Your dental care starts with the general dentist you selected when you enrolled in the plan. Before any treatment begins, you’ll discuss your concerns and questions, and work together to create a plan for achieving or maintaining good dental health.
Be sure to ask your dentist which procedures they perform—not all dentists perform all procedures. For example, some dentists don’t perform extractions, or use amalgam (silver-colored) fillings. If your dentist determines that you need to see a specialist (like an orthodontist or oral surgeon), you won’t need a referral.
Cost of services
Once a treatment plan is established, your dental office will explain the costs you’ll be responsible for. If you need to see a specialist, our network of dental specialists offer EDS members up to 25% off their normal office fees. Payment for any care or procedure is due at the time you receive these services.
Note: You may be charged a fee for missed appointments as outlined in the Enrollment & Coverage Guide. Be sure to call your dental office at least 24 hours in advance if you are unable to keep a scheduled appointment.
Sometimes, emergencies happen. Fortunately, your EDS plan covers the temporary relief of pain, bleeding, and acute infection.
The maximum allowable reimbursement for a dental emergency is $200, minus any member costs you would normally be charged for treatment. If you have a dental emergency:
- Contact your general dentist first. If you’re unable to reach your dentist, you may seek care immediately from any licensed dentist.
- Submit a copy of your paid, itemized receipt in English within 90 days, so you can receive reimbursement. Mail it to:
Employers Dental Services
3430 East Sunrise, Suite 160
Tucson, AZ 85718
- Follow-up with your general dentist for additional care or treatment.
Take a detailed look at your EDS plan benefits
Your Enrollment & Coverage Guide lists all covered dental procedures (there are some exclusions and limitations) and member costs, and includes details on how your plan works.
- Individual plans
- Group plans
Not sure which plan you have? We can help. Give us a call at 800-722-9772 or email EDSCS@exchange.principal.com.