Dental Benefit Summary

Benefits are available only at the plan’s participating dental offices. You choose from among our network of over 3,500 general dentists and specialists throughout New York State. To find a dentist by zip code click here.

Your participating provider will submit claims on your behalf.

Payments by the plan are subject to the following terms:

Diagnostic and Preventive Services are covered in full with no deductibles!
    Periodic oral exam once every six months!
    Cleaning once every six months!

Restorative, Endodontic and Oral Surgery Services are covered as shown in The Schedule of Member Payments.
    Most fillings covered at no charge*!
    Anterior (front) root canal at no charge*!
    Other root canals and surgical procedures at deeply discounted rates!

Orthodontic Services are covered as shown in the Schedule of Member Payments.

Any service that is not covered by Dentcare can be rendered by any participating provider at the reduced Healthplex PPO Schedule of Member Payments.

Individual Deductible for certain listed services*:
         · $50.00 year one
         · $25.00 year two
         · $0.00 year three

Family Deductible for certain listed services*:
         · $150.00 year one
         · $75.00 year two
         · $0.00 year three

Individual Maximum Benefit: $2,000.00 (annually)

* Procedures with an asterisk (*) in the payment schedule are subject to a low deductible.

Contact our Customer Service Department with questions about “Club "A" Dental Plan” at 800-468-0466.
Mon – Fri 9:00 AM - 5:00 PM EST