 Duke has an expanded network of providers who have agreed to accept usual and
customary (U&C) for covered services. Under the dental plans, participants are still
able to visit any licensed dentist. You can find a network provider by calling Ameritas
at 1-800-487-5553 or by visiting the
Ameritas web site.
Duke offers you a choice of two plans, depending on the level of coverage you and your family may need. Both plans cover preventive, basic, and major
services, but they differ in how they pay for covered services. Under each plan, you can visit any licensed dentist. Duke's dental plans are available to retirees
who have continued their dental insurance in retirement.
Please refer to the Dental Plan Comparison Chart and the
Dental Plan Premiums for further details. For
more information, please see the Dental Care Plan
Description (PDF).
Coverage
Dental plan members who visited the dentist and had at least one dental claim filed
in calendar year 2009, with less than $500 in claims payments, will have their annual
maximum benefit increased by $250 in 2010. This accumulation can continue until
the annual maximum has increased on Plan A from $1,000 to $2,000, or on Plan B, from
$750 to $1,750.
If you would like to review a copy of the fee schedule for Plan B, please visit the Ameritas web site at
www.ameritasgroup.com/duke. If
you are not currently enrolled for dental coverage through Duke and plan to
enroll for 2010, you will be considered a "late entrant" and your benefits
during the first six months of coverage will be limited to one preventive care
exam (not including X-rays), one cleaning, and, for children under age 19, one
fluoride application. If you are switching between plans, this six-month waiting
period does not apply. The waiting period also does not apply if you enroll a
child within 30 days of their second birthday.
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