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Routine dental visits can result in early detection of health issues such as oral cancer, diabetes,
and even some mental health disorders. We believe dental benefits are an essential component of
employee wellness plans, and we are committed to helping our clients find flexible, affordable
dental plans that fit their budgets and needs. AlwaysCare recognizes benefit plan designs vary
by group, industry and region–which is why we offer customized plans, features and options.
FLEXIBILITY
Plans available for groups with as few as two enrolled employees
Employee participation levels – not employer contribution levels – determine rates
Dual-Option – Combine any two plans with as few as 10 enrolled (minimum of 5 enrolled in each plan); Dual Plan options must be approved by Underwriting
Self-Funded Administration – AlwaysCare Benefits administers claims, provides reporting and customer service; Employer sets premium charges to employees and handles all billing administration; Minimum case size applies
Takeover Credit available for employers with comparable prior dental coverage; Credit will be given to all employees covered on the prior plan at time of enrollment
PROVIDER NETWORK SERVICES
Freedom of Choice – Members may choose any licensed dental provider; Members also may choose from over 80,000+ participating access points where they can take advantage of discounts AlwaysCare has negotiated on their behalf
Members using participating providers will eliminate balance billing and reduce out-of-pocket expenses
Online Provider Locator available 24/7
Refer a Dentist
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When should someone have a Pre-treatment (i.e. pre-estimate)
of benefits done?
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A pre-treatment is recommended for claims over $300. This is not a
guarantee of benefits. Benefit determination is based on current eligibility at the time
of the claim and any additional required information.
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Who will submit my dental claims to AlwaysCare?
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Over 96% of the dental claims we receive are submitted by
providers. A Member may submit his/her own claim by downloading a claim form
from Client Services, completing the
form, and mailing it with receipts to our office. We list our address on the
back of the ID card, so our Members will have no trouble finding us!
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How do we coordinate benefits?
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We follow the birthday rule for coordination of benefits.
If a child has coverage under the father and mother’s policy, we use the birthday
month of the parent that comes first in the year as primary.
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How can I find out typical fees for my area?
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AlwaysCare offers Members the Dental Cost Estimator, which
provides the typical cost range for procedures in a specified zip code. This tool
assists Members in managing their dental expenses. Log into AlwaysAssist today!
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