How do I receive care?
Make an appointment with a Dentist DIRECT provider and present your card at the time of service. After you receive care, you will be responsible to pay your provider according to the provisions in your policy certificate.
What if my dentist is not a contracted provider?
Most Dentist DIRECT plans offer in and out-of-network benefits. However, you pay less when visiting a contracted (in-network) provider. Please carefully consult your policy certificate before making an appointment.
If you are pleased with your current dental provider and would like him/her to be considered for network membership, please complete the information under “Refer a Provider“. If they meet our credentialing guidelines and are willing to accept our contracted fees, they will be considered for network membership.
Who do I call with a question about a claim?
Claim inquiries call toll-free 866-696-6527.
Where do I (or my dentist) send claims?
PO Box 3000
Bountiful, UT 84011
Who do I call to find out if a procedure is covered under my plan?
For eligibility and benefit verification call (866) 696-6527. You may request a pre-estimate that is valid for 30 days.
How do I make enrollment changes to my current plan?
Current employees and dependents may enroll in Dentist DIRECT during the open enrollment period. For enrollment change outside of the open enrollment period, please consult your employer for qualifying event restrictions.
How often can I receive routine exams and cleanings under my plan?
Routine exams and cleanings are eligible for coverage twice a year on PPO Elite plans and once every 6 months for PPO Essentials plans.
What if I lose my card?
Through the Member Login you can print a temporary ID card. You can also request a new card via email or by calling 866-696-6527.