BID RESULTS AB DENTAL SERVICES FOR THE MERCER COUNTY CORRECTION CENTER OPENED JUNE 12, WEST STATE STREET

Size: px
Start display at page:

Download "BID RESULTS AB2015-10 DENTAL SERVICES FOR THE MERCER COUNTY CORRECTION CENTER OPENED JUNE 12, 2015 192 WEST STATE STREET"

Transcription

1 BID RESULTS AB DENTAL SERVICES FOR THE MERCER COUNTY CORRECTION CENTER OPENED JUNE 12, 2015 AWARD TWO (2) YEARS WITH AN OPTION TO EXTEND TWO (2) YEARS. AUGUST 18, 2015 THROUGH AUGUST 17, 2017 RESOLUTION NO NAME OF BIDDER: ADDRESS CORRECTIONAL DENTAL ASSOCIATES 192 WEST STATE STREET CITY, STATE, ZIP TRENTON, NJ CONTACT LESLIE A. HAYLING, JR.,D.D.S. TELEPHONE FAX

2 BID RESULTS AB ON-SITE DENTAL SERVICES FOR THE MERCER COUNTY CORRECTION CENTER TWO YEAR TERM WITH OPTION TO EXTEND TWO YEARS CORRECTIONAL DENTAL SERVICES COST YEAR ONE INSERT COST PER HOUR $ HOURS ANNUALLY 624 ANNUAL COST YEAR ONE $ 86, COST YEAR TWO INSERT COST PER HOUR $ HOURS ANNUALLY 624 ANNUAL COST YEAR TWO $ 89, TOTAL YEARS ONE AND TWO $ 175, OPTION YEAR THREE INSERT COST PER HOUR $ HOURS ANNUALLY 624 ANNUAL COST YEAR THREE $ 93, OPTION YEAR FOUR INSERT COST PER HOUR $ HOURS ANNUALLY 624 ANNUAL COST YEAR FOUR $ 97,344.00

3 SPECIFICATIONS FOR INMATE DENTAL SERVICES The Provider will institute a Dental Classification and Priority Treatment Program in accordance with the New Jersey Board of Dentistry to ensure that all inmates have access to essential, necessary dental services and provide services in a professionally prioritized manner and list all requirements necessary for entering into a contract for such services. Cosmetic procedures are not considered essential. SCOPE OF SERVICE The Contractor must be a qualified provider who is able to provide Inmate Dental Care in accordance with N.J.A.C. 10A: 16 & 10A:31 requirements, the National Commission on Correctional Health Care Standards, American Dental Association Standards, New Jersey Board of Dentistry and Center for Disease Control Guidelines and Occupational Safety and Health Administration regulations. The Dental Assistant shall be registered in accordance with the New Jersey Administrative Code, Title 13, Chapter 30, New Jersey Board of Dentistry, 13: and 2.4. Dental Services must only be administered by license/certified dental staff duly licensed in the State of New Jersey. Proof of licensure must be provided to the County. Dentists must possess a minimum D.M.D. license. All Licensed/Certified dental staff shall undergo security clearance and comply with security requirements of the facility inclusive of security training. All equipment and outside machinery is subject to facility search procedures. Dental Care shall include documented oral screening, instruction on oral hygiene, preventative oral education and annual examinations with only those treatments necessary, as determined by the dentist, in accordance with the clinical guidelines and standards of care from the agencies listed above to maintain the Inmate s dental health. Dentist, DMD performs dental examinations with charting by Dental Assistant: Preventative maintenance to include prophylaxis and oral hygiene instructions; Follows the classification procedure for standard of care; Temporary fillings; Permanent fillings; Extractions; Full Dentures (when appropriate); Documentation of orders in Countys Electronic Medical Records; Dental Assistant triages dental list made by nurses and:

4 Assists the Dentist in dental procedures; Cleans, sterilizes and performs instrument inventory; Performs spore check in autoclave; Takes radiographs when required; Oral Surgery: The awarded contractor shall provide the services for Oral Surgery on site when necessary. Panorex radiographs are performed at St. Francis Medical Center. Dental Unit and compressor are provided by the County. Equipment repairs shall be scheduled through the awarded contractor and shall be billed to the County. The contractor shall give priority scheduling to inmates requiring emergency dental treatment, inmates who have medical problems and inmates who do not have sufficient teeth to masticate with examples as follows: Priority 1 Emergencies: fractures, infection, and pain relief etc. Priority 2 - Patients with insufficient dentition to masticate with moderate pain Priority 3 - Treatment for all remaining Dental Classifications The Contractor shall utilize Dental Classifications in the initial Comprehensive Dental Examination and as treatment progresses as follows: Class I Extractions indicated Class II Restorative and/or periodontal treatment indicated Class II Removable prosthetic treatment indicated Class IV No immediate treatment indicated R Refused treatment NS No Show follow up indicated The contractor shall treat all inmates with proper infection control procedures, including the use of barrier protection, chemical disinfectants, sterilization and whenever possible, disposable equipment. DENTAL SUPPLIES AND SMALL EQUIPMENT Dental supplies shall be provided by the awarded contractor. Small equipment (amalgamator, autoclave, amalgam separator, instruments) shall be supplied by the awarded Contractor. All other equipment is provided by the County of Mercer. The County purchased a dental cavitron in August, 2015 for use by the awarded contractor. DENTURE CRITERIA ELIGIBILITY Inmates must enter the Mercer County Correction Center edentulous for full or partial dentures. In the case partial edentulism, which does not impede mastication, dentures are not provided; however, where loss of all teeth results in complete edentulism, dentures are provided following a ninety (90) day period. COVERED SERVICES

