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WELCOME
to
NORTHWEST
DENTAL BENEFITS
We are delighted to have you with us!
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KEY PLAN FEATURES
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SCHEDULE AN APPOINTMENT
PARTICIPATING PROVIDERS
FREQUENTLY ASKED QUESTIONS
KEY PLAN FEATURES
Key Plan Features
Lifetime Orthodontia Benefit
$2,000 to any local Provider
$2,500 to Avondale Dental Group and Peach Orthodontics
No age limit, waiting list, or referral needed
High Annual Maximum
$2,500 per individual
Most plans reset on January 1 of each year
Includes implant and denture procedures
Copay Based System
Know exactly what treatment costs are, if any, before the time of your visit
Straightforward and easy to understand compared to percentage based systems
No Deductibles or Office Visit Fees
$0 deductible for individuals and families
No office visit fees ever
Specialty Benefits
With an approved referral from an Avondale Dental Group Provider, benefits
can be used the same at a Specialist as an in-network office.
Emergency Benefit
Up to $100 towards out-of-network emergency services
Participating Providers
PARTICIPATING PROVIDERS
AVONDALE DENTAL GROUP
Avondale Dental Group spans across Kootenai County and serves patients of all ages, including children, for convenient one-stop care for the whole family. Should your child(ren) need more specialized care, our Pediatric Partner is standing by to serve you.
PEDIATRIC & ORTHODONTIA PARTNERS
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Schedule an Appointment
SCHEDULE AN APPOINTMENT
Appointment Request Forms:
Choose a location.
Select the Participating Provider that best fits your needs. All locations are accepting new patients.
Contact the office.
Call the office or submit an Appointment Request Form online. During this step, be sure to let the team know you are a Northwest Dental Benefits Member.
Go to your appointment.
The team can access your plan information using your name, birthday, and employer, so no physical Membership Cards are needed. As soon as you are active on our plan, our offices are ready to see you!
FREQUENTLY ASKED QUESTIONS
Frequently Asked Questions
Q: When will I receive my Membership Card?
Since all in-network offices can access your information using your name, birthday, and employer, we do not issue physical Membership Cards. Our team members will verify your eligibility and benefits ahead of time or at the time of your appointment.
Q: How do I use my orthodontia benefit?
Northwest Dental Benefits Members are welcome to start orthodontia anytime and do not require a practice referral. Your chosen orthodontia provider will contact our offices to verify your eligibility.
Members who choose treatment at Avondale Dental Group or Peach Orthodontics are eligible for up to $2,500 in benefit. All other local orthodontia providers are covered under your $2,000 lifetime orthodontia maximum.
There is a six (6) month disbursement waiting period, meaning benefits will become eligible for payout 6 months after the initial enrollment date.
(Ex. If you joined Northwest Dental Benefits in January, your benefit will become eligible for payout in July.)
Please note, this does not mean you cannot start right away. You are welcome to begin treatment anytime!
Q: When do my benefits reset?
With a few exceptions, most plans' Annual Maximums reset on January 1st of each year.
Your Lifetime Orthodontia Maximum does not reset.
Q: Where can I find a complete list of covered services?
A copy of your Detailed Plan Summary, which includes a list of covered services and associated copays, is available through your HR administer. You can also contact our team at this email.
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