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The
Access
PPO
Plan
The Access PPO plan provides an exclusive network of local dentists who have agreed to accept more deeply
discounted fees as full payment for services provided. Preventive, minor restorative, and major restorative
services are all covered.
And
just
like
our
larger
network
Choice
PPO
Plan,
the
Access
PPO
Plan
gives
members
a
number
of
great
benefits:
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Plan
Features
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Make Your Benefit Dollar Go Further With Maximum Rollover |
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DentaQuest PPO plan members can roll over a portion of their unused annual maximum benefit dollars for use the following year and beyond. Members can save and accumulate part of their unused benefit dollars from a healthy year and use it for larger, more expensive procedures in the future—such as bridges, crowns, and root canals.
To qualify, members must receive one cleaning or one oral exam in the plan year. In addition, your paid claims must not exceed the maximum “threshold” amount of your current annual plan maximum. (DentaQuest Maximum Rollover Brochure) |
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Great
Value |
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Our
Access
PPO
Plan
offers
both
value
and
flexibility.
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No
Balance
Billing |
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Participating
network
dentists
agree
to
accept
our
negotiated
fees
and
the
patient's
co-payment
and
deductible
(if
applicable)
as
full
payment
for
services. |
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No
Claims
Forms |
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All
participating
network
dentists
have
agreed
to
submit
claims
directly
to
DentaQuest
so
members
will
never
have
to
complete
claim
forms. |
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Out-of-Network
Benefits |
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Our
Access
PPO
Plan
also
allows
members
to
receive
care
from
non-participating
dentists;
however,
they
receive
the
greatest
value
when
visiting
a
participating
dentist. |
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Superior
Service
Guarantee |
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We
pledge
our
high
service
levels
to
all
of
our
ACCESS
PPO
Plan
customers
with
our
money-back
Superior
Service
Guarantee. |
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