PPO Products and services marketed by Assurant Employee Benefits are underwritten or provided by Union Security Insurance ...
  2008 Dental Plan Options for Arizona State Retirement System
About Us <ul><li>Fortune 500 Company </li></ul><ul><li>Financial Ratings*: </li></ul><ul><li>A (Excellent) A.M. Best </li>...
Dental Plans-2008  <ul><li>Freedom Advance ℠   (high option) </li></ul><ul><li>Freedom Basic ℠  (low option) </li></ul><ul...
<ul><li>Type I - Preventive Services 80% paid </li></ul><ul><li>Oral exams   deductible waived </li></ul><ul><li>Routine c...
<ul><li>Type III - Major Services   25 or 50% paid </li></ul><ul><li>    transfer credit applies </li></ul><ul><li>Crowns ...
Freedom Basic ℠    (Low Option) Type I - Preventive Services   100% paid Oral exams   deductible waived Routine cleanings ...
<ul><li>Type III - Major Services   not covered </li></ul><ul><li>Orthodontia    not covered </li></ul><ul><li>Maximum Ben...
Predetermination of Benefits Recommended for treatments over $300.00
Freedom Indemnity Dental Plans include  Dental Health Alliance PPO <ul><li>Discounts on covered and non-covered procedures...
Freedom Indemnity Plans Customer Service Number 800.442.7742 Business Hours to assist you: 7:00a.m. - 5:00p.m. CT  Monday ...
Prepaid Plans Secure Plan (Arizona) <ul><li>with Specialty Benefit Amendment </li></ul><ul><li>may select other states whe...
Prepaid Plan Features <ul><li>No deductibles </li></ul><ul><li>No claim forms to file 1 </li></ul><ul><li>No annual dollar...
Arizona Secure Plan sample copayments for selected family dentist <ul><li>  Procedure </li></ul><ul><li>D0999  Routine Off...
Copayments cont. <ul><li>ADA Code  Procedure  Member    Copayment </li></ul><ul><li>D2750 Crown - PFM   $295.00 </li></ul>...
<ul><li>Member Copayment to Specialist- SBA plan specialists are indicated with an “S” in the provider directory </li></ul...
Prepaid Plan Directory of Dentists <ul><li>Ability to change dentists </li></ul><ul><li>Each family member may select a di...
 
Prepaid Plan <ul><li>Customer Service  </li></ul><ul><li>800.443.2995 </li></ul><ul><li>Business hours to assist you: </li...
Vision Service Plan (VSP) (included with all dental plans) <ul><li>Discounts on exams, eyeglasses, laser vision care, cont...
Online Advantage for Members <ul><li>View eligibility  </li></ul><ul><li>Change facility for prepaid members </li></ul><ul...
On-Site Representative Monday - Friday,  8:00 a.m. - 5:00 p.m. MT 602.240.2000, ext. 2032
<ul><li>This presentation provides a summary of </li></ul><ul><li>the plans offered to the Arizona State </li></ul><ul><li...
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ASSURANT (DENTAL) BENEFITS PRESENTATION

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ASSURANT (DENTAL) BENEFITS PRESENTATION

