Dental FAQ
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FREQUENTLY ASKED QUESTIONS
DENTAL
What
dental
plans are
available and, in general, what
are the
differences between the plans?
What do the
dental plans
cover?
What is the
dental plan
premium cost for an active
employee?
I forgot
what dental plan
coverage I have. How do I find out what dental plan I am enrolled
in?
How do I
get a replacement
dental I.D. card?
Can I
continue my dental
coverage into retirement?
What dental plans are available and, in general,
what are the differences between the plans? Back to top
Employees can choose either the
Anthem Blue Cross/Blue Shield Dental Plan or the Care Plus Dental
Plan. In general, with the Anthem BC/BS Plan you can see any
dental provider, but depending on the dental service, members pay for
part of the coverage in the form of a deductible and coinsurance.
Under the Care Plus Plan, most of the costs for services are paid for
by the plan, but you must receive services from one of the two Care
Plus/Dental Associates locations in the Milwaukee area.
What do the dental plans cover? Back to top
A summary of dental plan coverage
is as follows:
|
BENEFIT
|
ANTHEM BC/BS PPO
|
CARE-PLUS
|
ANNUAL MAXIMUM
Per Person
|
$1,500
(January 1 –
December 31)
|
$1,500 first
year
(11/1 through 10/31);
$2,000 second year
(11/1 through
10/31);
unlimited thereafter.
|
ANNUAL DEDUCTIBLE
Per Person
|
$25 (maximum
3 per family)
|
None
|
DIAGNOSTIC
Oral Exam; X-rays |
80% to maximum
(not subject
to deductible)
|
100% to
maximum
|
PREVENTIVE
Cleaning;
Fluoride
(up to age 19)
|
80% to
maximum (not subject to deductible); two times per year
|
100% to
maximum; once every six months
|
RESTORATIVE
Fillings,
Pre-fab Crowns
|
80% to maximum
|
100% to
maximum
|
|
CROWNS
(Indirect)
Porcelain to
Semi-precious Metal
|
80% to maximum
|
100% to
maximum
|
ENDODONTICS
Root Canals
|
80% to maximum
|
100% to
maximum
|
|
ORAL
SURGERY*
|
80% to maximum
|
100% to
maximum
|
PERIODONTICS*
Treatment of
Gums
|
80% to maximum
|
100% to
maximum
|
PROSTHODONTICS
Bridges;
Dentures; Repairs
|
50% to maximum
|
100% to
maximum
|
ORTHODONTICS
Complete
Treatment
Eligibility
|
50% of
treatment plan up to a maximum of $1,500
(not subject to deductible)
Children to
age 19
|
Fully covered
after $400
Children and
Adults
|
What is the
dental plan premium cost for an active employee? Back to top
Employee premiums vary by the plan
you are enrolled in and by bargaining unit. For current employee
dental premium contributions please see the most recent Open Enrollment
Booklet, which can be accessed through the Employee Benefit News button
on the Homepage of the MPS Portal.
I forgot
what dental plan coverage I have.
How do I find out what dental plan I am enrolled in? Back to top
You can look at your dental plan
enrollments as well as your other benefit and payroll-related
information under the Employee Self- Service. Just go to the MPS
website, public portal page, and click on the Employee Self Service
button on the left side of the page. Next log in with your user
ID and password (the same ID and password you use to access your MPS
email), and click on Benefits, then Benefits Summary.
How do I get a
replacement dental I.D. card? Back to top
Depending on which plan you are
enrolled in, you need to contact either:
Anthem BC/BS at 1-866-589-0582 or
Care Plus at 414-771-1711.
Can I continue
my dental coverage into retirement? Back to top
Dental coverage is not a retiree
benefit. You can only continue dental coverage under COBRA, which
is the federal law allowing for continuation of coverage for a specific
time period. You need to elect and self-pay monthly for COBRA
continuation coverage. Once your active dental coverage ends, you
will be sent COBRA information and an election notice.