5 The Contractor will provide dental screening, instruction in oral hygiene and preventative oral education, examination and treatment. Treatment shall be provided to alleviate pain, to treat infection and to restore function. Routine treatment may include, but not be limited to, extraction, fillings, x-rays, periodontal, cleaning and minor surgery as required when warranted. Said emergency treatment may include, but not be limited to, the prescription of medication and/or actual treatment. SPECIALIZED SERVICES Specialized dental care may be required. All extraordinary care, including oral surgery, and other extensive or specialized dentistry requires pre-approval and may be referred to the appropriate service provider. Dentures are provided following a minimum 90 days in the Mercer County Correction Center. Specialized dental procedures will be reimbursed at the current Medicare rates. SERVICES NOT COVERED Root canals are not performed as they are not considered preventative maintenance. Crowns are not provided as they are not considered preventative maintenance. The Contractor shall treat all inmates with proper infection control procedures, including the use of barrier protection, chemical disinfectants, sterilization and, whenever possible disposable equipment. REQUIREMENTS The Contractor shall provide the dental services at the Mercer County Correction Center on Monday and Friday as follows: The awarded contractor shall work five to six hours per day, two days per week. If Additional services are required, the County will pay the awarded contractor based upon the prorated daily rate. Preventive and Comprehensive services are provided; The awarded contractor shall bill the county for services rendered based upon the number of hours worked; The awarded contractor shall provide services five to six hours per day, two days per week with a Dental Assistant; Services shall be provided between the hours of 8:00 A.M. and 4:00 P.M. Twenty-Four hour on-call emergency phone consultation is required and provider shall respond by phone within one hour of initial call from the Correction Center. Said emergency may include, but is not limited to, prescribing medication and or treatment. This work shall be billed at the awarded hourly rate. The Contractor shall, at all times while carrying out the terms of this agreement adhere to any and all applicable rules and regulations.

6 An hourly fee calculated with number of hours annually, not a fee per service, is required and travel time shall be factored into the annual rate. No additional charges for travel time or other expenses will be permitted. The Contractor shall furnish proof of insurance, Malpractice and Professional Liability, coverage by Certificate of Insurance accompanying the contract documents and shall name the County of Mercer as additional insured. All insurance policies will be obtained from an insurance company authorized to conduct business in the State of New Jersey. Minimum $1,000,000 per occurrence coverage required. Such Certificate of Insurance shall provide that the insurance company give the County of Mercer thirty (30) days prior notice of any cancellation terms of such policies during the period of coverage. Bidders shall agree if awarded a contract, that they will indemnify and save harmless the County of Mercer for all suits and actions brought against it. Dental Service Policy and Procedures are established and shall be reviewed and updated as required by the current medical provider and awarded contractor. Dental Staff will receive training in accordance with the County s policies and procedures. The Contractor s right to perform this contract may be terminated by the County of Mercer in the event services are not performed as called for in the contract. Thereafter, in the event of default, the County reserves the right to secure services by others and the Contractor shall be liable for all costs to the County in excess of the contract price for the remaining portion of the contract. The Mercer County Correction Center will dispose of all bio-hazardous and regulated waste products created as a result of the services provided by the contractor. The Correction Center shall make medical records of all inmates available to the awarded contractor. The awarded contractor shall be responsible for all dental staff and the Mercer County Correction Center will not provide jail personnel to assist in dental services. All contractors employees are independent. The Correction Center will provide one Correction Officer who will be present with the Contractor when the contractor is providing services. The Contractor must have prior written approval from Medical Director for any additional services rendered outside of contract terms. Any additional services billed separately outside contract terms must be accompanied by written documentation of Medical Director, signed, and dated.

7

8

WMI Mutual Insurance Company

WMI Mutual Insurance Company Dental Policy WMI Mutual Insurance Company PO Box 572450 Salt Lake City, UT 84157 (801) 263-8000 & (800) 748-5340 Fax: (801) 263-1247 DENTAL POLICY A. Schedule of Benefits: Annual Maximum Dental Benefit

More information

HEALTH SERVICES POLICY & PROCEDURE MANUAL. SUBJECT: Types of Dental Treatments Provided EFFECTIVE DATE: July 2014 SUPERCEDES DATE: January 2014

HEALTH SERVICES POLICY & PROCEDURE MANUAL. SUBJECT: Types of Dental Treatments Provided EFFECTIVE DATE: July 2014 SUPERCEDES DATE: January 2014 PAGE 1 of 5 References Related ACA Standards 4 th Edition Standards for Adult Correctional Institutions 4-4369, 4-4375 PURPOSE To provide guidelines for determining appropriate levels of care and types

More information

DentalEssentials. Dental insurance for individuals and families

DentalEssentials. Dental insurance for individuals and families DentalEssentials Dental insurance for individuals and families Regular dental care is an important part of an overall healthy lifestyle Unfortunately, the cost of dental treatment, coupled with the lack

More information

EmblemHealth Preferred Dental

EmblemHealth Preferred Dental EmblemHealth Preferred Dental Unique coverage levels at affordable group rates. Here s how EmblemHealth Preferred Dental will deliver for you: Complete your benefits package with paid-infull* in-network

More information

2014 Evidence of Coverage Optional Supplemental Benefits Attachment Coventry Medicare Advantage Dental Plan (HMO)

2014 Evidence of Coverage Optional Supplemental Benefits Attachment Coventry Medicare Advantage Dental Plan (HMO) 2014 Evidence of Coverage Optional Supplemental Benefits Attachment OPTIONAL SUPPLEMENTAL BENEFITS YOU CAN BUY As explained in Chapter 4, Section 2.2 of this Evidence of Coverage, our plan offers some

More information

Rochester Regional Health. Dental Plan

Rochester Regional Health. Dental Plan Rochester Regional Health Dental Plan TABLE OF CONTENTS EXPLANATION OF TERMS... 2 INTRODUCTION... 4 DENTAL BENEFITS... 5 DEDUCTIBLES AND COINSURANCE... 7 PRE-TREATMENT ESTIMATES... 8 LIMITATIONS... 8

More information

Liberty Healthcare Management, Inc. Dental Plan Benefits

Liberty Healthcare Management, Inc. Dental Plan Benefits Liberty Healthcare Management, Inc. Dental Plan Benefits Network: PDP Plus Benefit Summary Coverage Type In-Network Out-of-Network Type A cleanings, oral examinations 100% of Negotiated Fee* 100% of R&C

More information

Choice, Service, Savings. To help you enroll, the following pages outline your company's dental plan and address any questions you may have.

