An EOB explains the services performed during your visit and the associated cost details. 471. pdf Author: PanglB01 Created Date: 4/8/2021 8:04:54 AMDominionNational. , visitA guide to your dental benefits: Base Level Point-of-Service Plan Your dental plan emphasizes healthy smiles through the prevention and early detection of dental problems to avoid costly procedures in the future. That means you have your choice of convenient private dental offices where you can receive care. which they turn 19—you pay a $10 fee for each. DOMINION NATIONAL AND KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. 1. The forms are available by contacting our Provider Relations Department at 888. To select a participating dentist or for information about a dentist, including office hours, directions, languages spoken, etc. Know exactly what you'll pay upfront. All participatingA guide to your dental benefits: Second Level Point-of-Service Plan Your dental plan emphasizes healthy smiles through . Quality dental care You can be confident that your dentist was carefully selected to offer quality care. Out-of-plan . of many dental plans. The Adult Dental HMO Plan provides coverage for more than 250 dental procedures through one of the largest dental provider networks. Choose a dentist You may select any general dentist from among our participating dental providers for yourself and/ or eligible family members. (Dominion) and Dominion National Insurance Company (DNIC), licensed issuers of dental plans, and Dominion Dental Services USA (DDSUSA), a licensed administrator of dental and vision benefits. , visitgeneral dentist for your child. 2101 E. 2101 E. Your plan provides coverage—or access to a fixed fee schedule for certain non-covered dental services— for more than 250 dental procedures through one of the largest dental provider networks. 1 in the Mid-Atlantic area. An EOB is not a bill, but should be retained for tax purposes. You have your choice of convenient private dental offices where you can receive care. All participating dentists go through a strict qualityin their area. Each eligible family member may use a different participating dentist. All participating dentists go through a strict quality assurance program developed in accordance with the National Association of Dental Plans’ recommendations. (DDSI). You pay a $10 copayment for each office. 1. 888. If you are self-employed, do not have a dental or vision benefit offered by your employer, or are looking for additional benefits, Dominion National’s Teethkeepers program offers dental benefits and vision benefits directly to individuals. , visitthe prevention and early detection of dental problems to avoid costly procedures in the future. 2101 E. For a list of participating dentists or information about a dentist, including office hours, directions, languages spoken, etc. When you choose an in-plan dentist, your out-of-pocket expenses are lower. You may select any general dentist from among our network of participating dentists. , Rockville, MD 20852 2020AR1137 MAS 10/1/20-9/30/21. Quality dental care You can be confident that your dentist was carefully selected to offer quality care. Quality dental care. (DDSI). 2101 E. com/kaiserdentists or call Dominion Member Services at 855-733-7524 (TTY 711), Monday through Friday, 7:30 a. MD-PPO 1-DEN-FEE-SCHEDULE(01-20) 100/80/5 0to see an in-plan dentist from one of the largest dental provider networks. See DHMO Pediatric plan for more information. , visitChoose a dentist . All participating dentists go through a strict quality assurance program developed in accordance with the National Association of Dental Plans’ recommendations. New Address 9114 Philadelphia Rd Baltimore, MD 21237 Dr. Adult $30 Preventive and Cosmetic Dental Plan . Expand Your Dental Health Plan Offerings to Kaiser Permanente Health Plan Members. 1 in the Mid-Atlantic area. With the Second Level Point-of-Service (POS) plan, you have the freedom and flexibility to see any dentist inside or outside of the plan network. Maximum Access, Convenience and Flexibility Dominion National members have access to a. An EOB explains the services performed during your visit and the associated cost details. 30 per month2. Make appointments. Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. 2. 2 You have your choice of convenient dental offices . , Rockville, MD 20852 2020MC0915 MAS 9/1/20-8/31/21 Title Pediatric HMO ML Dental Flyer 2021Kaiser Permanente® | Total Cosmetic Dental Services™ Back to Home. With our Dental POS Plan, you have the freedom to see any licensed dentist inside or outside of the plan. Please contact the dental office before seeking services to confirm the provider and facility are actively participating in the network servicing your plan. These negotiated rates are reflected in the fee schedule as fixed fees. You may select any general dentist from among our network of participating dentists. For children—through the end of the month in which they turn 19—you pay a $10 fee for eachChoose a dentist In-plan dental providers You may select any general dentist from among our network of participating dentists. Annapolis . to avoid costly procedures in the future. View Your Plan Information. Please contact the dental office before seeking services to confirm the provider and facility are actively participating in the network servicing your plan. 5338. in the Mid-Atlantic area. , Rockville, MD 20852 2020MC0921 MAS 9/1/20-8/31/21 Title Adult HMO MD and VA SG Dental Flyerto see an in-plan dentist from among one of the largest dental provider networks. The Discount Program is. When you choose an in-plan dentist, your out-of-pocket expenses are lower and there are no claims to submit. Create New Account. 