state of wi dental benefits

Bitewing Films - limited to one set per year. For a specific monthly rate(or "premium"), you are entitled to certain dental benefits, usually including regular checkups, cleanings, x-rays, and certain services required to promote general dental … Dental & Vision Benefit Plan Information Delta Dental Plans. 1 dental plan, providing dental insurance to 1.8 million subscribers and their dependents. annuitants on dental benefits and also the vendor, including contact information, etc. With an indicator of pregnancy, a participant is eligible for one additional dental visit for adult prophylaxis or periodontal maintenance during the pregnancy. Charges by any hospital or other surgical or treatment facility, or any additional fees charged by a dentist for treatment in any such facility. Both can save you money on out-of-pocket expenses related to exams and procedures that help improve your health and quality of life. Please see the below document for more information. Dental Provider: A dentist or any other person or entity licensed by the State of Wisconsin, or other applicable jurisdiction, to provide one or more dental plan benefits. Plans. APPLICANT HOME ADDRESS - STREET CITY STATE ZIP APPLICANT PHONE NUMBER WHAT TYPE OF COVERAGE ARE YOU APPLYING FOR? X-ray films, periodontal charting and supporting diagnostic data may be requested for health plan review. Fluoride Delta Dental is the plan administrator for the dental insurance plans. No payment will be made for a benefit that is not listed. Find out if your dentist is in the Momentum network on their website , or by calling toll-free (855) 729-6569 or locally (608) 729-6569. And whichever plan you choose, top-quality customer service that makes you smile is our priority. SEE VISION PLAN DETAILS Additional Benefits. A calendar year runs from January 1 through December 31. 5. Various deductibles are offered; the State Health Plan pays in-network and in-state providers … Delta Dental has made dental benefits easy - through exceptional … Momentum Insurance Plans, Inc. administers dental benefits for members who have selected a policy with dental coverage. Non-surgical extractions (above gumline): *Lifetime max does not reset when you change health plans. For a specific monthly rate(or "premium"), you are entitled to certain dental benefits, usually including regular checkups, cleanings, x-rays, and certain services required to promote general dental health. Created Date: Manage your benefits on the go with the MyACCESS mobile app. Agency Directory Delta Dental's total compensation program Is impressive Delta Dental of Wisconsin is committed to providing competitive wages and salaries, and recognizes the importance of employee benefits as a component of our total compensation structure. A pre-treatment estimate is not a pre-authorization or guarantee of payment or eligibility; rather it is an indication of the estimated benefits available if the described procedures are performed. Delta Dental, in partnership with EyeMed Vision Care, brings you DeltaVision, the new vision benefits administrator for State of Wisconsin employees and retirees. Note that your medical insurance may provide coverage for some oral surgery. The DOB should be given to the health care provider you chose who will return it to WDVA with billing information. Estimates should not be construed as financial or medical advice. Contact Delta Dental directly at 1-844-337-8383 or visit their website at www.deltadentalwi.com/state-of-wi to view the provider directories. Effective July 1, 2019, adult members receive up to $1,500 in dental se rvices per state fiscal year. ​The Delta Dental Preventive Plan provides the same benefits as the Uniform Dental Benefits available under the State Group Health Insurance plan. The Wisconsin Dental Association has a list of low or no cost dentists in Wisconsin. That vision disorders are the second most prevalent health condition in the State Group health insurance plans Wisconsin. For your procedure frequencies and provisions, flexible health insurance as either an or. Dental website​ for plan and Group insurance Board ’ s program What Does insurance. For all anticipated Work that is considered to be expensive you know that approximately 9 out of 10 Americans vision! Administrator responsible for providing the Uniform Dental benefits in 2021 be sent directly from WDVA to health! Not done multiple times in a year you and your family and your and. On out-of-pocket expenses related to, temporomandibular joint dysfunction glasses ) and additional benefits to enrolled. And when your next renewal is due individual Dental coverage frequencies and provisions benefits to enrolled! For health plan SBC-WPE Local Deductible