AtlantiCare Benefits Book 2020
Delta Dental
HOME TABL OF CONTENTS WELCOME.................2 WHAT’S NEW. ...........3 I E CENTERS AND EBSITES...................4 HO TO ENROLL.......5 MEDICAL..............6-12 PRESCRIPTION DRUG. ................13-15 ADDITIONAL MEDICAL PLAN RESOURCES.........16-18 DENTAL...............19-21 VISION.....................22 LIFECENTER..............23 LIFE INSURANCE. .....24 LONG TERM DISABILITY...............25 VOLUNTARY OFFERINGS. ........26-29 SPENDING ACCOUNTS. ............30 RETIREMENT B NEFITS..................31 WELLNESS. .........32-36 LEGAL NOTICES..37-39 CONTACTS.........40-41 GLOSSARY..........42-43 FAQs...................44-46 FORMS................47-56 WHAT’S NEW SERVICE CENTERS AND WEBSITES HOW TO ENROLL MEDICAL PRESCRIPTION DRUG ADDITIONAL MEDICAL PLAN RESOURCES DENTAL VISION LIFE INSURANCE LONG TERM DISABILITY VOLUNTARY OFFERINGS SPENDING ACCOUNTS RETIREMENT BENEFITS WELLNESS LEGAL NOTICES CONTACTS GLOSSARY
Dental Plan Options AtlantiCare offers the choice of two dental plans, Basic or Plus Ortho, both through Delta Dental. This plan year we have enhanced the Plan by adding coverage for Implants, composite resins fillings, increased Orthodontia coverage and Henry – Mobile Dentist.
! VISIT DELTADENTALNJ.COM When you register and login you can: • Review your dental plan coverage details • Find participating providers in your area • Check on claims and Explanation of Benefits (EOBs) • Access the Delta Dental Wellness Center • Access news and updates on the latest trends • Download forms and ID cards
$ MAKE THE MOST OF... Your Dental Plan Benefits
• Download the Delta Dental free Mobile App. Access your dental benefits anytime. Use the App to find a dentist, check your claims, view coverage and display your ID card. • Review your dental benefits: check out what’s covered – and what’s not – in your dental plan by logging into your MySmile account, or reading your benefits booklet. • Eliminate any surprises during your upcoming visit to the dentist office by knowing your facts before you go! • Choose an “in-network” dentist: in-network dentists are also known as “participating dentists,” because these dentists participate in a specific dental network and they offer their services at discounted rates for members of that specific dental plan. In-network dentists also file all of your claims paperwork for you. Use our find a dentist tool to find an in-network dentist. • Know your out-of-pocket dental costs: Ask your dentist to request a predetermination of benefits. It can let you know in advance how much your dental plan will pay for the recommended care and how much you will have to pay out of pocket.
? DID YOU KNOW?
You can waive medical insurance and still pick up dental insurance.
? DID YOU KNOW?
The recommended amount of time to brush your teeth is 2-3 minutes a day.
FORMS
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