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InterView Magazine

Your Inter Valley Health Plan Dental Coverage

Make the most of your dental benefits without any costly surprises. In addition to medical coverage, Inter Valley Health Plan also provides dental coverage.

Make Sure Your Procedure Is Covered

        As with any insurance plan, it’s important to understand what’s covered and what’s not covered for your dental benefits.
        Below are a few pointers to help you maximize your dental coverage through Inter Valley and avoid out-of-pocket expenses.
Bring your Inter Valley Health Plan Evidence of Coverage document to your appointments;
that way, you and the office staff can review your coverage to ensure the services you’re getting are covered, and that you’re receiving all your benefits. Dental procedures on this document are identified by ADA codes—a standardized code for dental services outlined by the American Dental Association.

Know your copays and make sure the dentist’s
office charges you correctly.

The Evidence of Coverage document includes a schedule explaining the copayments for each covered dental procedure. Some procedures have extra charges for specialized materials, like upgraded metals. Also, remember that one tooth can require multiple treatments, and each treatment for the tooth would have its
own copayment.

Beware of upgrades and extras.
The dentist or staff may try to “up-sell” you on upgraded or additional services that might not be covered. Be sure to check your Evidence of Coverage to find out whether the service is covered; if it’s not covered, you’re responsible for payment.

Don’t agree to any treatment you feel unsure about.
Don’t be afraid to ask as many questions as you need of the dentist and staff to fully understand the recommended treatment plan.

Find out more if you’re unsure.
You’re welcome to discuss any concerns and questions about your benefits and suggested dental treatments with a Dental Health Services specialist before
agreeing to the treatment plan.

Questions? Concerns?
Call to speak to a DHS Member specialist at 1-888-645-1261 or TTY/TDD 1-888-645-1257 for hearing impaired.

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