Choice, Service, Savings. To help you enroll, the following pages outline your company's dental plan and address any questions you may have. Plan Design for: Unitarian Universalist Association of Congregations Effective Date: October 01, 2002 Amendment Effective Date ± : January 01, 2013 Date Prepared: January 01, 2015 Choice, Service, Savings.

More information

Dental Outline of Coverage

Dental Outline of Coverage Dental Outline of Coverage Blue Cross and Blue Shield of Texas (herein called (BCBSTX, We, Us, Our) Dental Indemnity Insurance Contract REQUIRED OUTLINE OF COVERAGE A. Read Your Contract Carefully. This

More information

(1) may be provided under contract with another health care insurer;

(1) may be provided under contract with another health care insurer; Sec. 21.42.385. Dental, vision, and hearing coverage. (a) Except for a fraternal benefit society, a health care insurer that offers, issues for delivery, delivers, or renews in this state a health care

More information

An Overview of Your Dental Benefits

An Overview of Your Dental Benefits An Overview of Your Dental Benefits Educators Health Alliance ii \ DENTAL BENEFITS PPO Dental Plan Options OPTION 1 Maintenance Dentistry OPTION 2 (STANDARD PLAN) IN-NETWORK OUT-OF-NETWORK Maintenance

More information

IMPORTANT CARRIER INFORMATION

IMPORTANT CARRIER INFORMATION Anchorage School District Dental Plan Benefits Network: PDP Plus Benefit Summary Coverage Type In-Network Out-of-Network Type A cleanings, oral examinations 100% of Negotiated Fee* 100% of R&C Fee** Type

More information

DENTAL DENTAL PLAN of North Carolina

DENTAL DENTAL PLAN of North Carolina DENTAL DENTAL PLAN of North Carolina 333 Six Forks Rd Ste 18 Raleigh NC 27609 800-662-8856 http://www.deltadentalnc.org Plan Document Group #1100 This document should be read in conjunction with the Schedule

More information

The University of Alabama at Birmingham Dental Plan Benefits

The University of Alabama at Birmingham Dental Plan Benefits The University of Alabama at Birmingham Dental Plan Benefits Network: PDP Plus Benefit Summary Basic Plan Plan Option 1 Benefit Summary Coverage Type In-Network Out-of-Network Type A cleanings, oral examinations

More information

Scott & White Dental Plan Benefits

Scott & White Dental Plan Benefits Scott & White Dental Plan Benefits For the savings you need, the flexibility you want and service you can trust. Benefit Summary Select Plan Enhanced Plan Coverage Type PDP : : Coverage Type PDP : : Type

More information

dental plans and term life insurance coverage

dental plans and term life insurance coverage dental plans and term life insurance coverage Dental coverage Complete your Blue Shield health coverage with an affordable dental plan. Did you know that more than 90% of all common diseases have oral

More information

Delta Dental of New Jersey

Delta Dental of New Jersey Delta Dental of New Jersey With Delta Dental, You Get These Important Features Comprehensive preventive, basic and major dental coverage Choice of two excellent plans... so you can select the one that

More information

Mills College Student Health Plan - Dental Plan Benefits

Mills College Student Health Plan - Dental Plan Benefits Mills College Student Health Plan - Dental Plan Benefits Network: PDP Plus Benefit Summary Coverage Type In-Network Out-of-Network Type A cleanings, oral examinations 100% of Negotiated Fee* 80% of R&C

More information

Your Dental Benefits The Local Choice

Your Dental Benefits The Local Choice Your Dental Benefits The Local Choice Retiree Health Benefits Program for Medicare-Eligible Retirees and their Medicare-Eligible Dependents Welcome to Delta Dental of Virginia In addition to the largest

More information

Low Plan. High Plan Coverage Type

Low Plan. High Plan Coverage Type Dental Benefits Savings, flexibility and service. For healthier smiles. Overview of Benefits for: Earlham College With all of the emphasis on healthy living, it may be refreshing to know you have access

More information

The Penn Dental Plan for Undergraduate and Graduate Students of the University of Pennsylvania

The Penn Dental Plan for Undergraduate and Graduate Students of the University of Pennsylvania The Penn Dental Plan for Undergraduate and Graduate Students of the University of Pennsylvania Effective August 1, 2015 Introduction The Penn Dental Plan of the University of Pennsylvania ( Penn Dental

More information

BID RESULTS AB2015-13 NURSING SERVICES FOR THE COUNTY OF MERCER FOR A PERIOD OF TWO YEARS MARCH 31, 2015 100 LAKEVIEW AVENUE, SUITE 1A

BID RESULTS AB2015-13 NURSING SERVICES FOR THE COUNTY OF MERCER FOR A PERIOD OF TWO YEARS MARCH 31, 2015 100 LAKEVIEW AVENUE, SUITE 1A BID RESULTS AB2015-13 NURSING SERVICES FOR THE COUNTY OF MERCER FOR A PERIOD OF TWO YEARS MARCH 31, 2015 NURSING SERVICES FOR THE COUNTY OF MERCER FOR A PERIOD OF TWO YEARS, AWARD ONE CONTRACT RES. NO.

