We value the important role you play in helping employer groups select the most appropriate health care options for their employees. That’s why we have developed a strong suite of dental products for all group sizes that will be competitive in your marketplace.

Preferred Provider Organization (“PPO”) Plans
Members enrolled in a Coventry Dental PPO plan have access to our network of more than 120,000 locations and dentists throughout the country. By seeing a network dentist, members enjoy the advantages of:

• High quality service from credentialed providers
• Lower out-of-pocket costs due to discounted provider fees and no balance billing, except applicable member deductible, copayments and/or coinsurance.
• Providers complete and submit claim forms on member's behalf
• No referrals required to visit a specialist.
   

Members also have the freedom to visit any licensed dentist outside the network. Members will typically pay the dentist for services performed and submit a claim  to Coventry Dental for reimbursement. The member is responsible for the difference between the provider's billed charge and the amount reimbursed by Coventry Dental.

To ensure maximum savings, members should visit an in-network provider.

Getting a Quote*
For groups up to 50 employees, please select the appropriate link below to obtain the portfolio of available plans and rates. For 1st Quarter effective dates (1/1/12-3/31/12) click here. For 2nd Quarter effective dates (4/1/12-6/30/12) click here. You will need:

• Employer Group Size
• Employer Group Zip Code
• SIC Code
• Employer Contribution %
• Whether or not group had prior dental coverage

You can also download a Proposal Coversheet that you can use to present a quote to a group and download a Summary of Benefits which provides a one page summary for a specific Benefit Plan.

For groups with more than 50 employees, please contact your Coventry Account Manager or call Broker Services. You will need:

• Group Census (to include gender, date of birth, home Zip Code and selected dental coverage for each eligible employee)
• Employer Group Zip Code
• SIC Code
• Employer Contribution %
• Whether or not group had prior dental coverage

You must be a licensed agent, appointed by Coventry Health and Life, to sell a Coventry Dental product.

Selling a Case
Upon selling a case, please submit to your Coventry Account Manager:

• Group Application completed and signed by the Employer
• Member Enrollment Forms completed and signed by enrollees
• Proof of prior dental coverage (if applicable), such as a bill from prior carrier

Should you have questions, please call Broker Services.

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