Dental Benefits - HealthPlex

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Welcome to your Healthplex Dental Benefit Information page

Healthplex Dental Benefit will not be available in your Business Service Center, (BSC Portal)

For information about your Healthplex Dental Benefits and how to enroll, follow the instructions below:

Visit – Healthplex

  • Register to create your own Healthplex Account and experience the newly designed dental portal board with transparent details about your dental plan.
  • If you did not receive a dental card with the Member ID essential to the registration process, Contact Customer Service at: (877) 363-4627 and they will guide you or provide you with the ID# so that you may complete the registration process.

Once you have successfully completed your registration, you will be able to utilize numerous links to obtain additional information such as:

  • “Find Dental Care” in your network at the top left-side of the page of your account.
  • Check the plan you selected or automatically defaulted into (If you do not enroll within the 90 Days after your hire date).
  • Check status of any changes you requested by completing the following form. Click on link:
    Member / Dependent Dental Change Form (processing time: five to seven business days as- long-as all the required dependent verification documents have been attached to the form)
  • Check your profile and if any changes need to be made, use the link above to make any changes.
  • View/Print Dental ID card.
  • View your Pre-Determination
  • Check status of a Claim for out-of-network services, only if you are in the PPO plan. If you are in the MC Plan, there is no out-of-network reimbursement.

* STUDENT COLLEGE CERTIFICATION IS NOT REQUIRED UNDER OUR DENTAL PLAN GUIDELINES 

*Annual Enrollment Change Period is October 15 – November 15”

Which plan is best for you?
  COMPREHENSIVE (Managed Care)
Plan Group-GG-668M01
PPO Plan*
Plan Group-GG-668P01
BENEFITS In-Network benefits only In and Out-of-Network benefits
PROVIDERS In-Network only Comprehensive Panel In and Out-of-Network Metro Panel
GENERAL DENTIST Same provider for all family members Individual selections permitted
CO-PAYMENTS Non for covered services In-Network None for covered services In-Network
ANNUAL MAXIMUM BENEFIT NONE $1,800 per person
$3,600 per family
(only applies to member and dependents who are 19 or older)
DEDUCTIBLE NONE NONE
CLAIM FORMS NONE Yes - claims forms needed
REFERRALS YES, for specialty services No
NON-PARTICIPATING REIMBURSEMENT NONE Yes - based on specific fee schedule (link)
ORTHODONTIA Orthodontia covered to age 26 as long as patient has been fully banded prior to age 23 Orthodontia covered to age 26 as long as patient has been fully banded prior to age 23
IMPLANTS Implants and implant related service covered up to an annual maximum of $1,000 per covered life Implants and implant related service covered up to an annual maximum of $1,000 per covered life
•Dental plans underwritten by Dentcare Delivery Systems, Inc.

Important Forms (Downloadable)
*Adding or removing dependents may require verification documents such as: (ie.Birth Certificate, Marriage Certificate).

Schedule of fees: Managed CarePPO

FOR RETIREES ONLY: You have the right to enroll in COBRA.

  • Download and complete the COBRA Form
  • Attach verification of your official retirement date, NYCERS Form: F541 or a Time Allowance Record may be used.

All forms and required dependent verification documents must be included to add/remove dependents. Once completed, you have four different ways you can submit the forms:
1. Submit in-person during orientation.
2. Submit in-person at: 149 Pierrepont St. between Cadman Plaza and Clinton St. 1st Flr.
3. Email forms to: member.services@twulocal100.org
4. Fax to: (347) 643-8063

Certificate of Insurance