World Class Service - Frequently Asked Questions


       Questions by Category (click on any question to go to its answer)

       Benefits

       Network

      Cost

       Services/Resources


Benefits

For what amounts can dentists bill employees under the United Concordia plan?

United Concordia National Fee-for-Service network dentists accept our reimbursements, also known as maximum allowable charges (or MACs), as payment in full for covered services. United Concordia National Fee-for-Service network dentists can charge you for applicable coinsurance amounts, but they cannot balance-bill you for the difference between their standard charges and the MACs. Non-network dentists can bill you for the difference between their standard charges and the MACs, which means you could save more by visiting a network dentist.

How many routine visits per year are covered under the plan?

Twice a year (every six months).

Are referrals needed to visit a specialist?

No.

How can employees find out about covered services?

First, check online under The Right Plan, where they can find the Benefits Summary of the FEDVIP plan. They can also refer to United Concordia's FEDVIP brochure for explanations of coverages and services.  Encourage them to always consult with their dentist on treatments, covered services and out-of-pocket costs. And they can call United Concordia’s dedicated customer service representatives at 1-877-FYI-UCCI (1-877-394-8224), Monday - Friday, 8 a.m. to 8 p.m., ET.

Do employees need to take an ID card or claims form to the dentist?

United Concordia FEDVIP members are not required to bring their ID cards to the dentist. However, each member's ID card displays his/her individual unique member identifier (UMI), which could be useful to the dentist to submit claims and/or retrieve eligibility information.

If a member visits a National Fee-for-Service network dentist, a claim form is not necessary to bring; United Concordia's network dentists take care of all paperwork. However, employees may need to submit their own claims if they visit a non-network dentist. They can print a claim from the Forms & Publications page, and should bring it to the dentist's office for their appointments.


What is the course of action when an employee disagrees with a bill?

Tell him/her to first talk with the dentist. If questions still remain, have him/her call United Concordia’s customer service representatives at 1-877-FYI-UCCI (1-877-394-8224), Monday - Friday, 8 a.m. to 8 p.m., ET.

How do employees handle dental emergencies when traveling away from home?

Beginning in 2010, United Concordia FEDVIP members can visit any licensed dentist. However, they could experience reduced out-of-pocket costs by visiting a National Fee-for-Service network dentist.

| Back to Top |
| Benefits Questions | Network Questions |
| Cost Questions | Service Questions |


Network

How can employees find a dentist in the United Concordia National Fee-for-Service network?

The easiest way to find a dentist is to use the online directory. Employees can simply click on Find a Dentist and search by dentist name, specialty, city, county or zip code. They can also call United Concordia at 1-877-FYI-UCCI, and our customer service representatives will assist them with information regarding a dentist’s membership status, specialty and office location.

Can dentists be nominated to be part of the National Fee-for-Service network?

Yes, we gladly accept nominations for new National Fee-for-Service network dentists. To nominate a dentist, use the Nominate Your Dentist form on this site. Dentist can also obtain an application for National Fee-for-Service network participation by calling our toll-free customer service line or by downloading the application.

Does a dental specialist have to be in the United Concordia National Fee-for-Service network as well?

Employees can visit any specialist; however, their costs may be greater if they visit a non-network specialist.

| Back to Top |
| Benefits Questions | Network Questions |
| Cost Questions | Service Questions |

 
Cost

What are the premiums for United Concordia’s dental program?

It varies by location and number of insureds. Go to The Right Price and search for your employment location to determine premiums.

| Back to Top |
| Benefits Questions | Network Questions |
| Cost Questions | Service Questions |

 
Service/Resources

How secure is your data?

Information security and the privacy of our enrollees is a high priority for United Concordia. Through our experience as the dental insurer for the TRICARE Dental Program for more than 13 years, we use the same information technology and physical site security practices required by DIACAP to protect and serve all of our customers. This includes safeguarding information in our state-of-the-art data center, designed to withstand significant natural, virtual and man-made forces.

How do our employees contact United Concordia with questions?

If questions are about dental treatments, please encourage your employees to first discuss those with their dentist. If general questions or clarification of benefits cannot be found online, please have them call our dedicated customer service representatives at 1-877-FYI-UCCI (1-877-394-8224), Monday - Friday, 8 a.m. to 8 p.m., ET.

We have employees who do not speak English. Do you have translators in your customer service department?

Yes, we have bilingual English/Spanish customer service representatives. We also have translation services for 140 other languages.

What does United Concordia have available to help educate federal employees about the dental program?

In addition to our special FEDVIP website that details the plan, pricing, network, and more, we have developed a series of articles that explain some of the more complicated dental insurance terms/coverages like alternate benefits provision, coordination of benefits and predetermination of costs. We also have frequently asked questions for members and an extensive glossary of dental terms. All of these materials can be used in newsletters or letters to employees about the FEDVIP plan.

What does United Concordia offer to help promote dental health?

We have a full library of resources to promote dental health, including brochures and articles on everything from bad breath to heart disease. All of these resources are readily available online.

 

 

Back