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24/7 access to quality care... on your schedule! East Wake Academy
Teladoc
Connect in under 10 minutes to US-based, board certified physicians who can answer questions, diagnose and even prescribe when necessary.
Pharmacy Discount Card
Save up to 75% on your prescription medication using our pharmacy discount card. It’s easy to use and accepted at over 50,000 pharmacies nationwide!
Life Assistance
Access to professional Life Counselors and specialists who can help you achieve balance in your personal, family and work life is just a call away.
Bill Saver
Our Bill Saver program can help reduce the amount you owe for medical and dental bills over $400, often resulting in savings between 25-50%.
For more information, please contact Pierce Group Benefits
We Win When You Win.
Explanation of Benefits
The Call A Doctor Plus program provides your team with fast, convenient, 24/7 access to quality care by phone, video or mobile app. Here is more information about each service offered, including how to access the benefit.
Teladoc – Talk to a doctor in minutes
Teladoc provides your team with 24/7 phone or video access to doctors who can diagnose common medical conditions, provide treatment plans, and even write prescriptions when needed. Whether they’re on vacation or it’s 2 in the morning, your team can have access to the care they need, when they need it.
Key Benefits: à Talk to a doctor in 10 minutes on average à No co-pays, deductibles or per-call charges à 92% of issues are resolved on the first call à US-based, board-certified doctors à Connect 24/7/365 by phone, video or app à Get answers, prescriptions and treatment plans
Get Started in 3 Easy Steps!
1.Visit Teladoc.com or call (800) 835-2362 and select the option to ‘set up your account’.
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2.Be prepared to provide the following information a.First Name b.Last Name c.Date of Birth d.Zip Code e.Email Address: your primary email address f.Preferred Language g.Gender h.The name of your employer
3.Follow the rest of the steps, complete your medical history and you’re all set!
N o t e : if trying to register online and your account cannot be found, please call (800) 8352362 so that Teladoc’s Client Service team can help you locate and set up your account.
Once you are finished, you can add dependents and download the mobile app.
Contact Teladoc à Phone: (800) 835-2362 à Online: www.teladoc.com
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Pharmacy Discount Card – Save on prescription medication
Our FREE pharmacy discount card allows your employees to save an average of 47% on your prescription medication (up to 85%) using the pharmacy discount card. It’s easy to use and accepted at over 66,000 pharmacies nationwide!
Key Benefits: à Save an average of 47% on prescriptions à Save at over 66,000 pharmacies à No claim forms to file à No deductibles à No limits or maximums à No pre-existing conditions
Accessing the Discount Card
1. Register for a card at discountdrugnetwork.com a. Click on ‘Get Your Free Card’ b. Provide your personal information, including name, address, email and/or phone c. Click ‘submit’ and a card is sent to you by mail in 3 to 4 weeks d. Once registered, you can also have your card immediately texted to your phone a. Use discountdrugnetwork.com/rx-discount/ to search local partners for the lowest possible price b. Search from over 66,000 pharmacies to find the best price a. You will pay the discounted rate at the time of purchase by showing your card. b. You will not have to fill out any reimbursement paperwork; your savings are immediate!
2. Find a provider.
3. Go to your pharmacy of choice and present your card.
Contact the Discount Card à Online: www.discountdrugnetwork.com
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Delta Dental PPO plus Premier™ Summary of Dental Plan Benefits For Group# 0360-0001, 0999 East Wake Academy
This Summary of Dental Plan Benefits should be read along with your Certificate. Your Certificate provides additional information about your Delta Dental plan, including information about plan exclusions and limitations. If a statement in this Summary conflicts with a statement in the Certificate, the statement in this Summary applies to you and you should ignore the conflicting statement in the Certificate. The percentages below are applied to Delta Dental's Maximum Approved Fee for each service and it may vary due to the Dentist's network participation.*
Control Plan – Delta Dental of North Carolina
Benefit Year – January 1 through December 31
Covered Services –
* When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. This Nonparticipating Dentist Fee may be less than what your dentist charges, which means that you will be responsible for the difference.
The explanation and sample calculation of how these services will be paid can be found in Section VI - How Payment is Made in your Certificate.
Oral exams (including evaluations by a specialist) are payable twice per calendar year.
Prophylaxes (cleanings) are payable twice per calendar year. Full mouth debridement is payable once per lifetime.
People with specific at-risk health conditions may be eligible for additional prophylaxes (cleanings) or fluoride treatment. The patient should talk with his or her Dentist about treatment.
Fluoride treatments are payable twice per calendar year for people age 18 and under.
Bitewing X-rays are payable once per calendar year and full mouth X-rays (which include bitewing X-rays) or a panorex are payable once in any five-year period.
Sealants are payable once per tooth per lifetime for first and second permanent molars for people age 15 and under. The surface must be free from decay and restorations.
