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The
Access
PPO
Plan
Our
Access
PPO
Plan
is
a
Preferred
Provider
Organization
plan
in
which
participating
dentists
accept
discounted
fees
as
full
payment
for
services
provided.
With
our
ACCESS
PPO
Plan,
members
get
the
flexibility
of
a
PPO
with
a
premium
close
to
that
of
a
DHMO,
with
more
than
2,000
participating
dentist
locations
in
Maryland,
Washington,
D.C.,
and
Virginia.
And
just
like
our
larger
nework
Choice
PPO
Plan,
the
Access
PPO
Plan
gives
members
a
number
of
great
benefits:
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Plan
Features
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NEW! Maximum Rollover |
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Beginning January 2008, all DentaQuest PPO plan members can roll over a portion of their unused annual maximum benefit dollars for use the following year (beginning 2009) 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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