DISABILITY 34 HEALTH AND WELLNESS Dental For the many things in life worth smiling about For your dental health, you may choose to enroll in the Scripps Dental Plan or the Dental Buy-up option. The Dental Buy-up option includes enhanced coverage for in-network major services, coverage for implants, a higher annual benefit maximum, and a higher orthodontia lifetime maximum. You have the flexibility to visit any dentist. However, for most covered services you will pay less out-of-pocket if you use an Anthem Dental Complete network dentist. You do not need to be enrolled in a medical plan in order to select dental benefits. Your coverage category for dental may be different from the choice you made for medical. Using Dental Benefits Anthem Dental Complete Network Dentists Anthem Dental Complete network dentists have agreed to provide services at discounted or negotiated fees. This means savings for you by getting the most out of your annual benefit at the lowest out-of-pocket costs. You are not responsible for any charges that exceed the negotiated fee. To find a network provider, visit the dental page at MyScrippsHealthPlan.com. All Other Dentists Benefits for services from out-of-network providers are based on usual, customary, and reasonable charges. You may be charged for any amount which exceeds usual, customary, and reasonable charges in your geographic area. Any amounts which exceed usual, customary, and reasonable charges are in addition to your deductible and coinsurance amounts for eligible dental services. Quick Facts ELIGIBILITY/ENROLLMENT • F ull-time and part-time benefit-eligible employees are eligible the first of the month following 60 days of employment; must enroll within 60 days of hire • D epartment Directors and above, Fellows and Residents are eligible the first day of employment; must enroll within 31 days of hire OPTIONS • Scripps Dental Plan • Dental Buy-up Option COVERAGE TIERS • Employee only • Employee plus adult • Employee plus child(ren) • Employee plus adult & child(ren) OPEN ENROLLMENT/MID-YEAR CHANGES • Current employees can make changes during the Open Enrollment period or within 31 days of a Qualifying Life Event • Enroll or make changes online using the benefits web enrollment system RESOURCES • Member Services – 844-852-1561: eligibility and claims, find dental network providers • MyScrippsHealthPlan.com: Summary Plan Document (SPD), dental provider finder • Scripps HR Service Center – 858-678-MyHR (6947): to report a Qualifying Life Event during the year, general questions You can reduce your out-of-pocket dental costs by choosing Anthem Dental Complete network dentists.
RkJQdWJsaXNoZXIy NzQzMzY=