Out-of-network dental care
Your employees may go to any dentist of their choice. But, if they go to an out-of-network dentist it may cost more.
Your employees’ dental benefits will only cover some of the costs of their dental care at an out-of-network dentist. Their dental plan will only pay for covered services that are listed on the Schedule of Allowables. Also, there’s only a certain amount that the benefits pay for each service. Your employees are responsible for paying the rest. Your employees can call Nevada Dental Benefits (NDB) at 702-478-2014 for more information.
Your employees will save more money and get more benefits if they go to an in-network dentist instead.
Out-of-Network Basic Plan (non-Culinary Network Dentist) benefit information:
|Benefit||What your employees should know|
|Annual deductible||No deductible|
|Maximum yearly benefit||$1,500 each person|
|What your employees have to pay (out-of-pocket)||Your employees have to pay all charges above what is listed in the plan’s Schedule of Allowables. If a service is not listed, your employee has to pay the full price of that service.|
|Dual Culinary coverage||If your employee and their spouse both have Culinary dental benefits, they may still have copays and extra costs.|
|Anesthesia||Covered for some extractions|
|Missed appointments||Your employees should call their dentists at least 24 hours before their appointments if they have to cancel. The plan will not pay any fees for missed appointments.|
Are orthodontics (braces) covered by the out-of-network plan?
No. Braces are not covered by the out-of-network plan. Braces are only covered for your employees if they go to an in-network dental provider.