Out-of-network dental care
Your employees may go to any dentist of their choice. But, if they go to an out-of-network dentist it may cost more.
Your employees’ dental benefits will only cover some of the costs of their dental care at an out-of-network dentist. Their dental plan will only pay for covered services that are listed on the Schedule of Allowables. Also, there’s only a certain amount that the benefits pay for each service. Your employees are responsible for paying the rest. Your employees can call Nevada Dental Benefits (NDB) at 702-478-2014 for more information.
Your employees will save more money and get more benefits if they go to an in-network dentist instead.
Out-of-Network Basic Plan (non-Culinary Network Dentist) benefit information:
| Benefit | What your employees should know |
|---|---|
| Annual deductible | No deductible |
| Maximum yearly benefit | $1,500 each person |
| What your employees have to pay (out-of-pocket) | Your employees have to pay all charges above what is listed in the plan’s Schedule of Allowables. If a service is not listed, your employee has to pay the full price of that service. |
| Dual Culinary coverage | If your employee and their spouse both have Culinary dental benefits, they may still have copays and extra costs. |
| Anesthesia | Covered for some extractions |
| Missed appointments | Your employees should call their dentists at least 24 hours before their appointments if they have to cancel. The plan will not pay any fees for missed appointments. |
Are orthodontics (braces) covered by the out-of-network plan?
No. Braces are not covered by the out-of-network plan. Braces are only covered for your employees if they go to an in-network dental provider.
Other dental benefits
- Follow this link to learn more about your employees’ dental benefits, dental care at the Culinary Health Center, and dental emergencies.
- Follow this link to see your employees’ in-network dental benefits.