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

How many routine visits per year are covered under the plan?
Two every 12 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 an Advantage Plus network dentist, it is not necessary for him/her to bring a claim form; 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.

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Network

Can United Concordia FEDVIP members visit any dentist?
Yes, United Concordia FEDVIP members may visit any dentist. However, inside the United States and its territories, they could experience reduced out-of-pocket costs by visiting an Advantage Plus network dentist. (Please note that United Concordia does not have participating dentists outside the United States and its territories.)

Can United Concordia FEDVIP members visit a dentist outside the United States and its territories?
Yes. However, United Concordia does not have participating dentists outside the United States and its territories, so members may experience higher out-of-pocket costs when visiting these dentists.

What if a FEDVIP member needs to visit a dentist in an emergency?
FEDVIP members may visit any dentist. However, inside the United States and its territories, members could experience reduced out-of-pocket costs by visiting an Advantage Plus network dentist.

How can employees find a dentist in the United Concordia Advantage Plus network?
The easiest way to find a dentist is to use our online directory. Employees can simply click on Find a Dentist at www.uccifedvip.com 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 Advantage Plus network?
Yes, we gladly accept nominations for new Advantage Plus network dentists. To nominate a dentist, use the Nominate Your Dentist form on this site. Dentists can also obtain an application for Advantage Plus 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 Advantage Plus network as well?
Employees can visit any specialist; however, their costs may be greater if they visit a non-network specialist.

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 Cost

What are the premiums for United Concordia’s dental program?
It varies by location; there are 5 rating areas based on ZIP code.  Employees should go to The Right Price and search for their home ZIP code to determine 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, 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 them 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, premiums and network information, we have developed a video for the 2011 enrollment season that provides an overview of United Concordia, available plan options, and information on how to enroll. We also have a series of articles that explain some of the more complicated dental insurance terms/coverage provisions such as the 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.

 

 
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