Page 8 - Dental Benefit Plan Summary
P. 8
TEXAS MUTUAL INSURANCE COMPANY DENTAL PPO PLAN
If, in addition to being enrolled for Coverage under the Plan, you are enrolled in a Medicare
Advantage (Medicare Part C) plan, you must follow all rules of that plan that require you to
seek services from that plan’s participating Dentists. When the Plan Sponsor is the
secondary payer, the Plan will pay any benefits available to you under the Plan as if you had
followed all rules of the Medicare Advantage plan. If this Plan is the secondary plan and you
don’t follow the rules of the Medicare Advantage plan, you will incur a larger out of pocket
cost for Dental Services.
Identification ("ID") Card
You must show your ID card every time you request Dental Services. If you do not show
your card, the Dentists have no way of knowing that you are Covered under a Plan issued by
the Plan Sponsor.
Contact the Plan Administrator
Whenever you have a question or concern regarding Dental Services or any required
procedure, please contact the Plan Administrator or call the telephone number stated on
your ID card.
3 SECTION 1 - WELCOME
