So if you happen to live in the NJ or NY regions, definitely give Healthplex a try. If you use a TTY, please call800-662-1220, 8 am to 8 pm, Monday to Friday. Contact your company's human resources department. For comprehensive dental services, you will pay a $0 to $150 copayment depending on the service. Physicians Life Insurance Company provides important life insurance and Medicare Supplement insurance policies. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. The type of benefits available to you depends on two main factors; the insurance company and your insurance plan type. TRANSPARENCY IN COVERAGE DETAILS | According to the National Association of Dental Plans, about 164.2 Americans have private dental coverage, while another 83.9 million are covered with Government dental plans like Medicaid. For more information about dental services and participating dentists and specialists, please call EmblemHealth Dental at855-933-4033, 8 am to 8 pm, Monday to Friday. Unfortunately, many of these people do not know that their plans offer benefits that can be utilized to get treatment free of cost. Low Cost Comprehensive Individual and Group Dental Plans from Healthplex. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. All Rights Reserved. During this Covid-19 pandemic we may have been putting off our own health care issues or even routine scheduled appointments. when you utilize your Metroplus and healthplex-metropolis benefits, you will not only have good oral health, but it will also have a positive impact on your physical health. Metroplus Medicaid and Healthplex Coverage Information for the Bronx. In our newsletter the LIMB there is an advertisement for Healthplex Dental Plan. Thats amazing, I know. Does your Excellus BlueCross BlueShield plan include dental coverage? Employees and their dependents can continue coverage through COBRA upon loss of active coverage Q: What is the Healthplex reimbursement dental care option? For more information about dental services and participating dentists and specialists, please call EmblemHealth Dental at 855-933-4033, 8 am to 8 pm, Monday to Friday. In order to expedite processing of your claims, we encourage you and/or your provider to submit any outstanding dental claims that are not yet submitted to Healthplex. All diagnostic and preventive services are always covered in full, and all other dental services are also covered but you may need to pay a small co-pay at the time of your visit. The cost for this optional benefit is $12.50 monthly. Grand Concourse Dentist offers Emergency Dental Services, Dental care is expensive, more so for those who dont have any insurance. Visit asombf.comto search for a dentist. To find out about the products that are available please call 1-800-469-8138. Healthplex is also known for providing its members a very high quality level of customer service, and they also love to help customize plans to fit your specific budget, while still giving you the dental benefits you need. If you use a TTY, please call 800-662-1220, 8 am to 8 pm, Monday to Friday. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. State of NJ Dental Plans 2 Plan Year 2022 Rate Setting . Most of ourEmblemHealth VIP Medicare Plansinclude preventive dental services. How, they do this? FDP Deductible Adult Individual (Out of Network Cost Sharing Adult Benefits): WELCOME TO HEALTHPLEX Whether you are looking for a new customized dental plan for your group, wish to have your existing dental program redesigned, or simply want to lower your overall dental costs, Healthplex can offer you a spectrum of flexible, affordable options. It is not medical advice and should not be substituted for regular consultation with your health care provider. Open Enrollment may have ended, NONDISCRIMINATION NOTICE. Healthplex dental plans are easy to use and fit within any budget. As a member of EmblemHealth VIP Dual (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP), you pay $0 for both preventive and comprehensive dental services. PPO dental insurance plans, on the other hand, offer a balance between low-cost care and dentist choice. See the Dental Benefits FAQs. A: Active employees and their eligible dependents are eligible for coverage through Nassau County Healthplex plan. I know a lot of people are afraid to go to the dentist on a normal basis but now with this Covid who wants to go to the dentist, but it is very important to maintain your teeth for a good quality of life. All Rights Reserved. All claims with service dates prior to January 1, 2023 are subject to the current plan benefits and must be submitted to Healthplex. If you understand the importance of regular teeth cleaning and choose to get regular dental cleanups or checkups, you will be doing a huge favor for your teeth. If you utilize your benefits each year and regularly go for teeth cleanings, you wont have to worry about periodontal problems or bad breath throughout the next year! This page is for you to get an idea how your dental insurance may cover some of the issues youre dealing with. Use our search to find a local or national dentist in your plan's network Skip to Main Content Area . Job Title: Ambulatory Surgical Technologist - Woodbine Healthplex Location: Danville, Pennsylvania Job Category: Diagnostic Services Schedule: Days Work Type: Full time Department: Outpatient Surgery Team Date Posted: 11/17/2022 Job ID: R-40816 Job Summary Assists surgeon with procedures related to the care of patients of all ages during surgical intervention. Website: www.healthplex.com Frisco, Texas 75034 l l . These include, but are not limited to: However, some insurance companies also allow you to utilize your dental benefits for seeking basic treatment procedures like fillings and extraction. Remember, you are responsible for selecting the dentist of your choice, participating or non-participating, and you should exercise the same care and apply the same criteria in