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FREQUENTLY ASKED QUESTIONS

Eligibility, ID Cards, Adding or Cancelling Coverage
How do I obtain a copy of my dental benefits?
What is my ID number?
Do I need an ID card?
How do I obtain a corrected ID card if there's an error on it?
Can I upgrade my plan or add more coverage?
What is the Late Entrant limitation?
Why aren't all the procedures covered right away – why is there an Elimination Period?
How long is a child considered an eligible dependent?

Determining Benefits
How do I obtain my benefit information?
Who is authorized to obtain benefit information and claim status on my dental policy?
Do I need to have a pretreatment estimate?
How many exams, cleanings, and x-rays are covered?
My periodontal specialist told me I should have three or four cleanings a year, but my plan only covers two…why is this?
What is covered of wisdom-teeth removal (oral surgery)?
How are orthodontic benefits paid?
What is a missing tooth clause?

Choosing a Dentist
Can I see any dentist or specialist or must I choose one from your list?
What if I have a complaint about my dentist or specialist?
How do I know if my dentist or specialist is part of the PPO network?
Do I need a referral to see another dentist or specialist?
Can I visit a dental provider in a foreign country?

The Appointment
What do I bring to my appointment?
How much will I have to pay at the time of my appointment?
Do I need to bring a claim form?

Claims Submission
Who submits the claim or Pretreatment Estimate?
How much time do I have to submit the claim?
Will you send benefit payments to me or to the dentist/specialist?
What is your fax number for claims submission?
What is your mailing address for claims submission?
Do I have to use a certain claim form?
What information do you need for my student-dependent?

Understanding Payment and our Benefit Statements (Claim Explanations)
How do I check claim information?
How do I get a copy of a Benefit Statement?
Why did you take the deductible again on my claim? I already paid it to the dental office.
Why are you paying the dental office? I already paid them.
Why did you pay me? Payment was supposed to go to the dental office.

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Ameritas Group is a division of Ameritas Life Insurance Corp., a UNIFI Company.