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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
COPAY-BASED SYSTEM
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Know exactly what treatment costs are, if any, before the time of your visit
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Straightforward and easy to understand compared to percentage based systems
SPECIALTY BENEFIT
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With an approved referral from an in-network Provider, benefits can be used the same at a Specialist as at a network office.
LIFETIME
ORTHODONTIA MAXIMUM
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Up to $2,500 of lifetime benefit when receiving treatment at an in-network office​
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No age limit
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No waiting or referral necessary
DEDUCTIBLES & OFFICE VISIT FEES
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$0 deductibles for all plan levels
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No office visit fees at any in-network office
HIGH ANNUAL MAXIMUM
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$2,500 of benefit annually per individual
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Use towards in-network treatment, referred specialty treatment, & commonly excluded services like dentures & implants
EMERGENCY
BENEFIT
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When more than 100 miles away from the closest network office and have a dental emergency, your Emergency Benefit (up to $100) can be used to relieve any pain.
SCHEDULE AN APPOINTMENT
Schedule an Appointment
Choose a location.
Select the Participating Provider that best fits your needs. All locations are accepting new patients.
Kootenai County Treasure Valley
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.
No need to wait!
Your account information is stored in-house, so you will not receive a physical membership card. No need to wait to schedule an appointment- get started right away!
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. Contact your HR Department for your group's specific plan 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 administrator.
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