim directly with us.  DeCare Dental will make payment directly to the participating dentist and you will receive an explanation of benefits detailing your financial responsibility for any deductible or coinsurance amounts.

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What happens if care is received from a non-participating dentist?

If dental services are received from a non-participating dentist, reimbursement for the services will be paid directly to you, and you are responsible for paying your dentist.  The allowances for services you receive from a non-participating dentist may be significantly less than what DeCare Dental would pay a participating dentist.  You may share more of the cost of your care and are responsible for the dental charges up to the dentist's full-billed amount.  Please note, depending on your benefit package, you may not have any out-of-network benefits.

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How do I know which dentist to select?

Get recommendations from friends, neighbors, coworkers and family subscribers to find a dentist who matches your needs and values.  A convenient location and clinic hours, possibly including Saturday and evening hours, may also be important considerations for you.

Having a dentist whom you visit regularly and feel comfortable with is important to your overall oral health.  Everyone's communication skills differ.  The dentist you select should be someone you can talk to, who will listen to your questions and concerns and who will answer your questions fully.  Here are some questions to ask when selecting a dentist:

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How can I make the most of my dental visit?

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How do I make decisions about dental procedures?

Start by asking questions.  Having more information puts you in a better position to make informed decisions.  Depending on your situation, you might consider asking the following questions:

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Who do I contact with a change of address?

Report your new address to your employer. Your employer will forward your address change to us.  And, when visiting your dentist, make sure they have your correct address to use when submitting claims. 

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If you have further questions, please feel free to contact us.