DC 37 Health & Security Plan Benefits
Dental Benefit
Welcome to the New DC 37 Health & Security Dental Benefit
District Council 37 hosted a ribbon-cutting ceremony on November 15, 2021, to mark the opening of the brand-new dentistry facility at 115 Chambers Street.
As of March 7, 2022, the Brooklyn Dental Center has merged
with and moved to the Manhattan Dental Center at 115 Chambers St. We are
delighted to announce that the last restoration project at 115 Chambers has
been finished.
Call (212) 766-4440 or (212) 815-1006 to book a dental
appointment with a Manhattan or Brooklyn dental centre provider.
You now have access to more participating dentists than ever
before with DC 37's new Delta Dental Plan. Over 1,800 dentists in the "New
York Select Network" are available to qualifying DC 37 New York
participants with $0 copays.
How to Get Started
To view benefits and locate a participating dental
professional, go to www.deltadentalins.com. To see your entire benefits package
online, Quincy dentist see how much of your yearly maximum benefit is still available, print a
copy of your ID card, and sign up for paperless billing, sign up for a personal
Delta Dental account. Additionally, assistance can be obtained by calling the
DC 37 Delta Dental Customer Service Center at 1 (888) 523-DC37 (3237), which is
open Monday through Friday from 8:00 am to 8:00 pm ET.
How Do I
Find a Participating Dental Provider in My Preferred Network?
Your Delta Dental network is the Delta Dental NY Select Network if you reside in New York.
Your Delta Dental network is the Delta Dental PPO Network if you reside outside of New York.
Find a dentist in the Delta Dental NY Select or Delta Dental PPO networks by location, language, and speciality using the provider search tool provided by Delta Dental at www.deltadentalins.com.
For assistance, DC 37 members can contact a Delta Dental
customer support agent at the DC 37 Customer support Center, which is open
Monday through Friday from 8:00 am to 8:00 pm (ET). (3237).
Who Is Eligible for Coverage?
Appropriate Full-Time Up to the annual maximum of $1,700 per eligible participant, participants, retirees, and their covered dependents are all covered for all covered dental services received from a dentist in the Delta New York Select Network (for participants residing in New York) or the Delta Dental PPO Network (for participants residing outside of New York).
Full-time eligible participants will be liable for any discrepancy between the plan's out-of-network allocation for dental services and the provider's actual charges if a non-participating provider is used.
Suitable for Part-Time For all eligible dental services
provided by a dentist in the Delta New York Select Network (for members living
in New York State) or the Delta Dental PPO (for participants living outside New
York State), participants are covered 75% (with a 25% coinsurance fee).
What Does My Plan Cover?
Appropriate Full-Time Up to the annual maximum of $1,700 per eligible participant, participants, retirees, and their covered dependents are all covered for all covered dental services received from a dentist in the Delta New York Select Network (for participants residing in New York) or the Delta Dental PPO Network (for participants residing outside of New York).
Full-time eligible participants will be liable for any discrepancy between the plan's out-of-network allocation for dental services and the provider's actual charges if a non-participating provider is used.
Suitable for Part-Time For all eligible dental services
provided by a dentist in the Delta New York Select Network (for members living
in New York State) or the Delta Dental PPO (for participants living outside New
York State), participants are covered 75% (with a 25% coinsurance fee).
Annual
Dental Benefit Maximum
$1,700 for individual participant every year (including
eligible spouses, domestic partners and dependents). You are always responsible
for any additional costs if you receive treatment that is constrained, has a
frequency cap, is not a covered operation or service, or if your yearly maximum
has been exceeded.
Orthodontia
Lifetime Benefit
Maximum benefit per qualified participant over lifetime:
$1,840 (including eligible dependents). The day the appliance is inserted marks
the commencement date. Up to 50% of the lifetime limit is paid at the time the
appliance is installed. The remaining 50% of the lifetime orthodontic limit is
covered by the plan beginning with the second year of treatment. This
modification will take effect on September 1, 2020. Only dependent children of
retirees are eligible for the orthodontia benefit, which is not included in the
part-time dental benefit.
When Is Predetermination for a Service Needed?
Before starting treatment for prostheses (dentures and bridgework), single crowns, significant gum treatment, TMJ therapy, root canal therapy, or orthodontics, a predetermination is required. FOR THE ABOVE-LISTED SERVICES, YOU MUST SUBMIT A PREDETERMINATION PLAN; IF NOT, YOUR CLAIM WILL BE REJECTED.

Comments
Post a Comment