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With any insurance plan it is important to understand all the available options. Don’t agree to any part of the treatment you feel unsure about, or that you do not understand. You should always ask questions so you fully understand the suggested treatment plan.
The best way to ensure you are receiving all your dental benefits is to take your Inter Valley Health Plan Evidence of Coverage to every appointment with your Dental Health Services (DHS) dentist. Dental procedures are identified by “ADA codes” (codes assigned by the American Dental Association).
Your Inter Valley Health Plan Evidence of Coverage includes a dental copayment schedule that shows copayments for each of the covered procedures. Some procedures have additional charges for specialized materials, like upgraded metals.
Always check the copayment schedule to make sure the recommended treatment(s) are covered and the correct copayment is being charged for the service. It is important to remember that one tooth can require multiple treatments and each would have an associated copayment.
As a Dental Health Services (DHS) patient, you have the right to ask your primary dentist to explain the available treatment options. This includes whether the options listed in the suggested treatment plan are covered under your DHS Plan. You also have the right to request a second opinion. You may discuss your concerns and/or benefits with your DHS Member Service Specialist before you agree to the suggested treatment plan.
If you have any questions about a dental treatment plan or need help understanding your benefits, contact a DHS Member Service Specialist at
1-888-645-1261 or for the hearing impaired TTY/TDD 1-888-645-1257.
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