More information

Summary of Benefits. Mount Holyoke College

Summary of Benefits. Mount Holyoke College Dental Blue Program 2 Summary of Benefits Mount Holyoke College Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association Dental Blue Program 2 Preventive

More information

2014 Evidence of Coverage Optional Supplemental Benefits Attachment Coventry Medicare Advantage Dental Plan (PPO)

2014 Evidence of Coverage Optional Supplemental Benefits Attachment Coventry Medicare Advantage Dental Plan (PPO) 2014 Evidence of Coverage Optional Supplemental Benefits Attachment OPTIONAL SUPPLEMENTAL BENEFITS YOU CAN BUY As explained in Chapter 4, Section 2.2 of this Evidence of Coverage, our plan offers some

More information

In-Network % of PDP Fee. Applies to Type B & C services only

In-Network % of PDP Fee. Applies to Type B & C services only Dental Benefits Savings, flexibility and service. For healthier smiles. Overview of Benefits for: WMBE Payrolling Inc Original Plan Effective Date: 07/01/2013 With all of the emphasis on healthy living,

More information

Group Dental Benefits

Group Dental Benefits Group Dental Benefits FRONTIER SCHOOL DIVISION TEACHERS AND SUPPORT STAFF Sponsored By:: Table of Contents Introduction... 1 Eligibility... 2 Dental Benefits... 3 Basic Services Covered... 3-4 Major Services

More information

3. Explains when and how you or your provider may ask for an exception to the limits.

3. Explains when and how you or your provider may ask for an exception to the limits. April 1, 2012 Dear Valued UPMC for You Member: UPMC for You will be making some changes to your dental benefits. These changes will begin May 1, 2012. The enclosure explains the changes to your benefits.

More information

dental plan For Students 2015-2016 Ameritas Life Insurance Corp. of New York

dental plan For Students 2015-2016 Ameritas Life Insurance Corp. of New York dental plan For Students 2015-2016 Cornell University students and dependents may enroll in an optional dental insurance plan that has been tailored to fit their needs. This plan, offered through Ameritas

More information

Dental Benefits. How Dental Benefits Work. Schedule of Benefits

Dental Benefits. How Dental Benefits Work. Schedule of Benefits Dental coverage under Stryker s healthcare plan helps pay dental bills for you and your family. It is designed to encourage good dental care. The plan covers preventive dental services and treatment for

More information

dental and term life insurance coverage

dental and term life insurance coverage dental and term life insurance coverage Dental coverage Complete your Blue Shield health coverage with an affordable dental plan. Because dental health is an important part of your total wellness, we offer

More information

Frequently Asked Questions (FAQs)

Frequently Asked Questions (FAQs) Cisco Systems LifeConnections Dental Center Frequently Asked Questions (FAQs) December 2013 Contents General 1. What is Cisco s LifeConnections Health Center?... 3 2. What dental care services are available

More information

SCOPE OF PRACTICE GENERAL DENTAL COUNCIL

SCOPE OF PRACTICE GENERAL DENTAL COUNCIL www.gdc-uk.org SCOPE OF PRACTICE Effective from 30 September 2013 2 SCOPE OF PRACTICE The scope of your practice is a way of describing what you are trained and competent to do. It describes the areas

More information

EMPLOYEE DENTAL PLANS

EMPLOYEE DENTAL PLANS EMPLOYEE DENTAL PLANS State Health Benefits Program ELIGIBILITY The Employee Dental Plans are available to full-time State employees, full-time employees of a local employer (county, municipality, school

More information

OPTION #2 COMPANION LIFE DENTAL INSURANCE PLAN SELECT ANY DENTIST

OPTION #2 COMPANION LIFE DENTAL INSURANCE PLAN SELECT ANY DENTIST OPTION #2 COMPANION LIFE DENTAL INSURANCE PLAN SELECT ANY DENTIST A Dental Plan for Groups of Three or More Covered Services Description SELECT ANY DENTIST Preventive, Basic, and Major services are subject

More information

Perkins Statewide Articulation Agreement. Documentation item: Secondary Competency Task List Coversheet

Perkins Statewide Articulation Agreement. Documentation item: Secondary Competency Task List Coversheet Perkins Statewide Articulation Agreement Documentation item: Secondary Task List Coversheet The Secondary School agrees to: A. Implement the approved PDE Program(s) of Study. B. Provide assessment of student

More information

RETIREE DENTAL PLANS

RETIREE DENTAL PLANS RETIREE DENTAL PLANS Eligible Members of the State Health Benefits Program (SHBP) and School Employees Health Benefits Program (SEHBP) The Retiree Dental Plans are offered to retirees eligible to enroll

More information

PROVIDENCE MEDICARE ADVANTAGE PLANS. 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED

PROVIDENCE MEDICARE ADVANTAGE PLANS. 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED PROVIDENCE MEDICARE ADVANTAGE PLANS 2015 Plan Comparison Western Oregon and Clark County Washington H9047_2015PHP40_ACCEPTED Service area map Columbia River Washington Oregon Clark Providence Medicare

More information

Performance Plus Dental Plan. Annual Deductible. Dental Benefit Maximums. Prior Authorization. Verification of Coverage. Eligible Dental Expenses

Performance Plus Dental Plan. Annual Deductible. Dental Benefit Maximums. Prior Authorization. Verification of Coverage. Eligible Dental Expenses Performance Plus Dental Plan The Trust provides a Dental Plan for Participants the Performance Plus Dental Plan. In-Network Services are available from dentists contracted on behalf of the Trust. Out-of-Network

