Group Dental Insurance FAQs
     

    Thank you for your interest in CarePlus!

    Below are frequently asked questions from brokers. If you have specific questions that aren’t covered here, please use our Request a Quote feature to contact a sales representative.

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    Is the Personal Protective Equipment (PPE) fee covered by CarePlus?
    To keep our patients and staff safe during the COVID-19 pandemic, Dental Associates providers have incurred substantial expense to follow CDC, WDA, and ADA recommendations. The PPE fee covers isolation gowns, impervious lab coats, face shields, additional masks, gloves and specialized products, and equipment to limit aerosols. Not all items are used for every patient and every procedure, but many are.

    There is a per appointment PPE fee of $10 per patient visit to cover the added PPE expense. At this time, CarePlus managed care plans issued to employer groups will cover the PPE fee subject to the plan Annual Maximum.

    Can employers continue to cover their employees under a CarePlus managed care plan if their work hours are impacted by the COVID-19 pandemic and they are no longer working full time?
    Yes. It is the employers’ decision to maintain coverage for any employee whose work schedule has been impacted by the COVID-19 pandemic. Coverage will continue for any member provided that the required premium payments are made.

    Can we customize a plan to fit my client’s needs?
    Yes, we will work with you to develop a plan design based on your client’s needs, group size, and participation. Use our Request a Quote page to provide details so we can customize a plan to fit your needs.

    How do CarePlus prices compare to typical self-insured discounts?
    Because we can customize a plan to fit your client’s specific needs, we can deliver significant savings by assuring they pay for only the benefits they desire.

    Are utilization reports available?
    We provide utilization reports quarterly.

    What benefits does CarePlus offer my client?
    We take care of all administration, including all paperwork and claims processing, eliminating all administrative costs and saving your client time and money. We are uniquely positioned to control costs for our subscribers by serving as the provider of the dental insurance benefit as well as all dental services (through our partnership with Dental Associates).

    What is the wait time for preventative dental care?
    Since CarePlus Dental Plans has no waiting period, patients can schedule an appointment to see a dentist at any Dental Associates clinic immediately.

    If a patient has a toothache right now will this be considered a pre-existing condition?
    No, CarePlus has NO pre-existing condition clauses and NO waiting periods. Their toothache can be treated and covered as soon as possible.

    Can patients see any dentist they choose with CarePlus?
    Patients are free to choose any dentist they like at any of the Dental Associates locations in Wisconsin.

    How many dentists will patients have to choose from?
    With CarePlus Smile Advantage, they will have access to the entire Dental Associates staff of over 90 general and specialty dentists who average in excess of 12 years’ experience.

    Can patients request a specific dentist?
    Absolutely! We value the doctor-patient relationship so patients may choose any dentist at Dental Associates.

    Will patients see the same dentist and hygienist each time they visit Dental Associates?
    Yes, to assure the development of a strong doctor-patient relationship, patients will see the same dental team at each visit. They will be assigned a team lead by a dentist with assistance from a hygienist, dental assistant and patient care coordinator.

    Can all dental services be provided through Dental Associates?
    Yes. Dental Associates provides specialty treatment in pediatric dentistry, orthodontics, periodontics, oral surgery, cosmetic dentistry, dental implants, endodontics, and major restorative services in addition to general dentistry.

    Can a patient change dentists or visit a different dental center after they make their initial choice?
    Yes. If for any reason they are not completely comfortable with their dentist, let us know. If they wish to transfer from one Dental Associates center to another, simply contact us. They may also have some family members treated at one Dental Associates clinic and others members can be treated at a different location.

    Will new enrollees have to change dentists after joining CarePlus Smile Advantage?
    It depends on who their current dentist is. Enrollment in CarePlus Smile Advantage Plan requires that all dental care be provided at a Dental Associates center. If they are presently a patient of Dental Associates, they will continue to see the same dentist.

    What happens if a patient needs emergency dental care?
    If they are more than 50 miles from a Dental Associates center and are requiring emergency treatment, CarePlus Smile Advantage will provide benefits up to $250 (amount set forth in your contract). They need to simply present an itemized statement to CarePlus Dental Plans for payment. All nonemergency treatment must be provided by Dental Associates. A dentist is on call 24 hours per day, 7 days per week for in area emergencies.

    Can patients go to a Dental Associates clinic as an out of network provider?
    Yes, please consult your CarePlus sales rep for specific details.

    Also consider reading:
    Benefits Overview
    Video: CarePlus in 120 Seconds

     

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