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Our Products
Products to Smile
About.
Regardless of your business size, Denex™
Dental offers customized value and tailored plans to fit,
evolve, and grow with the changing needs of your company,
employees, and individuals. We are confident you’ll find a
product(s) that will give you a lot to smile about.
To learn more about our products, click one
of the links below.
Preferred
Provider Organization
Denex™ Indemnity Plan
Exclusive
Provider Organization
Denex™ Value
Outlook
Vision
Preferred
Provider Organization (PPO)
Our PPO Plan is specifically designed to give each member
the “choice,” freedom and flexibility to visit any licensed
provider. However, since we have negotiated discounted fees
with our Network Providers, benefit amounts will generally
be higher if members receive care In-Network. Our Network
has both general dentists and specialists to provide
services.
With a national network of over 75,000 participating
providers, members enjoy the advantages of:
• High quality service from credentialed providers.
• Discounted fees for service.
• Providers complete and submit claim forms on your behalf.
• No balance billing.
• No referrals required to visit a specialist.
Denex™ Dental will pay a percentage of the charge by the
Network Provider for each covered service, up to the actual
charge. In-Network benefits are calculated based on the
participating provider’s negotiated fee.
Out-of-Network benefits are calculated using either a
Maximum Allowable Charge (based on fees paid to Network
Providers in the geographic area where the expenses are
incurred) or Reasonable and Customary Charge (as determined
by the Ingenix). Providers that are
not part of the Network have not negotiated their fees with
Denex Dental and will charge their usual and customary fees.
To ensure proper savings, members should visit an in-network
provider. Or if you have any questions, contact our CCPs
(Customer Care Professionals) for more information.
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Denex™ Indemnity
Plan (Indemnity)
Our Indemnity Plan gives members the freedom to see any
provider. Members simply choose a provider, obtain services,
and submit a copy of the bill with a claim form to Denex™
Dental. Indemnity Plan benefits are calculated using either
a Maximum Allowable Charge (based on fees paid to Network
Providers in the geographic area where the expenses are
incurred) or Reasonable and Customary Charge (as determined
by the National Dental Advisory Service).
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Exclusive
Provider Organization (EPO)
Our EPO Plan gives members access to a national network of
over 75,000 dental providers. Denex™ Dental will pay a
percentage of the charge by the Network Provider for each
covered service, up to the actual charge. In-Network
benefits are calculated based on the participating
provider’s negotiated fee. Members must see a participating
provider to be eligible for benefits.
With our EPO Plan members enjoy the advantages of:
• High quality service from credentialed providers.
• Discounted fees for service.
• Providers complete and submit claim forms on your behalf.
• No balance billing.
• No referrals required to visit a specialist.
* Contact our CCPs (Customer Care Professionals) to identify
services.
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Denex™ Value –
Dental Discount Plan
Our Denex Value Dental Discount Plan allows members to see
any provider that participates in the Network and receive
services at reduced, pre-negotiated discounts that average
20% to 50% off the provider’s standard fees. Members receive
discounts from all participating providers, including:
• Orthodontists – Braces (for adolescents and adults)
• Periodontists – Gums
• Oral Surgeons – Wisdom Teeth
• Prosthodontists – Bridges and Dentures
• Pediatric Dentists – Child Treatment
• Endodontists – Root Canals
• Cosmetics – Veneers and tooth whitening
Denex Value is not insurance which makes using the plan much
easier. There are no exclusions or limitations on procedures
and members can use the plan as often as they like. Unlike
traditional dental insurance, they’re are no administrative
or claims forms and no red tape. Members are automatically
accepted when they join.
Using Denex Value is easy. Members simply choose a
participating provider and schedule an appointment. Members
can locate a current list of participating providers by
using the search feature on the website or by calling a
customer service representative. Members show their ID Card
and receive services at reduced, pre-negotiated discounts
far below the provider’s standard fees.
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Outlook
Vision – Discount Vision Plan
All Denex™ Dental members are automatically enrolled in our
Discount Vision Plan at no additional charge. Members save
on eyewear and eye care services from participating vision
centers. Members receive:
• Savings 10% to 50% off the retail price of eyewear
including prescription glasses, contact lenses, and
accessories.
• Savings off standard fees on vision correction surgery
(Laser/Lasik) at select locations where approved.
• Mail order contact lens replacement program that offers a
10% to 50% discount.
• Special discounts on eye exams at selected locations where
approved.
• Free minor eye wear adjustments.
The Outlook Vision Network is comprised of over 11,000
national and regional providers such as Pearle Vision, Sears
Optical, LensCrafters, JC Penny Optical, Eyemasters,
independent optometrists or opticians, small and large
retail centers, “one-hour” service optical centers, and many
other eye care facilities. You can locate a participating
vision center by using the search tool or by calling toll
free at 1-866-433-6391.
Members simply take their Denex Dental ID Card to any
participating vision center. Members pay the discounted
amount directly to the provider at the time of purchase and
walk away with discounted savings. The Discount Vision Plan
is not insurance, so there’s no fuss, no hassle, and no
confusion – just the value of substantial savings.
The Outlook Eyewear Guarantee:
• Highest Quality – All merchandise is covered by
manufacturer’s warranty for materials and workmanship.
• Price – Once purchase is made, if a member finds the
identical eyewear at a lower advertised price, the
difference will be cheerfully refunded.
• Complete Satisfaction – If a member is not completely
satisfied with their eyewear purchase from a participating
vision center, it may be returned within 30 days for a full
refund.
Contact our CCPs (Customer Care
Professionals) for approved selected locations.
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