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HORIZON DENTAL
HORIZON DENTAL
Open enrollment annually in May
There are three dental plans offered to employees. The Option Plan and the PPO plans allow you to utilize network dentists with no referrals. The Choice Plan is an HMO which requires selection of a primary care dentist and also requires referrals to specialists. Please view the comparison chart to determine which plan suits your needs. It is very important that you determine which plan your dentist participates in.
You should visit www.horizonblue.com and search their Provider Directory.
Dental benefits become effective September 1st for those 10-Month employees beginning work at the start of the contract year (September 1), otherwise benefits will begin on the 1st day of the month following a 60-day waiting period. Dependent children are covered until the last day of the month in which the child marries or last day of the calendar year in which the child attains age 19, whichever comes first. Eligible, unmarried child dependents between the ages of 19-23 who are full-time students at an accredited institution of higher education remain eligible until the end of the benefit month in which they attain age 23 or when they no longer qualify as a student.
UHC/SPECTERA VISION PLAN INFORMATION
UHC/SPECTERA VISION PLAN INFORMATION
ID cards are not issued for this plan but you can print them on your own by logging into the UHC website. Your SSN is your identification #
Pinelands Regional offers UHC/Spectera to its employees. Vision benefits become effective September 1st for those 10-Month employees beginning work at the start of the contract year (September 1), otherwise benefits will begin on the 1st day of the month following a 60-day waiting period.
Submitting an Out of Network Claim for Vision
If you visit a provider outside of our network, consult your benefits brochure or login and select the View Benefits section to determine if your plan provides an out-of-network reimbursement benefit. If your plan has an out-of-network benefit, you will pay the provider in full at the time of service. Then, simply mail or fax your receipts to us, requesting reimbursement. We will process your claim according to your out-of-network schedule. For more specific information on your plan, login and select the View Benefits section.
To request reimbursement, submit your receipts with Subscriber’s name and address, Member or patient's name and date of birth, Subscriber's unique identification number to:
UnitedHealthcare Vision Claims Department
PO Box 30978
Salt Lake City, UT 84130
-or-
Fax: 248-733-6060
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