8849 or mail it to Dominion National; Attn: Member Services Department; 251 18th Street South, Suite 900; Arlington, VA 22202. Plans can be employer-paid or voluntary, custom-tailored for specific needs, or simple off-the-shelf products. 1. Vision Plans are underwritten by DDSI in all other states where Dominion National operates. The Adult Dental HMO Plan provides coverage for more than 250 dental procedures through one of the largest dental provider networks. in the Mid-Atlantic area. This Adult $30 Preventive Dental and Cosmetic Dental Plan includes (a) coverage for preventive dental benefits forThe Dominion National Group of companies includes Dominion Dental Services, Inc. Claims can be filed electronically, faxed to 833. 251 18th Street, Suite 900 . If you have any questions please contact our Member Service Department at 888. , Rockville, MD 20852 2021MC0974 MAS 8/31/21-12/31/22Quality dental care You can be confident that your dentist was carefully selected to offer quality care. Make appointments. 2. 1939 or mailed to: Dominion National. Each eligible family member may use a different participating dentist. The Discount Program is. MD-SG-PED-DENTAL-FEE(01-20) Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Choose a dentist In-plan dental providers You may select any general dentist from among our network of participating dentists. For children—through the end of the month in which they turn 19—you pay a $10 fee for eachChoose a dentist. You can be confident that your child’s dentistA guide to your dental benefits: Small Group Adult PPO 1 and PPO 3 (Maryland) Your dental plan emphasizes healthy smiles through the prevention and early detection of dental problems . (Dominion) and Dominion National Insurance Company (DNIC), licensed issuers of dental plans, and Dominion Dental Services USA (DDSUSA), a licensed administrator of dental and vision benefits. In-plan . dentists go through a strict quality assurance program developed in accordance with the National Association of Dental Plans’ recommendations. That means you have your choice of convenient private dental offices where you can receive care. That means you have your choice of convenient private dental offices where you can receive care. 85. This process confirms that each dentist has the required credentials. Please contact the dental office before seeking services to confirm the provider and facility are actively participating in the network servicing your plan. To minimize administrative inquiries to your office, our groups and members are given password-protected online access to their accounts. 2 Or, if you prefer, you can visit any other licensed dentist not in the plan to receive your care. There is no separate dental ID card. an in-plan dentist from among one of the largest dental provider networks. You can be confident that your in-plan dentist was carefully selected to offer quality care. Jefferson St. , Rockville, MD 20852 2020MC0928 MAS 9/1/20-8/31/21 Title Plus Level POS ML Dental FlyerChoose a dentist . 1. Quality dental care You can be confident that your dentist was carefully selected to offer quality care. All participating dentists go through a strict qualityinformation about participating dental providers in your area or to help you select a dental provider. 1 In-plan You pay low copayments for preventive care procedures, such as: • Oral evaluations • Routine cleaning • Certain X-rays • Topical fluoride Out-of-plan You pay the dentist the charged amount and submit a claim form to Kaiser Permanente for reimbursement. , visit . Dominion National, incorporated in 1996 and headquartered in Arlington, VA. Subscriber: John Sample Claim ID: 20181888888888 Master Claim Number:. Including: A broad network of dentists in MD, DC and VA to choose from, Savings of up to 75% off preventive and cosmetic dental procedures1, No surprises. This program also includes ixed fees for certain dental services that are not covered beneits. For a list of participating dentists or information about a dentist, including office hours, directions, languages spoken, etc. (HEREAFTER KAISER PERMANENTE). com. All participating dentists go through a strict quality assurance program developed in accordance with the National Association of Dental Plans’ recommendations. Vision Plans are underwritten by DDSI in all other states where Dominion National operates. The Plus Level POS plan provides coverage for moreQuality dental care You can be confident that your dentist was carefully selected to offer quality care. Brandywine . (HEREAFTER KAISER PERMANENTE) ARE WORKING TOGETHER TO HELP YOU AND YOUR FAMILY BE WELL, LIVE WELL,. You can be confident that your in-plan dentist was carefully selected to offer quality care. 1. treatment typical of many dental plans. 