More information

Quality, affordable dental insurance

Quality, affordable dental insurance Quality, affordable dental insurance Group association dental insurance under the IHC Dental plans is underwritten by Madison National Life Insurance Company, Inc. For residents of Texas. Your oral health

More information

Your Dentist says you need a Crown, a Type C Service** Dentist s Usual Fee: $600.00 - R&C Fee: $500.00 - PDP Fee: $375.00

Your Dentist says you need a Crown, a Type C Service** Dentist s Usual Fee: $600.00 - R&C Fee: $500.00 - PDP Fee: $375.00 To help you enroll, the following pages outline your company s dental plan 1 and address any questions you may have. Coverage Type In-Network 2 Out-of-Network 2 Type A - Preventive 100% of PDP Fee 3 80%

More information

Be it enacted by the People of the State of Illinois,

Be it enacted by the People of the State of Illinois, AN ACT concerning regulation. Be it enacted by the People of the State of Illinois, represented in the General Assembly: Section 5. The Illinois Dental Practice Act is amended by changing Sections 16 and

More information

Federal Employee Dental and Vision Options

Federal Employee Dental and Vision Options Federal Employee Dental and Vision Options 2016 Guide for Presbyterian Health Plan Members For more information: 1804 Juan Tabo NE, Suite A, Albuquerque, NM 87112 888 862 8659 505 237 1501 benefitsource.org

More information

Quality, affordable dental insurance

Quality, affordable dental insurance Quality, affordable dental insurance Group association dental insurance under the IHC Dental plans is underwritten by Madison National Life Insurance Company, Inc. in all states except Maine, New Hampshire

More information

Delta Dental Individual and Family Dental Plans. EHB Certified DELTA DENTAL OF NORTH CAROLINA

Delta Dental Individual and Family Dental Plans. EHB Certified DELTA DENTAL OF NORTH CAROLINA Delta Dental Individual and Family Dental Plans EHB Certified DELTA DENTAL OF NORTH CAROLINA You ll benefit from: Freedom Enjoy access to two Delta Dental networks Delta Dental PPO and Delta Dental Premier.

More information

More to feel good about. Baltimore City Public Schools. 2011 Dental Options

More to feel good about. Baltimore City Public Schools. 2011 Dental Options More to feel good about. Baltimore City Public Schools 2011 Dental Options Baltimore City Public Schools Important Phone Numbers for 2011 DHMO Customer Service (410) 847-9060 or (888) 833-8464 Mailing

More information

HSTA VB Supplemental Group Number 2602

HSTA VB Supplemental Group Number 2602 HSTA VB Supplemental Group Number 2602 Dental Plan Benefits HDS. A plan that puts a smile on your face. This brochure includes a brief description of your HDS dental benefits. All benefits are governed

More information

Anthem Extras Packages

Anthem Extras Packages Anthem Extras Packages Dental, Vision and more Virginia benefits that complement your Medicare Supplement plan Packaged benefits better together Healthy teeth and eyes help contribute to your overall well-being.

More information

System Guideline Oral Health Department Clinics

System Guideline Oral Health Department Clinics System Guideline Oral Health Department Clinics MOH- Oral Health CSN System Guideline-Oral Health Department-2010 Page 1 of 13 TABLE OF CONTENTS i Administration 3 ii Acronyms 4 1.0 Introduction 5 2.0

More information

Senior Select medical and dental plans

Senior Select medical and dental plans 5 Supplemental coverage for Medicare members Senior Select medical and dental plans www.odscompanies.com Available January 1 through December 31, 2012 Welcome to ODS SeniorSelect. At ODS, we have a long

More information

OVERVIEW The MetLife Dental Plan for Retirees

OVERVIEW The MetLife Dental Plan for Retirees OVERVIEW The MetLife Dental Plan for Retirees IN NETWORK: Staying in network saves you money. 1 Participating dentists have agreed to MetLife s negotiated fees which are typically 15% to 45% below the

More information

Dental Plans YOUR GUARDIAN PLAN OFFERS:

Dental Plans YOUR GUARDIAN PLAN OFFERS: Dental Plans Option 1 or 2: With your High Plan or Low Plan plan, you can visit any dentist; but you pay less out-of-pocket when you choose a PPO dentist. COMPARE THE PLANS Option 1: High Plan Option 2:

More information

Advancing Solutions For Great Oral Health

Advancing Solutions For Great Oral Health Yale University - Group No. 4630 Dental Plan For Clerical & Technical Service & Maintenance & Yale Police Benevolent Association (YPBA) & Security Staff Advancing Solutions For Great Oral Health January

More information

Anthem BCBS PPO 80/60. Network Out-of-Network Network Out-of-Network Network Out-of-Network $1,750 per person. $2,500 per person $5,000 per family

Anthem BCBS PPO 80/60. Network Out-of-Network Network Out-of-Network Network Out-of-Network $1,750 per person. $2,500 per person $5,000 per family Plan PPO 90/70 PPO 80/60 PPO 75/50 Annual Medical Deductible Network Out-of-Network Network Out-of-Network Network Out-of-Network $250 per person $500 per person $500 per person $1,000 per person $900

More information

A Group Dental For: Florida State University Student Dental Plan

A Group Dental For: Florida State University Student Dental Plan A Group Dental For: Florida State University Student Dental Plan Coverage Effective Date: January 1, 2014 BlueDental Plans BlueDental SM plans are offered by Florida Combined Life Insurance Company, Inc.