selecting a participating dentist that you would in selecting a non-participating dentist. However, as a general rule, insurance companies offer dental benefits for preventive dental procedures. For information regarding participating providers, please refer to the MBF PPO directories or call: 1-888-468-5179 (Dedicated Customer Service Line for MBF Members for claims incurred prior to 1/1/2023), Download the Healthplex Dental Claim Form (PDF). We then employ our proprietary algorithm to rank the candidates and take into consideration multiple factors, such as years of practice, specialization, advanced training, and patient reviews. CONDITIONS OF USE Find experts in your community who are trained to help you find the best possible health care plan for your needs. Northeast Delta Dental is part ofDelta Dental Plans Association. Benefits of the Select Plan include: Over 6,400 Dental Access Points in New York and New Jersey! Contact our Sales Department at 800-468-0466 or sales@healthplex.com. With Healthplex you dont ever have to pay any deductibles, maximums or have to suffer through a long waiting period before being able to use your dental insurance. All rights reserved. Speak with a customer service professional by phone. As an EmblemHealth VIP Medicare member, you will pay $0 for preventive services like cleanings, x-rays, exams, and fluoride treatments. Get access to thousands of forms. The table below outlines the benefit changes that will be effective January 1, 2023: Please see below link to the ASO website where you are able to search for network dentists as well as access the member portal to create an account to view your dental profile, claims, and Explanation of Benefits (EOB) statements. Browse helpful tips, frequently asked questions and educational resources on Medicare, dental, and life insurance. You can check with your Metroplus Medicare insurance agent regarding the details of your dental benefits. Go . Most popular medical specialty of providers who accept Healthplex Dental: Healthplex Dental providers listed on Doctor.com have been practicing for an average of: N/A. Prior authorization is required for some services. Dental care is expensive, more so for those who dont have any insurance. NONDISCRIMINATION NOTICE. Dental Network Changing from DentaQuest to Healthplex in 2022, Our Companies, Lines of Business, Networks, and Benefit Plans (PDF), Medicaid, HARP, and CHPlus (State-Sponsored Programs), Cultural Competency Continuing Education and Resources, Medicaid Cultural Competency Certification, Find a center near you, view classes and events, and more, Vendor-Managed Utilization Management Programs, Physical and Occupational Therapy Program, Radiology-Related Programs and Privileging Rules for Non-Radiologists, New Century Health Medical Oncology Policies, UM and Medical Management Pharmacy Services, COVID-19 Updates and Key Information You Need to Know, EmblemHealth Guide for Electronic Claims Submissions, Payment processes unique to our health plans, EmblemHealth Guide for NPIs and Taxonomy Codes, 2022 Provider Networks and Member Benefit Plans, EmblemHealth Spine Surgery and Pain Management Therapies Program, Outpatient Diagnostic Imaging Privileging, Benefits to Participation in Dental Network, Submit Electronic Claims and Dental Claim Forms. With ASO, you will have access to their network as well as the Careington Network, a national network with more than 250,000 locations. Here, you'll find a variety of health, life and retirement products designed for people from all walks of life including your pets. Connect with your Delta Dental company to learn more. All MVP dental plans with pediatric coverage meet the Affordable Care Act (ACA) requirements for dependent children up to age 19. Dr. Yakobashvili is our expert dentist with over 25 years of experience, finished two different dental schools, specializing in emergency dental treatment and cosmetic restorations. " Our Dentists ", select "Managed . Why Is It Important To Utilise Your Free Mediplus Insurance Benefits? You may setup a recurring payment or make a one time payment. These plans can be purchased alongside your MVP medical . Now that is really something quite special. Saturday - 9am-1pm. NS, INN, DP, Family Dental, DEP 29, Healthplex Network, WP, Yes, possible 12 month waiting period for prosthetic services for Adults only. Dental benefits are provided only to the extent that the services, supplies, and the course of treatment are necessary and appropriate, and that they meet professionally recognized standards of quality. A Comprehensive Benefit Dental Plan provides coverage for . The national network of Delta Dental companies protects more smiles than any other insurance company. Here you'll be able to get quick and easy access to information you need to manage your benefits. Close to 90% of members see dentists in these networks. SITE MAP | Find our Quality Improvement programs and resources here. Dental benefits are just like income tax returns - but more beneficial. Their plans for individuals and families are currently limited to the NJ and NY locations. