World Class Service - Frequently Asked Questions


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

       Benefits

       Network

      Cost

       Services/Resources


Benefits
What is a National Fee-for-Service Network dental plan?
It means that to receive any benefits under the United Concordia FEDVIP plan, you must visit a dentist in our National Fee-for-Service Network. However, there are a few exceptions, including orthodontic, emergency and overseas care. A network-only plan ensures you significant savings and quality care. All of our network dentists go through rigorous review through our quality assurance process. And because of their contractual agreement with us, they agree to accept our maximum allowable charges (MACs) as payment in full for covered services and to file claims on behalf of members. This saves time and money.

For what amounts can dentists bill employees under the United Concordia plan?
Network dentists can charge for applicable deductibles and coinsurance amounts, but they cannot balance-bill for the difference between their standard charges and the Maximum Allowable Charges (MACs) they have agree to accept from United Concordia.

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 the Program Guide for coverages and services explained.  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).

Do employees need to take an ID card or claims form to the dentist?
No, United Concordia network dentists take care of all paperwork.

What is the course of action when an employee disagrees with a bill?
Tell them to first talk with their dentist. If questions still remain, have them call United Concordia’s customer service representatives at 1-877-FYI-UCCI.

How do employees handle dental emergencies when traveling away from home?
Try to obtain services from a United Concordia network dentist, but if that can’t be done, take care of the emergency and then submit the claim to us. In most cases, we provide coverage/reimbursement.

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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 by simply clicking on Find a Dentist and search by last name, specialty, city, county or ZIP code. They can also call United Concordia at 1-877-FYI-UCCI – 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 from this web site.

Does a dental specialist have to be in the United Concordia National Fee-for-Service Network as well?
Yes. However, there are a few exceptions, including emergency and overseas care.

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 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 bi-weekly premiums.

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 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 10 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).

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 web site 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 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 – brochures and articles on everything from bad breath to heart disease.  All of these resources are readily available online and in print.

 

 
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