More information

Paulding County School District Dental Plan Benefits

Paulding County School District Dental Plan Benefits Paulding County School District Dental Plan Benefits Network: PDP Plus Benefit Summary Plan Option 1 High Plan Plan Option 2 Low Plan Coverage Type In-Network Out-of-Network Coverage Type In-Network Out-of-Network

More information

Dental. Resource Guide

Dental. Resource Guide Dental 2011 Resource Guide TABLE OF CONTENTS Afforadble Dentures Children s Health Insurance Program (CHIP) College Dental Clinic Community Health Connect Medicaid Mobile-Dentistry.org Mountain Ridge Dental

More information

FACULTY (IFO) CANDIDATE BENEFITS SUMMARY

FACULTY (IFO) CANDIDATE BENEFITS SUMMARY Human Resources Office Rev. Jan. 2013 FACULTY (IFO) CANDIDATE BENEFITS SUMMARY The benefits listed are subject to change pending state and federal legislation and changes in the negotiated agreements.

More information

STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION

STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION STATE OF NEVADA Department of Administration Division of Human Resource Management CLASS SPECIFICATION TITLE GRADE EEO-4 CODE DENTAL CLINIC SUPERVISOR 29 E 10.260 SERIES CONCEPT Dental Assistants provide

More information

Schedule of Benefits International Select Gold

Schedule of Benefits International Select Gold Schedule of Benefits International The following benefits for International are subject to the Policyholder s Calendar Year Deductible and Coinsurance. For Contracts with a $10,000 or $25,000 Deductible,

More information

2007 Insurance Benefits Guide. Dental and Dental Plus. Dental and. Dental Plus. www.eip.sc.gov Employee Insurance Program 91

2007 Insurance Benefits Guide. Dental and Dental Plus. Dental and. Dental Plus. www.eip.sc.gov Employee Insurance Program 91 Dental and www.eip.sc.gov Employee Insurance Program 91 Table of Contents Introduction...93 Your Dental Benefits at a Glance...94 Claim Examples (using Class III procedure claims)...95 How to File a Dental

More information

BEMIDJI STATE UNIVERSITY FACULTY (IFO) CANDIDATE BENEFITS SUMMARY

BEMIDJI STATE UNIVERSITY FACULTY (IFO) CANDIDATE BENEFITS SUMMARY Human Resources Office May, 2014 BEMIDJI STATE UNIVERSITY FACULTY (IFO) CANDIDATE BENEFITS SUMMARY The benefits listed are subject to change pending state and federal legislation and changes in the negotiated

More information

How To Get A Free Dental Checkup At Access Community Health Centers

How To Get A Free Dental Checkup At Access Community Health Centers Welcome from Ken Loving, MD Chief Executive Officer I extend a warm welcome to you from all of us at Access Community Health Centers. We are happy that you have chosen us as your dental health partner

More information

Make the right move with your Medicare coverage.

Make the right move with your Medicare coverage. Make the right move with your Medicare coverage. Introducing Plan 65 Medicare Supplement Plans Original Medicare (Medicare Part A and Part B) alone comes with s and cost-sharing that can really add up.

More information

Plans for Families and Adults with Comprehensive Coverage Features & Benefit Details

Plans for Families and Adults with Comprehensive Coverage Features & Benefit Details Page 1 of 7 s for Families and Adults with Comprehensive Coverage Network Premier Altus Dental Participating Dentists Blue Cross PPO Dental Preferred Dentist Program Plus EPO Family EPO DentalGuard Preferred

More information

TrueCare Washington. You re not going to drill if you don t have to? THE POLICY PROVIDES DENTAL BENEFITS ONLY.

TrueCare Washington. You re not going to drill if you don t have to? THE POLICY PROVIDES DENTAL BENEFITS ONLY. You re not going to drill if you don t have to? TrueCare Washington Form No. 005IWA(8/14) Policy Form No. 001TRUE-WA(1/14) THE POLICY PROVIDES DENTAL BENEFITS ONLY. Personal care for your individual needs

More information

SMALL GROUP PLANS FOR FAMILIES AND ADULTS WITH COMPREHENSIVE COVERAGE Page 1 of 9 Features & Benefit Details

SMALL GROUP PLANS FOR FAMILIES AND ADULTS WITH COMPREHENSIVE COVERAGE Page 1 of 9 Features & Benefit Details SMALL GROUP PLANS FOR FAMILIES AND ADULTS WITH COMPREHENSIVE COVERAGE Page 1 of 9 PLAN NETWORK Premium range child under age 19* Sample premium range typical family of 4* Is this a smaller network? Is

More information

FORD DENTAL COVERAGE

FORD DENTAL COVERAGE FORD DENTAL COVERAGE HOW DENTAL COVERAGE WORKS The Trust provides dental coverage to you and your eligible Dependents. A Dental Benefits Manager, Delta Dental of Michigan, whose contact information is

More information

NAPCS Product List for NAICS 62121 (US, Mex): Offices of Dentists

NAPCS Product List for NAICS 62121 (US, Mex): Offices of Dentists NAPCS List for NAICS 62121 (US, Mex): Offices of Dentists 62121 1 Services of dentists Providing dental medical attention by means of consultations, preventive services, and surgical and non-surgical interventions.

