Page 11 - 2016 Enrollment

11

Dental

Effective January 1, 2016, dental coverage will be offered through
Anthem. There will be no beneit changes to the major beneit provisions.

As long as you are enrolled in the medical plan, McCormack Baron
will continue to provide dental insurance. Please follow the Anthem
Provider Search instructions to ensure your current dentist participates
in Anthem’s network. Remember, you will pay less out-of-pocket if you
receive dental services from an in-network dentist.

Anthem Provider Search

1. Go to www.anthem.com/mydentalvision
2. Click on “Find Dental Providers” (middle of page)

3. Click on “Anthem Dental Complete”

4. Select a Specialty (if needed); Click “Next”
5. Enter your criteria for the provider search and click on “View Results”

6. To lookup a provider by name, click on “Lookup by Name” at the top
of the page

Anthem Dental Beneits
Deductible In-Network Out-of-Network
Individual $50 $50
Family $150 $150
Annual Maximum*
Individual $1,000 $1,000
Coinsurance (Member Responsibility Shown)
Diagnostic/preventive 0% no deductible 0% no deductible
Basic services 10% after deductible 20% after deductible
Major services 40% after deductible 50% after deductible
Orthodontia
Children only 50% no deductible, $1,500 lifetime maximum

* Charges for diagnostic and preventive services are excluded from the annual maximum.

2016 Open Enrollment