How to Enroll
How the Plan Works
What the Plan Pays
Pre-Authorization
Orthodontics
Dentistry
Filing Claims
Special Provisions
Missed/cancelled Appointments
Dental Emergencies
Limitations
Exclusions
Contact Us
Dental Fee Schedule
Participating Dental Providers
 
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For Eligible Participants of the UFCW Local 1776 and Participating
Employers Health and Welfare Fund


The Dental Plan is designed to promote optimum dental health by providing comprehensive coverage for diagnostic and preventive care. The Dental Plan also provides supplementary coverage for restorative care (fillings), periodontics (gum treatments), endodontics (root canal), orthodontics (braces), and oral surgery. Please review your Summary Plan Description or call the Fund Office to determine whether you are eligible for Family or Single (you only) Dental Benefits. If you are covered under any other dental plan, check the section titled "Coordination of Benefits" to see how to submit your dental claims.

The Fund has retained Miquon, Inc. to develop a network of dentists and to provide consulting services for the Dental Plan. You may choose to use the network or you may use any dentist of your choice. Because the dentists have agreed to provide services at contract rates and agreed not to balance bill you except as provided in their contract with the Fund, your cost will be lower if you elect to use a network dentist. Enrollment changes cannot be approved if there are any unpaid balances with a participating dental office.

For a current list of participating dental providers or a dental fee schedule, please contact the Fund office.