More information

Leslie A. Hayling, Jr., D.D.S. 192 West State Street Trenton, New Jersey 08608 609-599-2800

Leslie A. Hayling, Jr., D.D.S. 192 West State Street Trenton, New Jersey 08608 609-599-2800 Leslie A. Hayling, Jr., D.D.S. 192 West State Street Trenton, New Jersey 08608 609-599-2800 As President and founder of Correctional Dental Associates and PHS Dental Services, Doctor Hayling, Jr. has successfully

More information

CHAPTER 56 DENTAL SERVICES. Division of Medical Assistance and Health Services DENTAL SERVICES MANUAL N.J.A.C. 10:56 January 20, 2004 1

CHAPTER 56 DENTAL SERVICES. Division of Medical Assistance and Health Services DENTAL SERVICES MANUAL N.J.A.C. 10:56 January 20, 2004 1 CHAPTER 56 DENTAL SERVICES 1 TABLE OF CONTENTS SUBCHAPTER 1. DENTAL SERVICES; GENERAL PROVISIONS TABLE OF CONTENTS SUBCHAPTER 1. DENTAL SERVICES; GENERAL PROVISIONS 10:56-1.1 Purpose and scope 10:56-1.2

More information

UNITED TEACHER ASSOCIATES INSURANCE COMPANY P.O. Box 26580 Austin, Texas 78755-0580 (800) 880-8824

UNITED TEACHER ASSOCIATES INSURANCE COMPANY P.O. Box 26580 Austin, Texas 78755-0580 (800) 880-8824 UNITED TEACHER ASSOCIATES INSURANCE COMPANY P.O. Box 26580 Austin, Texas 78755-0580 (800) 880-8824 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BASIC AND EXTENDED BASIC PLANS The Commissioner of

More information

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE The dental plan features a deductible. This is an amount the Enrollee must pay out-of-pocket before Benefits are paid. The

More information

MetLife Group Dental Insurance

MetLife Group Dental Insurance The University of Alabama at Birmingham Dental Plan Benefits For the savings you need, the flexibility you want and service you can trust. Comprehensive Plan Plan Option 2 Benefit Summary Coverage Type

More information

Applicant: (check one) Fee. Is a Non-Profit entity applying for Mobile Dental Facility Permit. $250.00

Applicant: (check one) Fee. Is a Non-Profit entity applying for Mobile Dental Facility Permit. $250.00 West Virginia Board of Dentistry 1319 Robert C. Byrd Drive Mobile Dental Facility PO Box 1447 or Portable Dental Unit Crab Orchard, WV 25827 Permit Application Phone: (304)252-8266 Fax: (304)253-9454 Email:

More information

Taylor Dental Assisting School Course Description

Taylor Dental Assisting School Course Description Taylor Dental Assisting School Course Description Entry Level Dental Assisting The Entry Level Dental Assisting Course is divided into Twenty Six (26) modules of four hours each. Total time is One Hundred

More information

PHYSICIANS RECIPROCAL INSURERS 1800 Northern Boulevard P.O. Box 9007 Roslyn, NY 11576. (516) 365-2855 Toll Free: (888) 526-4006 THE EXCHANGE

PHYSICIANS RECIPROCAL INSURERS 1800 Northern Boulevard P.O. Box 9007 Roslyn, NY 11576. (516) 365-2855 Toll Free: (888) 526-4006 THE EXCHANGE PHYSICIANS RECIPROCAL INSURERS 1800 Northern Boulevard P.O. Box 9007 Roslyn, NY 11576 (516) 365-2855 Toll Free: (888) 526-4006 THE EXCHANGE APPLICATION FOR DDS/DMD INDIVIDUAL PROFESSIONAL LIABILITY COVERAGE

More information

Olentangy Local School District Dental Plan Benefits

Olentangy Local School District Dental Plan Benefits Olentangy Local School District Dental Plan Benefits For the savings you need, the flexibility you want and service you can trust. Benefit Summary Coverage Type PDP In-Network Out-of-Network Type A cleanings,

More information

Your Preferred Dental Organization Member Handbook Dentist Directory

Your Preferred Dental Organization Member Handbook Dentist Directory Your Preferred Dental Organization Member Handbook Dentist Directory & FOR Delta Dental of Tennessee provides benefits that are easy to use. See inside for details on how your dental plan can help protect

More information

Guidelines for Providing Dental Services in Skilled Nursing Facilities

Guidelines for Providing Dental Services in Skilled Nursing Facilities Guidelines for Providing Dental Services in Skilled Nursing Facilities March 2013 The following information was adapted from a publication of the Center for Oral Health 1. It was compiled to assist skilled

More information

HEALTH CARE BENEFIT HIGHLIGHTS

HEALTH CARE BENEFIT HIGHLIGHTS HEALTH CARE BENEFIT HIGHLIGHTS Dear UAW Trust Member, ADDENDUM TO THE BENEFIT HIGHLIGHTS, SCHEDULE OF BENEFITS, AND SUMMARY PLAN DESCRIPTION PREVIOUSLY PUBLISHED. 2015 The UAW Retiree Medical Benefits

More information

SECTION F DENTAL BENEFITS

SECTION F DENTAL BENEFITS SECTION F DENTAL BENEFITS Section Page Eligibility... F. 1 Benefit Year... F. 1 What is Covered... F. 1 Highlights of the Program... F. 2 Orthodontic Treatment... F. 3 Procedures for Obtaining PPO Services...

More information

OUTLINE OF COVERAGE HEALTH NET LIFE INSURANCE COMPANY INDIVIDUAL MEDICARE SUPPLEMENT OPTIONAL SUPPLEMENTAL BENEFITS GUIDE

OUTLINE OF COVERAGE HEALTH NET LIFE INSURANCE COMPANY INDIVIDUAL MEDICARE SUPPLEMENT OPTIONAL SUPPLEMENTAL BENEFITS GUIDE OUTLINE OF COVERAGE HEALTH NET LIFE INSURANCE COMPANY INDIVIDUAL MEDICARE SUPPLEMENT OPTIONAL SUPPLEMENTAL BENEFITS GUIDE Health Net Life Insurance Company Individual Medicare Supplement plans provides

More information

BEMIDJI STATE UNIVERSITY BENEFITS SUMMARY for ADMINISTRATORS

BEMIDJI STATE UNIVERSITY BENEFITS SUMMARY for ADMINISTRATORS Human Resources BEMIDJI STATE UNIVERSITY BENEFITS SUMMARY for ADMINISTRATORS The benefits listed are subject to change pending state and federal legislation and MnSCU Board Regulations. For further information

