![]() ![]() Any Dental Rewards dollars accumulated will automatically be used if the member has approved claims that go beyond their Annual Maximum benefit. This Dental Rewards carryover is in addition to the Annual Maximum. A member can continue to increase the Dental Rewards carryover each year until the total accumulation reaches $1,000 in carryover benefit. If a member visits a participating network provider, an additional $100 PPO Bonus is added to the carryover benefit. Dental plan members who have at least one covered procedure during the calendar year and have total paid claims under $500 in the calendar year will automatically carryover or “bank” $250 Dental Rewards dollars. However, if you have Dental Rewards carryover, those accumulated dollars can go towards additional covered benefits. If you reach the Annual Maximum benefit, Ameritas will not reimburse any additional services for the remainder of the calendar year. The Annual Maximum for the PPO plan is $1,500 on Plan A is $1,250 and, on Plan B is $1,000. ![]() How to Increase Your Annual Maximum BenefitĪll three plans have an Annual Maximum benefit. You should review the fixed schedule before selecting this option. The schedule for Plan B is available on the Ameritas website at. Plan B provides a very basic benefit and payments are based on a fixed schedule of fees. Also, if you utilize a network provider, the deductible is waived for all covered procedures. Using a network provider will limit your out of pocket cost. You may also choose to use a network provider. If you enroll in Plan A, you can select any licensed dentist of your choice. A list of network dentists is available at or by calling Ameritas at 1-80. If you select the PPO and use an out-of-network provider, the amount the plan pays will be based on discounted network charges and you will be responsible for any amount charged over that allowance. However, participants in the PPO will need to select an in-network provider. The PPO plan includes a higher maximum annual benefit than Plan A and Plan B, lower negotiated procedure rates and your out of pocket costs are usually lower. Please refer to the Dental Plan Comparison Chart and the Dental Plan Premiums for further details.įee schedules for all three plans are available on the Ameritas website. major services such as crowns, dentures and root canals.basic services such as fillings, sealants, denture repair and removal of teeth, and.preventive procedures such as exams and cleaning,.Duke's dental plans are available to retirees who have continued their dental insurance in retirement.Īll three plans cover some or all of the cost of: You can find a network provider by calling Ameritas at 1-80 or by visiting the Ameritas web site.ĭuke employees can choose from three dental options that offer different levels of coverage and different ways of choosing a dentist. Under the dental plans, participants are still able to visit any licensed dentist. Duke has an expanded network of providers who have agreed to accept usual and customary (U&C) for covered services. ![]()
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