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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.

Other dental benefits

  • Follow this link to learn more about your employees’ dental benefits, dental care at the Culinary Health Center, and dental emergencies.
  • Follow this link to see your employees’ in-network dental benefits.