Preferred Plus Dental
EmblemHealth's Preferred Plus network comprises more than 7,000 dentists in New York and New Jersey, plus access to providers nationwide. We continue to expand upon a core of dentists so members can find the care they need in-network, avoiding the high cost of out-of-network care while groups save money through our network discounts. This Plan offers:
- 100% coverage for all Preventive services received in-network, with member cost sharing for Basic and Major services.
- 7,200 provider listings in New York and New Jersey which has grown by more than 10% in each of the last two years.
- Out-of-network benefits for covered services paid at the in-network fee level or at the 80th percentile of reasonable and customary fees.
- Rollover feature for unused annual maximum benefit.
- Access to a nationwide network of participating dentists.
- One option that includes orthodontic coverage.
- 91% of service calls are answered within 20 seconds.
- 98% of claims are processed in less than 14 days.
- Out-of-network reimbursements issued to members on a daily basis.
- Network providers credentialed and re-credentialed by Dentistat, Inc., the industry's largest dental credentials verification organization. Dentistat reviews practice patterns and utilization profiles to identify dentists for inclusion in EmblemHealth networks.
EmblemHealth dental programs are underwritten by Group Health Incorporated (GHI).