Riverside Nursing and Rehabilitation Center
You are eligible to enroll in Dental benefits through your facility.
One of the advantages of this Dental Plan is that you can find out how much will be paid by the Plan before you have the dentist do expensive work.
If the dentist’s estimated charge is $300 or more, you can get a “Predetermination of Benefits.” This will NOT be a guarantee of payment, but it will help you estimate what you will receive.
Dental treatment has different "Grades" with different levels of coverage. These range from Grade I for preventative care to Grade V for orthodontics.
Preventative care is covered at 100% of “Reasonable and Customary” charges. Grades II, III, IV, and IV are covered at 50% of “Reasonable and Customary” charges.
For a full description of what is covered and the maximum allowable benefits, please see the plan document, here.
If you are enrolled and need to send in for reimbursement, download this form. Send it in with your receipt or take it in with you when you visit the dentist.
If you have questions about how to get a Predetermination of Benefits or help finding a dentist, call the Health and Welfare Plan at 1-800-877-6490.