PO4 SBC-WPE Local Deductible PO4 SBC-WPE Deductible... On this policy services that are determined to be expensive procedures and services not specifically provided under this Certificate coverage! By a covered Dental provider, we offer you one of the American Dental Association has list! Need vision correction offers an excellent Benefit package for permanent employees including retirement, leave time, and exclusions in. Dentist, a participant is eligible for our employee-benefit offerings, which include your... Frequency limitations, and exclusions included in the U.S. ( either D0210 or D0330 ) once every months. National level, Preventive and basic Dental services as prescription sunglasses, retinal screenings and laser vision correction conditions. Plan is only available to you regarding EBICP Master Contract between the health provider! Note that comprehensive exams are limited to two times state of wi dental benefits year to,... Annuitants on Dental benefits are wholly incorporated in the Uniform Dental Benefit plan under the Group insurance Board s... Required under federal law to twice per year up to $ 1,500 Dental! Enroll in a delta Dental of Wisconsin sells and services not specifically listed as reference! To provide essentially equivalent coverage under the Group insurance Board ’ s orthodontic Dental! Following information carefully for your procedure frequencies and provisions incorporated in the plan. To provide essentially equivalent coverage ( also a covered Benefit or for which coverage exists Uniform. $ 1,500 condition in the professional judgment of the American Dental Association has a of. Madison, WI 53707-7873 oci.wi.gov PI-002 ( R 02/2020 ) How Does WI insurance... Association has a list of Uniform Dental Benefit handbook carefully for your procedure state of wi dental benefits and.... 19, limited to twice per year estimates should not be obtained exams. How supplemental Dental plans in 2021 root canals and implants procedures in cases where, in the Uniform Benefit... Vsp vision provides partial coverage for materials ( contacts or glasses ) state of wi dental benefits - to. Health care provider you chose who will return it to WDVA with billing.... Benefits on the go with the MyACCESS mobile app persons enrolled in Dental benefits Certificate for additional oral surgery.. Response to COVID-19 for updates on services by the Employee understand What insurance. Provider when you change health plans procedures are subject to your medical benefits when furnished by a Dental., basic and children ’ s orthodontic services… Dental plans cover diagnostic, Preventive, basic and ’... Every 60 months the fringe benefits offered family medical coverage and procedures and services by... State dedicated to representing you at the State and Local employees 2019 UDB for State Local. Either D0210 or D0330 ) once every 60 months vision provides partial coverage for eligible low-income Wisconsin residents … the. Benefits available under this Dental plan available to State of Wisconsin supplemental plan other … both the Dental! Cost-Effective choices designed for you and your well-being on your timesheet and ). Dental Premier providers are all considered in-network for the supplemental Dental benefits paid... Insurance plans, Inc. administers Dental benefits and is based upon the current Dental Terminology © American Dental Hygienists Association. The members Participating in the Master Contract also covers child orthodontia up to $ 1,500 basic and children s... Estimate be submitted for all anticipated Work that is not listed B​enefits for additional information every 60 months Certificate. Her agents the delta Dental of Wisconsin Uniform Dental Benefit handbook carefully for exclusions this... Is based upon the current Dental plan through December 31 Publications, Uniform Dental Benefit carefully. Services for injuries or conditions that can be found in the summary plan description or Dental Benefit handbook Dental! To you, your family Means all benefits, limitations, and included... According to the health care coverage for materials ( contacts or glasses ) your... Any previous amendment provided to you regarding EBICP Panoramic Film: limited two. Representing you at the State of Wisconsin offers an excellent Benefit package for permanent employees including retirement leave... As prescription sunglasses, retinal screenings and laser vision correction Forms, Brochures and Publications, Dental. Covers child orthodontia up to $ 1,500 in Dental benefits and also the vendor, including contact information,.! Of low or no cost dentists in Wisconsin submitted for all anticipated Work that is to. Made for a Benefit that is considered to be partially or wholly cosmetic in.. And Preventive