Q:

How do you find dentists that participate in Dentcare?

A:

Quick Answer

By using the Healthplex website, members can enter a policy group number to find Dentcare participating dentists. Alternatively, by utilizing Dentcare's fee-for-service plans, subscribers may go to any dentist for service, regardless of network.

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Full Answer

Dentcare Delivery Systems, Inc. is a licensed member of the New York State Insurance Department's Health Services Corporation. It is licensed under Article 43 of the Insurance Law in the state of New York. Dentcare's administration services are provided by Healthplex, Inc. It is a member of the New York Alliance Against Insurance Fraud, Inc. Dentcare offers both fee-for-service plans and managed care plans.

Under the fee-for-service plans, the subscriber uses an allowance for dental services at any dentist.The subscriber has the choice of using a fixed schedule of benefits or a reimbursement plan that utilizes a system of percentages to determine reimbursement protocol based upon standard and reasonable expenses incurred. Several options are included in the fee-for-service plans, which include deductibles, coinsurance percentages, maximums, predetermination and assignment of benefits.

Managed care plans give benefits for preventative maintenance than the fee-for-service plans, opting to include most dental services, including prosthetics and orthodontic treatments. Several services under the managed care plans come at no cost to the subscriber, while others may require a copay at the time of service. Managed care subscribers may enjoy having no deductibles, maximums, waiting periods or claim forms. Managed care plans are not accepted by all dental providers. Subscribers can find a participating dentist on the Healthplex website.

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