2012 Dental Directory - Blue Cross And Blue Shield Of South ...
Of Avesis Third Party Administrators, Inc. at 1-877-225-7460, Monday through Friday, between 7 a.m. and 8 p.m., Eastern Time. TTY/TDD users should call 1-800-735-8583. To get detailed information about your dental-care coverage, please see your ... Retrieve Full Source
Insurance Contact Information Sheet - Cornell Home
Dental – Delta Dental • Providers listing and personal claims history - www.deltadentalia.com. • General plan coverage and claims questions – 1-800-544-0718 Vision – Avesis • Providers listing – www.avesis.com • General plan coverage and claims questions – 1-800-828-9341 . ... Fetch Content
Get To Know Your 2012 Care Improvement Plus Medicare ...
Drug) coverage, you are entitled to Transportation, Vision, and Dental benefits. dental benefits, through participating Avesis dental providers. Your dental coverage includes denture adjustments, periodic exams, cleanings and X-rays. ... Get Content Here
11/13/2012 DENTAL Payer List - Emdeon Dental Services
11/13/2012 DENTAL Payer List Group Plan coverage please refer to your ID card for group coverage/number verification. AFLAC NY 52080 Par COMMERCIAL Y N Claims Y Y administered by Avesis Creative Plan Administrators 37320 Par COMMERCIAL N N Claims Y ... Get Document
UNPAID LEAVE OF ABSENCE (LOA) - MONTHLY PREMIUMS
CARRIER COVERAGE LEVEL ALL REGIONS Avesis Vision Care Single $6.34 Avesis Vision Care Family $17.18 Basic Life Insurance $15,000 Paid by employer during FML OTHER DENTAL PLANS. CARRIER COVERAGE LEVEL ALL REGIONS Delta Dental Single $29.96 Delta Dental Family $97.64 MetLife Dental ... Read Here
Additional Benefits
− Dental: Humana© Provides comprehensive coverage on diagnostic, basic, major services − Vision: Clearline/Avesis© Discounts and coverage for exams, lenses, frames, contacts, and Lasik ... Visit Document
2011 Federal Brochure
Avesis Dental: 1-888-729-7949 ACS BNY Mellon Member Services (for HSA account holders): 1-877-472-4200: Federal Employees : Health Benefits Program: UPMC Health Plan Limited dental coverage is included as part of your UPMC Health Plan enroll-ment. ... View This Document
My Health Eating Well 2012 Federal Brochure
Avesis Dental: 1-888-729-7949 ACS BNY Mellon Member Services (for HSA account holders): 1-877-472-4200 Federal Employees Health Benefits Dental Benefits Limited dental coverage is included as part of your UPMC Health Plan enrollment. ... View Doc
Molina Healthcare/Molina Medicare Of California Prior ...
ThDental General Anes esia for Dental restorations: 7 years old or older (Not a Medicare covered benefit) Medicare Hearing Coverage: Avesis Phone: 800-327-4462 Medicare Non-emergency transportation coverage: Logisticare Phone: 866-475-5423 . ... Return Document
Get To Know Your 2012 Care Improvement Plus Dual Advantage ...
Drug) coverage, you are entitled to Transportation, Vision, and Dental benefits. dental benefits, through participating Avesis dental providers. Your dental coverage includes periodic exams, cleanings and X-rays as well as comprehensive dental ... Access This Document
GEHA 2010
Members in all GeHA health plans and dental plans get vision coverage through the Connection’s Avesis Vision Plan, at no additional premium.* To use your vision benefit: Avesis coverage. • Present your id card. Pay any copays or ... Fetch This Document
GROUP ENROLLMENT FORM EMPLOYMENT STATUS EFFECTIVE DATE OF ...
Emp + Child(ren) Emp + Family Waive Coverage (Complete waiver on back) DENTAL BENEFITS (Delta Dental) Employee . Emp + Spouse Emp + Child(ren) Emp + Family Waive Coverage (Complete waiver on back) (Avesis) Employee . Emp + Spouse Emp + Child(ren) Emp + Family . I ... Access Document
2009-2010 ACTIVE Enrollment FORM - Arizona Department Of ...
TOTAL DENTAL ADMINISTRATORS □ $5.00 □ $9.00 DELTA DENTAL INDEMNITY/PPO □ $29.86 □ $67.93 SELECT A PLAN CODE EE ONLY CODE EE + ONE CODE AVESIS VISION COVERAGE If you elect coverage, you will pay $0.70 for every $100 of earned income per month. ... View Full Source
BENEFITS ENROLLMENT/CHANGE FORM B - Arizona State University
Medical and dental ID cards will be mailed to your home by your If you decline Avesis Advantage coverage, you will automatically be enrolled in the Discount Program at no charge and you will receive an Avesis discount card. ... Access Full Source
Avesis Vision Plan end of the month following employee last day worked OR of qualifying event Medical Flexible Spending end of the month drug, dental and vision coverage are not available as conversion coverages. ... View This Document
2011 Dental Directory
Of Avesis Third Party Administrators, Inc. at 1-877-225-7460, Monday through Friday, between 7 a.m. and 8 p.m., Eastern Time. To get detailed information about your dental-care coverage, please see your Evidence of Coverage. ... Content Retrieval
2011 ENROLLMENT / CHANGE FORM - Arizona Department Of ...
TOTAL DENTAL ADMINISTRATORS □ I DECLINE MEDICAL COVERAGE OR To qualify a Same-Sex Domestic Partner for the first time, you will need to complete and submit the SAME-SEX DOMESTIC PARTNER AFFIDAVIT FORM AVESIS VISION COVERAGE ... Fetch This Document
CoventryCares Of Kentucky Provider Manual
Dental.. 38 E. Early Periodic Screening Diagnosis and Treatment (EPSDT) Billing and Reporting.. 39 F. Care Management and Support Available from CoventryCares of Kentucky .. 39 G. Other Provider and Member Education ... Retrieve Content
STATE OF ARIZONA Benefit Options COBRA
I DECLINE DENTAL COVERAGE. PLAN . CODE ; CODE. PAYABLE TO: AVESIS FAMILY COVERAGE $17.52 . Plan Code 05 Plan Code 06 ; E. DEPENDENTS - List all eligible dependents to be enrolled in medical, dental, and/or vision plans . LAST NAME, FIRST NAME, MI ; ... Get Content Here
2011 Dental Directory - BlueCross BlueShield Of South Carolina
Area, you can visit www.avesis.com or call the Service Center of Avesis Third Party Administra-tors, Inc. at 1-877-225-7460, Monday through Friday, To get detailed information about your dental-care coverage, please see your Evidence ... Read More
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