ASSURANT (DENTAL) BENEFITS PRESENTATION
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Transcript of ASSURANT (DENTAL) BENEFITS PRESENTATION
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PPO Products and services marketed by Assurant Employee Benefits are underwritten or provided by Union Security Insurance Company.
Prepaid Products and services marketed by Assurant Employee Benefits are underwritten and/or provided by United Dental Care of Arizona, Inc.
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2008 Dental Plan Options for
Arizona StateRetirement System
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About Us• Fortune 500 Company• Financial Ratings*:
A (Excellent) A.M. BestA2 (Good) Moody’sA (Strong) Standard and Poor’s
Assurant, Inc. is a Fortune 500 company and a member of the S&P 500 Index. Assurant Employee Benefits is a part of Assurant, Inc.*Ratings for Union Security Insurance Company
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Dental Plans-2008
•Freedom Advance℠ (high option)•Freedom Basic℠ (low option)•Prepaid – Heritage Secure Plan
Plans contain limitations, exclusions, and restrictions. Please review the certificate booklet and group policy or Evidence of Coverage for complete details and provisions.
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Type I - Preventive Services 80% paidOral exams deductible waivedRoutine cleaningsX-rays
Type II - Basic Services 80% paidFillings deductible appliedMinor and major periodonticsRoot canals, minor oral surgery
Freedom Advance℠ (High Option)
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Type III - Major Services 25 or 50% paid transfer credit applies
Crowns deductible appliedBridgesDenturesComplex Oral Surgery
Orthodontia not covered
Maximum Benefits $2,500 per personAnnual combined preventive, basic and major
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Type I - Preventive Services 100% paidOral exams deductible waivedRoutine cleaningsBitewing x-rays
Type II - Basic Services 80% paidFillings deductible appliedMinor periodonticsMinor oral surgeryOther x-rays
Freedom Basic℠ (Low Option)
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Type III - Major Services not covered
Orthodontia not covered
Maximum Benefits $1,000 per person
Annual combined preventive and basic
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Predetermination of Benefits
Recommended for treatments over $300.00
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Freedom Indemnity Dental Plans include
Dental Health Alliance PPO
• Discounts on covered and non-covered procedures including cosmetic services
• No balance billing
DHA is our PPO network namewww.assurantemployeebenefits.com
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Freedom Indemnity PlansCustomer Service Number
800.442.7742
Business Hours to assist you:7:00a.m. - 5:00p.m. CT
Monday - Fridaywww.assurantemployeebenefits.com
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Prepaid Plans
Secure Plan (Arizona)with Specialty Benefit Amendment
may select other states where available
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Prepaid Plan Features
• No deductibles• No claim forms to file1
• No annual dollar maximums• No waiting periods for services• Coverage for pre-existing conditions• Emergency coverage2
• Cosmetic dentistry1Proof of expenses are required when seeking reimbursement for emergency services performed by a non-plan provider.2Emergency benefits in your plan are limited to the temporary relief of pain.
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Arizona Secure Plan sample copayments forselected family dentist
Procedure
D0999 Routine Office Visit $10.00
D1110 Prophylaxis - Adult $10.00
Cleaning (Semi-Annually)
Member Copay
ADACode
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Copayments cont.
ADA Code Procedure Member Copayment
D2750 Crown - PFM $295.00(Lab Fee Additional)
D3310 Root Canal - Anterior $145.00
D5110 Complete Upper Denture $385.00(Lab Fee Additional)
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• Member Copayment to Specialist- SBA plan specialists are indicated with an “S” in the provider directory
• 15%-25% discount if procedure is NOT listedon Specialty Benefit Amendment
• 25% discount on Orthodontic Services (Adult and Child)
• No Referral Required
• No Annual Dollar Maximums
Prepaid PlanSpecialty Benefit Amendment
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Prepaid PlanDirectory of Dentists
• Ability to change dentists• Each family member may select
a different dentist
www.assurantemployeebenefits.comClick on “Provider Search”
Select Heritage Series
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Prepaid Plan
Customer Service 800.443.2995
Business hours to assist you:7:00 a.m.-5:00 p.m. CT,
Monday-Friday
Automated Eligibility SystemBusiness hours to assist you:
7:00 a.m.-7:00 p.m. 7 days per weekwww.assurantemployeebenefits.com
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Vision Service Plan (VSP)(included with all dental plans)
• Discounts on exams, eyeglasses, laser vision care, contact lens exam, sunglasses
• No waiting periods• No deductibles• No claim forms to fill out
VSP Customer Service 800.877.7195www.vsp.com
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Online Advantage for Members
• View eligibility • Change facility for
prepaid members• View benefit details• Dental fee cost
estimator• View claims status
• Ask a dentist• Find a dentist and/or
specialist • Dental health center• Request ID card • Contact customer
service
For more information about how Online Advantage can work for you please visit the online demo a www.assurantemployeebenefits.com, call customer service at
800.442.7742 or email [email protected].
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On-Site RepresentativeMonday - Friday,
8:00 a.m. - 5:00 p.m. MT602.240.2000, ext. 2032
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This presentation provides a summary ofthe plans offered to the Arizona StateRetirement Systems.
Please review the certificate booklet andgroup policy or the Evidence of Coverage for complete
details andprovisions. Plans contain limitations,exclusions, and restrictions.
Contact Assurant Employee Benefits for moreinformation.
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Questions?