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|Is my dental coverage through Blue Cross or Lineco?|
Is there a network of dentists I can use?
What is the annual deductible and maximum?
What is my co-insurance?
Does my dentist need to send in a pre-estimate?
Is Orthodontia covered?
QUESTION: Is my dental coverage through Blue Cross or Lineco?
ANSWER: Your Dental coverage is through Lineco. Please tell your dentist that Lineco can receive electronically submitted claims through a clearinghouse called WEBMD/Emdeon (payor ID# LCB01); otherwise dental claims should be mailed to the Fund Office.Please refer to the Benefit Summary Tab or the SPD for coverage details.
QUESTION: Is there a network of dentists I can use?
ANSWER: Yes, Lineco has an arrangement with a dental network called Dental Network of America (DNoA). These network dentists have agreed to charge negotiated fees that are lower than what these dentists normally charge. You can reach DNoA by calling 1 (866)-522-6758 or going to www.dnoa.com.
QUESTION: What is the annual deductible and maximum?
ANSWER: The annual maximum benefit is $2,000 per covered person. The annual dental deductible is $100 per covered person. There is no deductible for covered Diagnostic and Preventive services (such as exams and cleanings).
QUESTION: What is my co-insurance?
ANSWER: Your co-insurance is 20%. The Plan coverage is 80% of covered services.
QUESTION: Does my dentist need to send in a pre-estimate?
ANSWER: If the services will exceed $1000 in cost or if dental implants are planned, we strongly suggest that you have your dentist send in a pre-estimate and get the treatment precertified by the Fund Office.
QUESTION: Is Orthodontia covered?
ANSWER: The Plan Orthodontia benefit is payable for covered dependent children only.