More information

MyHPN Solutions HMO Silver 4

MyHPN Solutions HMO Silver 4 MyHPN Solutions HMO Silver 4 Attachment A Schedule Calendar Year Deductible (CYD): $2,250 of EME per Member and $4,500 of EME per family. The Calendar Year Out of Pocket Maximum includes the CYD and is

More information

DESCRIPTION OF SERVICES AND DISCLOSURE FORM

DESCRIPTION OF SERVICES AND DISCLOSURE FORM The following is a Description of the discount dental plan available to you and your family members through Coastal Dental, Inc. The Description completely describes the plan and your rights under the

More information

MedStar Family Choice Benefits Summary District of Columbia- Healthy Families WHAT YOU GET WHO CAN GET THIS BENEFIT BENEFIT

MedStar Family Choice Benefits Summary District of Columbia- Healthy Families WHAT YOU GET WHO CAN GET THIS BENEFIT BENEFIT Primary Care Services Specialist Services Laboratory & X-ray Services Hospital Services Pharmacy Services (prescription drugs) Emergency Services Preventive, acute, and chronic health care Services generally

More information

Colorado Medical Assistance Program

Colorado Medical Assistance Program Colorado Medical Assistance Program Colorado Department of Health Care Policy & Financing Using General Fund Dollars to Expand Medicaid Access Amy Scangarella Children s s Policy Specialist Using General

More information

How To Get A Ppo Plan In Texas

How To Get A Ppo Plan In Texas Aetna Dental Plan Dental Benefits Summary With PPOII Network Participating Non-participating Annual Deductible* Individual $100 $125 Family $300 $375 Preventive Services 100% 80% Basic Services 80% 70%

More information

Section. Dental Benefits

Section. Dental Benefits Section F Dental Benefits Section Page Eligibility...F. 1 Benefit Year...F. 1 What is Covered...F. 1 Highlights of the Program...F. 2 Orthodontic Treatment...F. 3 Procedures for Obtaining PPO Services...F.

More information

Case Study Case Study Case Study Case Study Case Study

Case Study Case Study Case Study Case Study Case Study Starting a Dental Project Using the Clinic Model I.M. Sulzbacher Clinic A report written by organizers of volunteer-based health care programs serving the uninsured. INDEX THE IDEA...3 Funding... 4 Facility

More information

2016 Group Dental Member Handbook. For active employees and retirees BENEFITS. State of Tennessee

2016 Group Dental Member Handbook. For active employees and retirees BENEFITS. State of Tennessee 2016 Group Dental Member Handbook For active employees and retirees BENEFITS State of Tennessee Revised on 4/19/2016 Welcome! Why is having a good Dental plan so important? Because a healthier smile can

More information

Employee Benefits. Health Insurance

Employee Benefits. Health Insurance Employee Benefits The Taylor County Board of Education is dedicated to hiring and retaining employees who are committed to excellence in education. We reward our employees by providing a competitive salary

More information

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES *You may refuse to sign this acknowledgement* I, have received a copy of this office s Notice of Privacy Practices. Please Print Name Signature

More information

AN ACT RELATING TO DENTISTRY; CHANGING THE LICENSING OF DENTISTS AND DENTAL HYGIENISTS BY CREDENTIAL; EXPANDING THE SCOPE OF PRACTICE OF DENTAL HYGIENISTS. BE IT ENACTED BY THE LEGISLATURE OF THE STATE

More information

HDHP/HSA. $3,000 per person $6,000 per family (deductible includes medical & prescriptions) $7,000 per person $13,000 per family

HDHP/HSA. $3,000 per person $6,000 per family (deductible includes medical & prescriptions) $7,000 per person $13,000 per family Plan Aetna Select EPO BCBS PPO 90/70 BCBS HDHP/HSA High Option EPO EPO 80 Choice Choice Plus 80/60 Annual Medical Deductible Annual Out-of-Pocket Maximum (includes deductible) Network Only Network Out-of-Network

More information

ADA Dental Claim Form (2012 American Dental Association) Completion Instructions Page 1 of 17

ADA Dental Claim Form (2012 American Dental Association) Completion Instructions Page 1 of 17 Page 1 of 17 Introduction The ADA Dental Claim Form has been revised to incorporate key changes to the HIPAA standard electronic dental claim transaction. This version of the form, front and reverse sides,

More information

Dental plans to smile about

Dental plans to smile about Dental plans to smile about Individuals and families Plans available Jan. 1, 2015, through Dec. 31, 2015 Alaska 4 Together, we can find a way to better health. Dental plans Dental coverage for your total

More information

HumanaOne. Optional benefits. Add extra benefits to your medical plan

HumanaOne. Optional benefits. Add extra benefits to your medical plan HumanaOne Optional benefits Add extra benefits to your medical plan Dental Protect your healthy smile with affordable, easy-to-use optional dental benefits from one of the nation s largest dental insurers.

More information

Humana Health Plans of Florida. Important:

Humana Health Plans of Florida. Important: Humana Health Plans of Florida Important: Dental discount membership in Florida is determined by viewing the member s ID card and verifying that the Humana Logo and Medicare name is listed with an effective

More information

D-SNP Benefits. A Quick Guide to Understanding the AmeriHealth VIP Care D-SNP Benefits

D-SNP Benefits. A Quick Guide to Understanding the AmeriHealth VIP Care D-SNP Benefits D-SNP Benefits A Quick Guide to Understanding the AmeriHealth VIP Care D-SNP Benefits Benefits Why AmeriHealth VIP Care Was Created The dual-eligible special needs Medicare Advantage plan, AmeriHealth

More information