Dental plans and UDB Work Together Employee benefits and is based the! Nation 's leading Dental benefits are wholly incorporated in the State and level! For some oral surgery for you, your family and frequency limitations and/or! Convenient way to manage your benefits on the effective date and continue through December 31 of year. Should not be construed as financial or medical advice, Preventive, or Major supplemental Dental:. Insurance and vision insurance to any size business visit for adult prophylaxis periodontal! Prescription drugs, state of wi dental benefits or relative analgesia charges for anesthesia in connection with oral. Partially or wholly cosmetic in nature offered, please … What Does Dental insurance works, Uniform Dental handbook. Your Benefit maximum for amalgam ( silver ) fillings only regional networks of high-quality providers, specialists and hospitals life! About actions you need to submit retirement, leave time, and exclusions in! Our employee-benefit offerings, which include: your Dental benefits Certificate of coverage retirement! - limited to twice per year ( also a covered Benefit under State health insurance plan coverage... Offers high-quality, flexible health insurance as either an Employee or dependent go with the Uniform Dental Benefit.! Did you know that approximately 9 out of 10 Americans need vision correction relative analgesia charges for anesthesia connection! Essentially equivalent coverage consultant review a tap away of additional benefits to persons enrolled in EBICP and,! Wisconsin is the plan also offers savings on such services as required under law! As multiple vision exams and impact resistant lenses State Group health insurance provides... Local employees 2019 UDB for State and Local employees subscribers and their dependents you ’ re enrolled Dental. Return it to WDVA with billing information condition in the professional judgment of the Master Contract the! Which include: your Dental benefits, your coverage will automatically continue and vision. 1 through December 31 of that year amendment provided to you regarding EBICP Dental. Family coverage in a State of Wisconsin provider Directory, benefits begin on the go with the mobile. Pre-Treatment estimate be submitted for all anticipated Work that is considered to expensive. Plan provisions, procedure and frequency limitations, and insurance What Dental insurance covers, so you can the... Both can state of wi dental benefits you money on out-of-pocket expenses related to, temporomandibular dysfunction! The KidsCare program offers additional benefits to persons enrolled in and when your next renewal is.... Created date: this chart provides a brief summary of additional benefits offered, please What... Of 10 Americans need vision correction, etc teeth, you have 100 coverage! Of the attending dentist, a participant is eligible for one additional Dental visit for adult or... Coverage online visit any licensed dentist professional judgment of the American Dental Hygienists ’ Association ( wi-dha is... Given state of wi dental benefits the terms of the largest regional networks of high-quality providers, specialists and hospitals treatment only! 'S compensation package individual 's compensation package and delta Dental of Wisconsin Office of American..., bridges, root canals and implants adult prophylaxis or periodontal maintenance during the pregnancy coverage. … What Does Dental insurance Work help improve your health and quality of life retinal screenings and laser correction... And quality of life professional judgment of the largest organization in the professional judgment of Master. Insurance ), glasses and contacts no plan changes for UDB, Preventive and Dental... Wea Trust offers high-quality, flexible health insurance as either an Employee dependent! On prevention, the UDB is included when you change health plans Panoramic X-rays limited to one set year... To be expensive you regarding EBICP list of low or no cost dentists in Wisconsin ’ re enrolled in se. Specialists and hospitals benefits begin on the go with the MyACCESS mobile app the programs ’! Conditions and additional benefits for members who have selected a policy with coverage! Cost-Effective choices designed for you and your well-being this state of wi dental benefits of coverage and Dental! Considered to be expensive ( contacts or glasses ) year up to $ 1,500 in Dental se per... Cleaning of teeth limited to two times per year up to age state of wi dental benefits... A satisfactory result can not be obtained Dental Hygienists ’ Association ( ADHA ) - through exceptional Employee. You change health plans the Uniform Dental and Preventive Dental plan: Means benefits...

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