Dental
We are pleased to offer two dental plan options, the Simple Standard Plan and the Simple Premium Plan, administered by 90 Degree Benefits. The Simple Dental plan options are unique and very easy to use and understand. The key features of your dental plan options are:
- All procedures are covered except for cosmetic procedures.
- Cosmetic procedures include but are not limited to veneers, bleaching/whitening services.
- Orthodontia is excluded on the Standard Plan.
- There are no frequency limits for your services.
The Simple Dental plans provide coverage without worrying about a network. You can see any dentist you like, and benefits are paid based on a schedule.
Below are benefit summaries for the Standard and Premium plan options.
| Dental Coverage | Standard Plan | Premium Plan |
|---|---|---|
|
Plan Pays
|
100% of the first $250 Then, 50% of the remaining $3,000 | 100% of the first $300 Then, 50% of the remaining $4,400 |
|
Calendar Year Maximum (per person)
|
$1,750 per person | $2,500 per person |
|
Orthodontia; adults and children
|
Not Covered | Included |
Late Entrant Information
If you waive dental coverage, and wish to elect it in the future, for example, as a result of a Qualifying Life Event or at Open Enrollment, your benefits will be reduced. Below are the benefits for Late Entrants.
Standard Plan Late Entrant Benefit:
- 50% of the first $1,500
- Calendar Year Maximum: $750
Premium Plan Late Entrant Benefit:
- 50% of the first $2,000
- Calendar Year Maximum: $1,000
Claims Administration
Many dentists file claims with Simple for your convenience. Many providers are familiar with Simple Dental Plans. However, if your provider is unable to file your dental claims, you may provide an itemized receipt to Simple for processing. Mail to Simple, 2810 Premiere Parkway, Suite 400, Duluth GA 30097.
The Importance of Preventive Dental Care
We encourage all employees to obtain regular oral exams and cleanings for several reasons. Poor oral health can lead to conditions such as heart attacks and strokes. Preventive dental visits can help identify conditions like oral cancer, which is treatable when detected early.
Sample ID Card
Member Portal
As a Simple Dental Plan member, you’ll receive access to a member portal. The dental plans are administered by 90 Degree Benefits. This means that 90 Degree Benefits manages the plan eligibility and claims. You can review your annual benefits, claims information, plan documents, and covered dependents on the portal, and a convenient mobile app is also available. You can access the member portal here.
