Frequently Asked Questions
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Plan Eligibility
Plan Details
Dentists and Networks



Plan Eligibility
Q. I haven't been to the dentist in a long time. Does that make a difference in my rate or coverage?
A. Absolutely not!

Q. What is guaranteed acceptance?
A. Regardless of your current or past dental history, your acceptance into this plan is guaranteed as long as you are between the ages of 18-99 and live in an approved state.

Q. Will my same-sex partner/domestic partner be eligible for spouse coverage?
A. If the law in your state does not recognize same-sex marriages, then your partner will not be eligible for spouse coverage.

Plan Details
Q. How many check-ups and cleanings does the plan cover?
A. Both of our primary insurance plans pay for 2 check-ups and cleanings at the dentist EVERY year! One time every six months.

Q. Does this plan cover tooth extractions?
A. Absolutely! Tooth extractions (oral surgery) are covered by all plans. Waiting periods for this procedure will vary depending on the plan you choose. Please check the Product Benefits page for full details.

Q. Do any of these plans cover braces or orthodontia?
A. Not yet! We are currently developing a product for child orthodontia. Please check back often for updates.

Q. What is an annual deductible?
A. Each year, you will have an annual deductible which is the amount you will pay out-of-pocket before benefits are paid. This amount does not include co-payments.

Q. Do these plans have a "deductible" each year?
A. There is NO deductible for preventative and diagnostic dental care. For basic or major dental work, you pay the first $50 each year (your deductible). For family coverage, there is a $150 maximum deductible per family, per year.

Q. What does “usual & customary” mean?
A. The average cost a dentist charges for services in your area.

Q. Will my premium increase?
A. You will never be singled out for a premium increase due to your claims or usage or age. Premiums are guaranteed to stay the same for the first twelve months. After that, premiums could increase on an annual basis to all insureds in your Class.

Q. Are there penalties if I cancel the coverage?
A. You have the right to cancel this coverage at any time for any reasons with no penalties. If you cancel this coverage, we can reject any new dental insurance application/enrollment form you submit during the one year period following the date of cancellation. Coverage can stop if 1) the Group Policy stops, 2) coverage is cancelled for everyone in your class, or 3) the insured performs an act of fraud or makes a material misrepresentation regarding this coverage. If coverage is to be discontinued due to reasons 1 or 2, we will notify you 60 days in advance.

Q. What are the waiting periods?
A.The waiting period depends on the plan you choose. With the Encore Dental® 1-2-3 Insurance Plan there are no waiting periods for any type of service – including Major! Our Encore Dental® Standard Plan A or Plan B has no waiting period for Preventative and Basic services, and a 12 month waiting period for Major services. Please check the Product Benefits pages for full details.

Dentist and Networks
Q. Do I have to use one of the plan's network dentists or can I see my own dentist?
A. You can see your own dentist or ANY dentist you like. You do NOT have to use an in-network dentist. Of course, you may find you will have less out-of-pocket expenses if you choose to use an in-network dentist because they all guarantee to charge lower pre-negotiated prices to Encore Dental® certificate holders.

Q. How do I find out if my current dentist is in the network, or how do I locate an in-network dentist?
A. Click on our “Find a Dentist” link, or call 1-866-605-2642. Please remember, you do not have to use an in-network dentist for this plan to provide coverage. You have the flexibility to use any licensed dentist and still receive benefits for covered services.

Q. What are advantages of using an in-network dentist?
A. In-network dentists agree to charge fixed, pre-negotiated prices for their services which can provide you an opportunity to save more. In addition, when using an in-network dentist you do not have to submit a claim form - they will handle the claim’s paperwork for you.

Q. How are my claims reimbursed?
A. When going to an in-network dentist, there are no claim forms. The dentist will submit the bill for you. When going to an out-of-network provider, you will submit a claim form and then we will send you a check for what your benefits covered. You can obtain a claim form by selecting the “Claim Information” link located at the top of the page or by calling 1-866-605-2642.
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Standard Plans A and B
1-2-3 Plan
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Policy/Certificate #: SLDT1000IP/SLDT1000GC/GC537/D491.
This coverage is issued by Stonebridge Life Insurance Company, an AEGON company.
Stonebridge Life Insurance Company NAIC number 65021. Not available in all states.
Administrative Office: 2700 W. Plano Parkway, Plano, TX 75075-8200. Home Office: Rutland VT 05701.
© Copyright 2011, Stonebridge Life Insurance Company.
A Transamerica Company