Filing a Claim

Generally, you pay all or a portion of the cost of your dental care at the time you receive it, then submit a claim for reimbursement:

• For in-network care: You pay just your share of the cost; your dentist files a claim for his or her reimbursement.
• For out-of-network care: You pay the cost, then file a claim to be reimbursed for your share.

You must submit a separate claim form for each family member, but you can include more than one dental expense on each form.

The plan pays benefits for covered treatment only upon the completion of that treatment.

If you are not satisfied with the outcome of a benefits claim you have submitted, you can ask that the claim be reviewed. See “Claims Review and Appeals Procedures” in the Rules and Regulations section.