Postdoc Dental Insurance

The Ameritas Fusion dental plan features:
 

  • 100% coverage for preventative care, like exams and 4 cleanings/plan year

  • 80% coverage for procedures like fillings

  • 65% coverage for more involved procedures, like crowns

  • TMJ coverage

  • Orthodontic for adults and coverage for children to age 19

  • $2250 calendar year maximum--you can use $150 of this toward any remaining vision materials costs after EyeMed vision insurance is applied

  • Reimbursement for out-of-network benefits will be based on the 95th percentile of “reasonable and customary” charges (see description for details).

 

There's no deductible when you see an in-network dentist (a once per year deductible applies for out-of-network providers: $75 for individuals and an aggregate $225 for families.)

 

Please review the plan full description before utilizing the coverage.

Please note: starting 9/1/20, the benefits plan year is 9/1-8/31 meaning your dental plan year maximum renews each 9/1, as does any responsibility to pay a deductible. 

Who can be covered?

Eligible postdocs who are employed at least half-time, their dependent spouses, same and opposite sex domestic partners, and children up to age 26.  No other family members are eligible for coverage under the plan.

Finding a dentist

You can search for an in-network Ameritas dentist in any zip code.  When prompted, our network is Classic PPO Plus. You can also call Customer Connections department at 800 - 487 - 5553.

 

Click here for a sample list of in-network dentists near Amherst.

Click here for a sample list of in-network dentists near Greenfield.​

Click here for a sample list of in-network dentists near Springfield.

You should always confirm that your dentist or facility is participating in our network at the time you make your appointment.

Dental Providers Outside the US

For dental or vision service needs outside the USA, call AXA Assistance USA, Inc. (AXA) at 866-662-2731 (toll free) or 312-935-3727 (collect call) for a referral. Providers referred by AXA are not members of the Ameritas and Ameritas Life Insurance Corp. of New York (Ameritas of New York) PPO Network. Referral to an AXA provider is not a guarantee of benefits, and all policy provisions and limitations would apply.

 

Note: These provider referral assistance services are independently offered and administered by AXA. Ameritas and Ameritas Life Insurance Corp. of New York and its affiliates and subsidiaries do not participate in the selection of these dental and vision service providers and do not oversee or monitor AXA's performance of these services. Additionally, Ameritas and Ameritas of New York do not warrant or guarantee or make any representation as to the quality of the services provided by AXA or by any dental or vision service provider referred by AXA.

Important to Note!
Relevant Plan Documents

Click here for the Ameritas Claim Form and send claims to:
Group Claim Office
PO Box 82520
Lincoln, NE 68501
Fax: 402-467-7336

Using your benefits is easy! Register at https://www.ameritas.com/service/login.asp where you can access your claims information, estimations of benefits and use their Dental Cost Estimator.

Click here for the Ameritas Coordination of Benefits Policy.

Cost

The dental plan is free for eligible individuals. Family plans are available with a premium contribution.  The Trust Fund subsidizes the cost of the single+1 and family plan to ensure the employee premiums are affordable. 

 

single plan: FREE

single + 1 plan: (you + a spouse/partner or 1 child): $13.50/month

family plan: (you + multiple dependents): $27.00/month

Using Benefits Out-of-Network

While you maximize your benefits when seeing an Ameritas dentist, you can still choose to go out-of-network. Reimbursement for your out-of-network benefits are based on the 95th percentile of “reasonable and customary” charges (see description for details).

Using the Fusion Vision Benefit

Your Ameritas dental plan allows you to use up to $150 of your $2250 plan year maximum to reimburse any out-of-pocket vision materials costs not already covered by your EyeMed vision plan.

You can submit a claim, including a copy of your receipt, for reimbursement up to your vision plan benefit. Claims should be
submitted within 90 days. Click here for the claim form.

It's important to ask your dentist for a pre-treatment estimate prior to having procedures beyond basic cleanings.  That way, you'll know in advance exactly what portion of the costs your benefits will cover and what you will be required to pay out of pocket.

 

The dental plan will renew on 10/1/20 and thereafter, on each subsequent 10/1. This also means your once per year deductible must be paid again once the calendar year begins anew.

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