Thank you for your interest in CarePlus!
Below are frequently asked questions from employers about the group dental insurance CarePlus offers. If you have specific questions that aren’t covered, please use our Request a Quote feature to contact our sales team.
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 expenses 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.
Are there any administration fees?
How much flexibility do you have in creating a plan?
We have flexibility based on group size and participation. Use our Request a Quote page to provide details so we can customize a plan to fit your needs.
Do you have any required employee participation limits?
We prefer a minimum of 50% employee participation.
Are there waiting periods?
No. Since CarePlus Dental Plans has no waiting period, your employees can schedule an appointment to see a dentist at any Dental Associates clinic immediately.
If one of our employees 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 our employees see any dentist they like with CarePlus?
They’re free to choose any dentist they like at any Dental Associates location in Wisconsin.
How many dentists will employees 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 over 17 years’ experience.
Do you have a list of providers that are in-network?
A list of dental providers can be found in our Network Dentists section.
Can employees request a specific dentist?
Absolutely! We value the doctor-patient relationship so patients may choose any dentist at Dental Associates.
Will employees 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 led by a dentist with assistance from a hygienist, dental assistant, and patient care coordinator.
Do you provide orthodontic, dental implant, and other specialty dentistry coverage?
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 an employee change their dentist or visit a different dental center after they make their initial choice?
Yes. Subscribers have total control in choosing their dentist. 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 while others are 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.
Do you have out-of-network emergency coverage? If so, what are the guidelines?
Since Dental Associates is the exclusive provider of dental services for CarePlus, coverage is only valid at Dental Associates clinics. However, emergency coverage up to $150 per incident is available should a dental emergency arise while you are 50 miles or more away from a clinic location. (Dollar amount specified in your group’s plan design.)
Why is it important to offer dental insurance to employees?
According to the U.S. Surgeon General, over 164 million work hours are lost each year due to oral health issues. CarePlus Dental Plans promote preventative care to reduce future dental treatment costs. Preventative dental care may also contribute to lower medical insurance premiums.
Also consider reading…