1. Services received from non-participating dentists are not covered. Preventive Dental Plan When you enroll in a Kaiser Permanente Medicare health plan, you automatically receive preventive dental coverage through Dominion National (Dominion). Make sure you bring your child’s Kaiser Permanente medical ID card to your appointment. the prevention and early detection of dental problems . Annual Out -of-Pocket Maximum:Dental directory. Make sure you bring your Kaiser Permanente medical ID card to your appointment. or outside of the plan network. This includes: • Oral exams, up to two per yearA guide to your dental benefits: Small Group Adult PPO 1 and PPO 3 (Maryland) Your dental plan emphasizes healthy smiles through the prevention and early detection of dental problems . (DDSI). 62 Clinics . Get the Most Out of Your Dental Coverage with the MyDominion Mobile App. Please complete the appropriate application and provider agreement (s) below based on your state of business and the network (s) you are interested in joining. 2101 E. 4. With the Base Level Point-of-Service (POS) plan, you . You have your choice of convenient private dental offices where you can receive care. Adelphi . When you choose an in-plan dentist, your out-of-pocket expenses are lower. , Rockville, MD 20852 2020MC1557 MAS 10/1/20-12/31/21 In the event of ambiguity, or a conflict between this summary and the Certificate of Coverage, the Certificate of Coveragea plan dentist, your out-of-pocket expenses are lower and there are no claims to submit. DOMINION NATIONAL IS A LEADING INSURER AND ADMINISTRATOR OF DENTAL AND VISION BENEFITS. network of participating dentists. 2. com. 518. For a list of participating dentists or information about a dentist, including office hours, directions, languages spoken, etc. Quality dental care. She believes in listening to each patient and creating a. You may choose to see an in-plan dentist from one of the largest dental providera plan dentist, your out-of-pocket expenses are lower and there are no claims to submit. Arlington, VA 22202 . Welcome to the Dominion National Provider Portal. To report inaccurate information in the provider directory, please contact us by email at [email protected]. , and administered by Dominion National. English English Español Dental Knowledge . For a list of participating dentists or information about a dentist, including office hours, directions, languages spoken, etc. When you choose an in-plan dentist, your out-of-pocket expenses are lower. Dr. to avoid costly procedures in the future. 2020 Schedule of Dental Fees. Rates start at just $7. 5338. All participating dentists go through a strict quality• Kaiser Permanente Medicare Advantage Standard and High MD (HMO-POS) • Kaiser Permanente Medicare Advantage Value, Standard, and High DC (HMO-POS) • Kaiser Permanente Medicare Advantage Value, Standard, and High VA (HMO-POS) For the best experience, see any provider that accepts Medicare . For a list of participating dentists or information about a dentist, including office hours, directions, languages spoken, etc. For a list of participating dentists or information about a dentist, including office hours, directions, languages spoken, etc. dominionmembers. 518. You may select any general dentist from among our participating dental providers for yourself. have the freedom and flexibility to see any dentist inside . Make sure you bring your Kaiser Permanente medical ID card to your appointment. A guide to your dental benefits: Small Group Adult PPO 1 and PPO 3 (Maryland) Your dental plan emphasizes healthy smiles through the prevention and early detection of dental problems . com. Procedures not shown in this list are not covered. Dentist Resources. Dr. POS/PPO Members should be charged according to the plan’s “POS. com or by phone at 888. All participating dentists go through a strict quality assurance programCompetitive rates - Starting at $7. 2101 E. You can visit the DOMINION Dental website to find a general dentist or a dental specialist. With the Total Cosmetic Dental Services Program™, you'll enjoy great benefits. Kaiser Permanente has entered into an agreement with DOMINION. For children—through the end of the month in . 2101 E. in the Mid-Atlantic area. , Rockville, MD 20852 2020MC0919 MAS 9/1/20-8/31/21 Title Adult POS 1 and 3 (VA) SG Dental FlyerAll participating dentists go through a strict quality assurance program developed in accordance with the National Association of Dental Plans’ recommendations. Choose a dentist In-plan dental providers You may select any general dentist from among our network of participating dentists. 5338. Each eligible family member may use a different participating dentist. P. high cost of treatment typical of many dental plans. The most up-to-date list of participating dental providers can be found online. You pay a $10 copayment for each office. The Plus Level POS plan provides coverage for moreAll participating dentists go through a strict quality assurance program developed in accordance with the National Association of Dental Plans’ recommendations. You may select any general dentist from among our participating dental providers for yourself. Back to FAQS. , and administered by Dominion National. Applicants will receive consideration for employment without regard to sex, gender identity, sexual. We encourage you to review the Plan and become familiar with the exclusions and limitations to ensure appropriate billing to the member. A Dominion representative will explain the details, coordinate the delivery of our provider manual and specialty care guidelines and answer any questions you have regarding this program. Dentist. You may choose to see an in-plan dentist from one of the largest dental provider networks. Dominion Dental Services USA, Inc. The. 2020 PPO 3 Dental Fee Coverage Schedule.