Dental Benefit for Home Care Members
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By choosing participating providers within the Home Care Benefit Fund network, you’ll receive quality care with no charge for check-ups and basic services, and pay only minimal co-pays for major restorative services.
Find a Participating Dentist through Healthplex
Basic and Preventive Care
You are covered in full for:
- Examinations twice per year;
- Prophylaxis (cleaning) twice per year;
- One complete set of diagnostic X-rays in a three-year period; and
- X-rays needed to diagnose a specific disease or injury.
Major Restorative Care
There is a co-payment for major services including:
- Periodontics (treatment of gum diseases), subject to a five-year limitation;
- Endodontics (treatment of the tooth’s nerve system);
- Removable prosthetics (partial and complete dentures), subject to a five-year limitation; and
- Crown and bridgework, including replacement of any existing denture, bridgework, crown or gold restoration, subject to a five-year limitation.
In Case of Emergency
In case of an Emergency, please contact your primary care dentist. If you cannot reach your primary care dentist and you have an Emergency, call Healthplex at (800) 468-0600 for the name of a provider in your area.
Your Benefit Overviews
Access Care from the Comfort of Your Home
If you are a National Benefit Fund, Greater New York Benefit Fund or Home Care Benefit Fund member, you can schedule a virtual visit with any hospital or provider in our 1199SEIU Benefit Fund network, wherever you may be. This is in addition to your Teladoc benefit.
