Must family members go to the same dentist? No. United Concordia allows each family member to select a different participating primary dental office.
Can I change my primary dental office? United Concordia allows members to change primary dental offices at any time. Changes made prior to the 15th of the month are effective the 1st of the following month. Members must call United Concordia and change their primary dental office prior to seeking services from the new office.
If I change my primary dental office, when is the change effective? United Concordia allows members to change primary dental offices at any time. Changes made prior to the 15th of the month allow the member to be seen at the new primary dental office the 1st of the following month. Changes made after the 15th of the month will allow the member to be seen at the new office the 1st of the second month. Members must call United Concordia and change their primary dental office prior to seeking services from the new office.
How can I obtain a directory of in-network DHMO dentists? Either call 1-888-638-3384 or search online for a DHMO general dentist or a DHMO specialist.
Are there any benefit maximums? Under the United Concordia DHMO plan, there are no dollar limits when care is received from your primary dental office.
Do I have to fill out a claim form after each routine visit? Under the United Concordia DHMO plan, there are no claim forms to worry about. (To receive payment for out-of-area emergency care, submission of a claim form is necessary.)
Are orthodontic benefits available? Orthodontic benefits are available to children and adults under the United Concordia DHMO plan. DHMO members must obtain a referral from their primary dental office to see a participating specialist for orthodontic services. The United Concordia DHMO plan does not cover services for orthodontic work in progress. Call 1-888-638-3384 for details and limitations.
How do I obtain care from a specialist? When specialty care is required, your primary dental office will refer you to a participating specialist. Self-referrals or any care received from a nonparticipating specialist are not covered under your DHMO plan.
Are there any procedures that are not covered? Yes, if a procedure is not listed on the Schedule of Benefits, it is not covered. Please see the DHMO Exclusions and Limitations for additional information.