  1. 1. 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.
  2. 2. 2008 Dental Plan Options for Arizona State Retirement System
  3. 3. About Us <ul><li>Fortune 500 Company </li></ul><ul><li>Financial Ratings*: </li></ul><ul><li>A (Excellent) A.M. Best </li></ul><ul><li>A2 (Good) Moody’s </li></ul><ul><li>A (Strong) Standard and Poor’s </li></ul>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
  4. 4. Dental Plans-2008 <ul><li>Freedom Advance ℠ (high option) </li></ul><ul><li>Freedom Basic ℠ (low option) </li></ul><ul><li>Prepaid – Heritage Secure Plan </li></ul>Plans contain limitations, exclusions, and restrictions. Please review the certificate booklet and group policy or Evidence of Coverage for complete details and provisions.
  5. 5. <ul><li>Type I - Preventive Services 80% paid </li></ul><ul><li>Oral exams deductible waived </li></ul><ul><li>Routine cleanings </li></ul><ul><li>X-rays </li></ul><ul><li>Type II - Basic Services 80% paid </li></ul><ul><li>Fillings deductible applied </li></ul><ul><li>Minor and major periodontics </li></ul><ul><li>Root canals, minor oral surgery </li></ul>Freedom Advance ℠ (High Option)
  6. 6. <ul><li>Type III - Major Services 25 or 50% paid </li></ul><ul><li> transfer credit applies </li></ul><ul><li>Crowns deductible applied </li></ul><ul><li>Bridges </li></ul><ul><li>Dentures </li></ul><ul><li>Complex Oral Surgery </li></ul><ul><li>Orthodontia not covered </li></ul><ul><li>Maximum Benefits $2,500 per person </li></ul><ul><li>Annual combined preventive, basic and major </li></ul>
  7. 7. Freedom Basic ℠ (Low Option) Type I - Preventive Services 100% paid Oral exams deductible waived Routine cleanings Bitewing x-rays Type II - Basic Services 80% paid Fillings deductible applied Minor periodontics Minor oral surgery Other x-rays
  8. 8. <ul><li>Type III - Major Services not covered </li></ul><ul><li>Orthodontia not covered </li></ul><ul><li>Maximum Benefits $1,000 per person </li></ul><ul><li>Annual combined preventive and basic </li></ul>
  9. 9. Predetermination of Benefits Recommended for treatments over $300.00
  10. 10. Freedom Indemnity Dental Plans include Dental Health Alliance PPO <ul><li>Discounts on covered and non-covered procedures including cosmetic services </li></ul><ul><li>No balance billing </li></ul><ul><li>DHA is our PPO network name </li></ul><ul><li>www.assurantemployeebenefits.com </li></ul>
  11. 11. Freedom Indemnity Plans Customer Service Number 800.442.7742 Business Hours to assist you: 7:00a.m. - 5:00p.m. CT Monday - Friday www.assurantemployeebenefits.com
  12. 12. Prepaid Plans Secure Plan (Arizona) <ul><li>with Specialty Benefit Amendment </li></ul><ul><li>may select other states where available </li></ul>
  13. 13. Prepaid Plan Features <ul><li>No deductibles </li></ul><ul><li>No claim forms to file 1 </li></ul><ul><li>No annual dollar maximums </li></ul><ul><li>No waiting periods for services </li></ul><ul><li>Coverage for pre-existing conditions </li></ul><ul><li>Emergency coverage 2 </li></ul><ul><li>Cosmetic dentistry </li></ul>1 Proof of expenses are required when seeking reimbursement for emergency services performed by a non-plan provider. 2 Emergency benefits in your plan are limited to the temporary relief of pain.
  14. 14. Arizona Secure Plan sample copayments for selected family dentist <ul><li> Procedure </li></ul><ul><li>D0999 Routine Office Visit $10.00 </li></ul><ul><li>D1110 Prophylaxis - Adult $10.00 </li></ul><ul><li> Cleaning (Semi-Annually) </li></ul>Member Copay ADA Code
  15. 15. Copayments cont. <ul><li>ADA Code Procedure Member Copayment </li></ul><ul><li>D2750 Crown - PFM $295.00 </li></ul><ul><li>(Lab Fee Additional) </li></ul><ul><li>D3310 Root Canal - Anterior $145.00 </li></ul><ul><li>D5110 Complete Upper Denture $385.00 </li></ul><ul><li>(Lab Fee Additional) </li></ul>
  16. 16. <ul><li>Member Copayment to Specialist- SBA plan specialists are indicated with an “S” in the provider directory </li></ul><ul><li>15%-25% discount if procedure is NOT listed on Specialty Benefit Amendment </li></ul><ul><li>25% discount on Orthodontic Services (Adult and Child) </li></ul><ul><li>No Referral Required </li></ul><ul><li>No Annual Dollar Maximums </li></ul>Prepaid Plan Specialty Benefit Amendment
  17. 17. Prepaid Plan Directory of Dentists <ul><li>Ability to change dentists </li></ul><ul><li>Each family member may select a different dentist </li></ul><ul><li>www.assurantemployeebenefits.com </li></ul><ul><li>Click on “Provider Search” </li></ul><ul><li>Select Heritage Series </li></ul>
  18. 19. Prepaid Plan <ul><li>Customer Service </li></ul><ul><li>800.443.2995 </li></ul><ul><li>Business hours to assist you: </li></ul><ul><li>7:00 a.m.-5:00 p.m. CT, </li></ul><ul><li>Monday-Friday </li></ul><ul><li>Automated Eligibility System </li></ul><ul><li>Business hours to assist you: </li></ul><ul><li>7:00 a.m.-7:00 p.m. 7 days per week </li></ul><ul><li>www.assurantemployeebenefits.com </li></ul>
  19. 20. Vision Service Plan (VSP) (included with all dental plans) <ul><li>Discounts on exams, eyeglasses, laser vision care, contact lens exam, sunglasses </li></ul><ul><li>No waiting periods </li></ul><ul><li>No deductibles </li></ul><ul><li>No claim forms to fill out </li></ul><ul><li>VSP Customer Service 800.877.7195 </li></ul><ul><li>www.vsp.com </li></ul>
  20. 21. Online Advantage for Members <ul><li>View eligibility </li></ul><ul><li>Change facility for prepaid members </li></ul><ul><li>View benefit details </li></ul><ul><li>Dental fee cost estimator </li></ul><ul><li>View claims status </li></ul><ul><li>Ask a dentist </li></ul><ul><li>Find a dentist and/or specialist </li></ul><ul><li>Dental health center </li></ul><ul><li>Request ID card </li></ul><ul><li>Contact customer service </li></ul>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 claims.dental@assurant.com.
  21. 22. On-Site Representative Monday - Friday, 8:00 a.m. - 5:00 p.m. MT 602.240.2000, ext. 2032
  22. 23. <ul><li>This presentation provides a summary of </li></ul><ul><li>the plans offered to the Arizona State </li></ul><ul><li>Retirement Systems. </li></ul><ul><li>Please review the certificate booklet and </li></ul><ul><li>group policy or the Evidence of Coverage for complete details and </li></ul><ul><li>provisions. Plans contain limitations, </li></ul><ul><li>exclusions, and restrictions. </li></ul><ul><li>Contact Assurant Employee Benefits for more </li></ul><ul><li>information. </li></ul>
  23. 24. Questions?

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