sun life dental fee schedule

Call 855-CT-DENTAL (855-283-3682) to FIND A DENTIST online here. Visit us at www.sunlife.com/us. JavaScript is required to use content on this page. Have immediate access to your plan information; View and/or print personalized dental ID cards; View and/or print benefit information pages; View most recent dental visits and procedures; View and/or print booklets All rights reserved. Our Secure Choice Dental plans are available for families, singles and retirees who are looking for an affordable dental plan. Please be cautious. If you have a question about your monthly roster or the eligibility of a specific patient, please contact Client Services at800-443-2995. Rocky Mountain Health Maintenance Organization, Inc. UnitedHealthcare Insurance Company of the River Valley. Each dentist is only counted once. Plus, each plan includes plenty of extra benefits such as teeth whitening and bonding, along with: Sign up today. How do I know if a patient has the Specialty Benefit Amendment? Some prepaid plans, (DHMO series plans), include a third payment based upon the services provided. Heres how you canprotect yourselfand what to do if yoususpect fraud. 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. If you need to obtain the username and password, please call us at 800-522-1313. We dont ask for payment or deposit as part of our recruitment process. Please contact Client Services at800-443-2995 with questions regarding specialty benefits. Sun Life and the globe symbol are trademarks of Sun Life Assurance Company of Canada. 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 . All Rights Reserved. .$31 D0145 Oral evaluation for a patient under three years of age and counseling with primary With your Sun Life account, you can manage your benefits online, on your schedule. Except in rare circumstances, such as an out-of-area emergency, member may only access the benefits of the plan by utilizing their selected facility. Well also update the inflation factor in our renewals that are due on February 1, 2021. How does the Prepaid Plan work? These include preexisting conditions, annual maximums, and managed care cost containment measures. Heres how you canprotect yourselfand what to do if yoususpect fraud. 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. Level Inc. . The credentialing process is based on standards developed by the National Committee for Quality Assurance (NCQA) and industry standards. 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Blue Shield of California - dental health maintenance organization (DHMO) Blue Shield of California - dental preferred provider organization (DPPO) Health Net of California - DHMO Health Net of California - DPPO First, please verify that you have the most current version of the Copayment Schedule. Complete X-Ray Series, including Bitewings, Routine Cleaning - Adult (once every 6 months). For the DHMO series plans, you submit a claim form for the additional encounter payments. Additionally a claim must be . DENTAL Indemnity PPO Plan - 2021 Coverage includes dental benefits through payroll deduction. The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. 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. -OR-. 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. We use the data in these guides to determine the maximum reimbursement amounts for dental services. 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. DENTAL Prepaid Plan - 2023 How the plan works You pay reduced fees called "copayments" for dental services provided by a network provider (Plan Dentist). Companies that access DHA through the Dental Benefits Providers, Inc. access arrangement. B. Please contact Client Services at the number indicated on the patient's ID card or you can utilize one of our self-service options. When specialists are required, we recommend that referrals be made to a participating specialist in their PPO network so that patients can take full advantage or their in-network benefits. All rights reserved. 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. For plans that do not have the SBA, the member is entitled to a discount of 25%, (15% for endodontic specialty). We encourage you to refer to this information for any questions you may have. For assistance, call the Provider Enrollment Helpline at 1-844-4MD.PROV(1-844-463-7768)or emailMDProviderRelations@automated-health.com. Ready to learn more about Sun Life Dental? Visit us at. Questions? $1,500 calendar year maximum Members should be encouraged to select a specialist who participates with the prepaid dental plan by referring to the directory. 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. How do I know which plans I accept? 2 Sun Life's dental networks include its affiliate, Dental Health Alliance, L.L.C. 2023 The Connecticut Dental Health Partnership. You are compensated through the combination of the periodic capitation payment and the member copayment paid at the time of service. 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. This is our default and no action is required from your Clients. A DentalSave fee schedule is a list representing the maximum charges participating providers can charge plan members for services. Our PPO dentists are allowed to bill the patient for the service actually performed. What states are the Prepaid Dental Plans available in? Am I allowed to bill the patient if a service is not paid by you? No, the copayments listed on the Copayment Schedule are the full amounts the member is responsible to pay to the Plan Dentist. (PPACA). Kansas City Life Insurance Company . Whichever plan you choose, the low monthly rate and out-of-pocket costs will give you many reasons to smile. . 2020 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. (PPACA). Enroll now All our roles are posted on ourWorkday career site. Prepaid dental products are provided by Sun Life Assurance Company of Canada (SLOC) (Wellesley Hills, MA), under Form Series BDC-GDSA. We offer the Sun Life Dental Network and Sun Life Focus Network . 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. Plan benefits for specialty care vary by plan. monthly. What is the Prepaid Dental Plan? Learn about the federal COVID-19 legislation updates and the state of the 2020 presidential election. 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). The process is the same for all funding arrangements and all market segments. This resource is designed exclusively for HUSKY Health members and includes information that can impact your oral . A pre-estimate is recommended on all services over $500. Coverage is available to retirees through COBRA and to COBRA participants if they were enrolled prior to termination. Visit us at www.sunlife.com/us. A complete description of insured benefits, including limitations and exclusions, will be provided in the Certificate of Insurance. Register and/or log in today to access your benefits online! To receive information and forms to join our PPO networks, call Provider Relations at 800-434-2638, emailppoinforequests@sunlife.comor complete this online form. We offer the Sun Life Dental Network and Sun Life Focus Network . What can you do on your Sun Life account? Our Secure Choice Dental plans keep you smiling. In New York, insurance products and prepaid dental products are underwritten or provided by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) ("SLHICUS") or by Union Security Life Insurance Company of New York (Fayetteville, NY . Please enable scripts and reload this page. $293.15, once annually. 2 Sun Life's dental networks include its affiliate, Dental Health Alliance, L.L.C. Our PPO networks include dentists contracted with Dental Health Alliance, L.L.C. (DHA) and dentists under access arrangements with other dental networks. Your roster will list all the members that have selected your practice along with the plans that they have purchased. Administrative Services Only plans. To initiate a fee guide change, you need to contact your Account Executive. Plans with a Specialty Benefit Amendment, allows the member to receive specialty care from a specialist who participates with the plan or from an out of network specialist. In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 15-GP-01 and 16-DEN-C-01. This dental insurance plan provides variety of benefits and allows you and your family to use any dentist or specialist you choose. The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. If I have a problem with a claim from you, which number do I call? The evolving world of gene therapies: What employers need to know today, tomorrow and beyond! The credentialing process is based on standards developed by the National Committee for Quality Assurance (NCQA) and our provider network. In all instances, you are limited to the charge stated in your Personal Fee Profile. Visit us at www.sunlife.com/us. We currently offer dental plans in the following states. In all states except New York, prepaid dental products are provided and administered by Sun Life Assurance Company of Canada (SLOC) (Wellesley Hills, MA). In certain states, prepaid dental products are provided by prepaid dental companies affiliated with SLOC. 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). Please review all of the options available to determine the best one for you. Get in today for a limited-time deal on dentures and implant dentures. Sun Life Assurance Company of Canada. All rights reserved. We work hard to make care and benefits easy for our member. Nationwide counts are state level totals. Except in very limited circumstances, there are no claim forms to submit. Breast Cancer Awareness - Schedule your screening! The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. How do I verify patient eligibility? In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI). Access to nationwide network of dentists with United Concordia's Advantage Plus network with more than 72,000 dentists . All rights reserved. Pink understands the importance of researching dental networks before deciding to participate. In that case, we'll continue to pay dental claims in alignment with the fee guide in their contract.

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