CarePlus Dental Insurance FAQs
     

    Below are frequently asked questions from individuals regarding our low-cost dental plans. If you have specific questions that aren’t covered here, please use our contact us page to submit a question directly to us. You may also call 1-800-318-7007 to learn how you can save money on dental coverage costs with CarePlus.


    Can I see any dentist I choose with CarePlus?
    You’re free to choose any dentist you like at any of the 14 Dental Associates locations in Wisconsin.

    I have a toothache right now. If I enroll in CarePlus will this be considered a pre-existing condition?
    No, CarePlus has NO Pre-Existing Condition clauses and NO Waiting Periods. Your toothache can be treated as soon as possible and will be covered by your CarePlus insurance plan.

    Who is eligible to purchase the CarePlus Individual plans?
    Depending on our dental care plan – VIP, Gold, or Supplemental – the requirements may vary. For example, eligibility depends on whether you have other dental insurance coverage, if you are covered by a PPO dental insurance plan, if you need dependent coverage, or your age. Use our Dental Insurance Savings Calculator to find the dental plan right for you. Please call 1-800-318-7007 to discuss your specific situation.

    How do I enroll in CarePlus dental insurance?
    The most convenient way to enroll is by starting the enrollment process on this website. Complete the Enroll in CarePlus form and one of our friendly team members will follow up with you to finalize your enrollment. You may also purchase a policy at any Dental Associates facility when you come for an appointment. Finally, you can call CarePlus at 1-800-318-7007 to request an application form.

    When does my dental insurance policy become effective?
    Since CarePlus has no waiting period, your policy becomes effective almost immediately. You will be covered after the following three simple steps are taken:

    1. You complete the form(s) required by CarePlus
    2. You pay your annual CarePlus premium
    3. CarePlus approves your application


    Can I add a dependent to my existing policy at any time throughout the contract year?
    If you were enrolled in a single plan you would terminate that plan, receive a prorated refund, then enroll in a family plan and pay the family premium. See the dental contract for specific rules regarding changes in membership status.

    Is there a limit to the number of family members that can be covered by a family plan?
    There is no limit to the number of dependents that can be covered by the Supplemental or VIP family dental plans. The plans cover your spouse or qualifying domestic partner and any number of dependents up to the age of 26. The CarePlus Gold policy does not cover dependent children.

    What is the 10-day Right-to-Return contract?
    You may return the contract within 10 days after receipt to CarePlus. If you do so, the contract is void and all payments made under it shall be refunded.

    How can I cancel my policy?
    After the initial 10-day period, you can terminate your policy by sending written notice to CarePlus Dental Plans at any time and received a pro-rated refund.

    How long are CarePlus premium rates guaranteed?
    CarePlus will provide a 60-day notification of any rate change.

    What methods of payment are accepted for payment of CarePlus premiums?
    We accept cash, check, Visa, MasterCard, Discover or American Express for payment of premiums.

    Can I pay my premium online?
    Currently, CarePlus is unable to accept payment via the website.

    Where do I send my premium payment?
    Please mail premium payments to:

    CarePlus Dental Plans, Inc
    Department #10195
    PO Box 74399
    Chicago, IL 60690


    Who do I contact when I have questions?
    For answers to your questions or additional information, you can contact a CarePlus member services representative at 1-800-318-7007 or 414-778-1711.

    What if my child needs to see an orthodontist for braces? Do I need to get referred?
    No, you do not need to be referred to another dental office. Dental Associates provides all specialty care – including orthodontics, pediatric dentistry, periodontics, oral surgery, cosmetic dentistry, dental implants, endodontics and major restorative services – and has specialists on staff to service your needs.

    Is teeth whitening covered by insurance?
    Yes, teeth whitening is covered by all of our individual dental care policies.

    Are there specific dental services not covered under the individual policies?
    See the pages below for a complete list of exclusions and limitations.

    Supplemental Plan Exclusions and Limitations
    VIP Plan Exclusions and Limitations
    Gold Plan Exclusions and Limitations


    Where can I find detailed information about my dental insurance plan?
    You will receive a dental contract and identification card shortly after you enroll in the plan.

    Does CarePlus offer coverage for Medical Assistance/Medicaid (T-19/BadgerCare/Benchmark) patients?
    Dental Associates no longer accepts new Medical Assistance/Medicaid (T-19/BadgerCare/Benchmark) patients. Since all care is provided by Dental Associates, CarePlus doesn’t have a plan compatible with Medical Assistance/Medicaid (T-19/BadgerCare/Benchmark).

    Also consider reading…
    Find Your Dental Plan
    Savings Calculator


    Start Enrollment


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