Composite resin (white) restorations are payable on posterior teeth.
Porcelain and resin facings on crowns are payable on posterior teeth.
Vestibuloplasty is a Covered Service.
Full and partial dentures are payable once in any five-year period. Reline and rebase of dentures are payable once in any two-year period.
Implants are payable once per tooth in any five-year period. Implant related services are Covered Services.
Crowns over implants are payable once per tooth in any five-year period. Services related to crowns over implants are Covered Services.
Passport Dental
Having Delta Dental coverage makes it easy for you to get dental care almost everywhere in the world! You can now receive expert dental care when you are outside of the United States through our Passport Dental program. This program gives you access to a worldwide network of dentists and dental clinics. English-speaking operators are available around the clock to answer questions and help you schedule care. For more information, check our website or contact your benefits representative to get a copy of our Passport Dental information sheet.
Maximum Payment – $1,000 per Member total per Benefit Year on all services.
Deductible – $50 Deductible per Member total per Benefit Year. The Deductible does not apply to diagnostic and preventive services, emergency palliative treatment, X-rays, sealants, brush biopsy, and periodontal maintenance.
Waiting Period – Employees who are eligible for dental benefits are covered on the first day of the month following the date of hire.
Eligible People – All eligible employees who have met the eligibility requirements as established by the Contractor. The Contractor pays the full cost of this plan for Subscribers. The Subscriber pays the additional cost of dependent coverage.
Also eligible are your Spouse and your Children under age 26, including your Children who are married, who no longer live with you, who are not your Dependents for Federal income tax purposes, and/or who are not permanently disabled. Also eligible is your domestic partner, as defined by the contractor. Domestic partners will be treated as Spouses under This Plan.
Enrollees and dependents choosing this plan are required to remain enrolled for a minimum of 12 months. Should an Enrollee or Dependent choose to drop coverage after that time, he or she may not re-enroll prior to the date on which 12 months have elapsed. Dependents may only enroll if the Enrollee is enrolled (except under COBRA) and must be enrolled in the same plan as the Enrollee. An election may be revoked or changed at any time if the change is the result of a qualifying event as defined under Internal Revenue Code Section 125.
Coordination of Benefits - If you and your Spouse are both eligible to enroll in This Plan as Enrollees, you may be enrolled together on one application or separately on individual applications, but not both. Your Dependent Children may only be enrolled on one application. Delta Dental will not coordinate Benefits between your coverage and your Spouse's coverage if you and your Spouse are both covered as Enrollees under This Plan.
Benefits will cease on the last day of the month in which your employment is terminated.
* When you receive services from a Nonparticipating Dentist, the percentages in this column indicate the portion of Delta Dental's Nonparticipating Dentist Fee that will be paid for those services. This Nonparticipating Dentist Fee may be less than what your dentist charges, which means that you will be responsible for the difference. M e n t – $1,000 per Member total per Benefit Year on all services.
D e d u c t ib l e – $50 Deductible per Member total per Benefit Year. The Deductible does not apply to diagnostic and preventive services, emergency palliative treatment, X-rays, sealants, brush biopsy, and periodontal maintenance.
Note - This document is only intended to provide a brief description of your benefits. Please refer to your Certificate and summary for a complete description of benefits, exclusions, and limitations.
Welcome to North Carolina's largest dental benefits family! As a member of Delta Dental of North Carolina, you have access to the nation's largest dental networks: Delta Dental PPO and Delta Dental Premier.
• It's easy to find a dentist! Four out of five dentists nationwide participate in our network.
• You have superior access to care and fee savings because of our agreements with participating dentists.
• Our dentists cannot balance bill you, which means more money in your pocket!
• No troublesome paperwork! Network dentists will fill out and file your claims.
• Pay only your copayments and/or deductibles when you receive care from network dentists -- there are no hidden fees.
• You can still visit nonparticipating dentists, but you may be billed the full amount at the time of service and then have to wait to be reimbursed.
Quality Dental Program
With our quick and accurate claims processing, we pay more than 90% of claims in 10 days or less. Delta Dental also offers world-class customer service from our BenchmarkPortal Certified Center of Excellence call center.
O Online Access
Our online Member Portal lets you access your dental plan securely over the Internet. You can find a dentist, check benefits, select paperless notices, review claims and amounts used toward maximums, print ID cards, and more -- all at your own convenience.
A Healthy Smile
Keep your smile healthy with dental benefits from Delta Dental. Your smile is a good indicator of your health. Did you know that your dentist can detect up to 120 different diseases, including diabetes and heart disease? Early detection is one of the best ways to prevent further complications.
Questions?
If you have questions, please call our Customer Service team at 800-6628856 (TTY users call 711) or look online at https://www.DeltaDentalNC.com.
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