Member pays dentist the contracted reduced fee. Generally the lowest cost dental option available. Insurance carrier pays claims. You still have the option of using a non-PPO dentist. Direct Reimbursement Use any dentist.
Employer reimburses employees dental bills based on a schedule of payment.
We provide direct reimbursement administrative services. Dual-Choice Employees have the choice between DHMO and PPO or indemnity plan. Self-Funded Employer offers indemnity type coverage and assumes the risk of paying claims.