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. Yes, its true. Q: Who is eligible for dental coverage through Nassau County Healthplex plan? These general dentists will provide all covered services according to the Schedule of Copayments. The idea is to encourage the insurance policyholders for plans such as Metoplus-Medicaid to avail free-of-cost dental preventive procedures. Have a question about coverage or looking for dental insurance? Dental Coverage (Adults 19 years of age and older) Choose one of the following: Dentcare/Healthplex Plan Fund Scheduled Dental Plan Empire BC/BS XPO Emblem Preferred Dental . Call us at 646-404-5005 to schedule your 6 month check up. In order to locate participating providers, please follow the instructions listed: go to www.healthplex.com, click on our dentist to view the most current listing of participating providers available to you, under the prospective members section on the left-hand side: click on Managed care panels, click on comprehensive panel, choose general practice or specialty and enter either your zip code or city/county and state. coverage restoration $36 D2335 D2952 Post and core in addition to crown, indirectly fabricated $165 Does EmblemHealth cover non-diagnostic COVID-19 tests?Are over-the-counter COVID-19 tests covered by my plan? Our rigorous selection process begins with verification that each dentist is properly licensed and in good standing. Our goal at EmblemHealth is to provide you with access to high-quality care, which is why we have contracted withHealthplexto manage the dental needs of our EmblemHealth VIP Medicare members. . Our plans are designed to provide you with personalized health care at prices you can afford. Benefit Maximum. Others may have small copayments that patients will pay directly to the dentist. Our network of dentists and oral health specialists is comprised of fully credentialed independent providers dedicated to superb clinical outcomes. Because many providers may practice at a site which is listed as participating, you should verify the participation status of the dentist who is actually providing treatment. Are over-the-counter COVID-19 tests covered by my plan? You are now leaving the Medicare section of the website. But why would dental insurance companies like Metroplus and healthplex-metroplus offer benefits to their customers you might wonder. Find the specific content you are looking for from our extensive Provider Manual. Unfortunately, even those who are lucky enough to have dental insurance tend to underutilize their plans. . Provide information on transition timelines routine preventiveand diagnostic dental services as well as services needed restore the dental condition. 2023 All Rights Reserved, NYC is a trademark and service mark of the City of New York, Medical Leave and Special Leave of Absence, $4,000 (medical requirement for adult orthodontic treatment), $6,000 (eliminates adult medical document requirement), Basic Restorative Procedures (Out-of-Network), Major Restorative Procedures (Out-of-Network), Dental Implants (In-network and Out-of-network), Extractions, Fillings, Inlays, Onlays, & Crowns Limitation. Let us show you why we are the dental benefit experts! It is not medical advice and should not be substituted for regular consultation with your health care provider. The maximum amount of benefits payable is $4,000 per person per benefit year, which runs from January 1st through December 31st. 2023. There are also absolutely no exclusions for any pre-existing conditions you may have had prior to signing up. Each covered person must select one participating dentist per family to provide general dental services. Naturally, if the mouth is healthy, you can expect a healthy and active body and mind. Healthplex, Inc. One of Connecticuts leading health plans. There is a separate $4,000 orthodontic lifetime maximum that is not included in the $4,000 annual dental maximum. Typically, the insurance benefits Metroplus-Medicaid benefits are renewed in January and expire in December each year. If additional assistance is needed, please contact Healthplex at 888-468-2183, Monday to Friday from 8 a.m. to 5 p.m. 2020 EmblemHealth. Active employees, retirees, and covered dependents currently enrolled in the Healthplex dental plan will be terminated from their dental coverage as of December 31, 2022(State Biweekly members will be terminated December 30, 2022). The price for Healthplex Dental coverage is as follows: individual - $263.00, couple - $390.00, member/child - $390.00 and family $566.00 for yearly coverage. Many services will be provided at no cost to the member. Professional dental cleanings, once or twice yearly. Members who need dental care should be directed to our Find a Doctor directory. It has been estimated that around. To apply for the Healthplex Dental plan just complete the dental application form with a check for the appropriate premium required and return everything to the address listed on the envelope. The idea is to encourage the insurance policyholders for plans such as Metoplus-Medicaid to avail free-of-cost dental preventive procedures. They stress using preventive services to reduce the potential for any escalating dental trauma later on in life, and that is sound advice to take. Glad Dental is proud to be an emergency dental and urgent care dentists provider in the Bronx area. Dependent children are covered up to their 19th birthday, or up to their 23rd birthday if a full-time student. currently enrolled in the Healthplex dental plan the opportunity to select another dental plan. Phone: 516-542-2264 . Its simple: The insurance companies get to save their money - by ensuring optimal health of their patients with minimum spending - while the patients get healthy, pearly white teeth to boast a naturally beautiful smile. If you're already a member, finding the right care is as easy as signing in to your myEmblemHealth account. If you have questions regarding website use, please contact Web Support at 1-888-468-5171, or email websupport@healthplex.com. All Rights Reserved. The policy initially covers basic services at 50% after the deductible, but this increases to 65% and then to 80%. Just register to get started. Or, give us a call at 1-800-469-81381-800-469-8138. Transition of Dental and Orthodontia Coverage Power Point (PDF, 1.4MB) Coverage from Fee for Service to Medicaid Managed Care June 12, 2012 Goal. Their plans for individuals and families are currently limited to the NJ and NY locations. PRIVACY POLICY | We take walk-in patients. Were happy to offer quality dental services to our EmblemHealth VIP Medicare members. Any information provided on this Website is for informational purposes only. . Healthplex dental plan encourages the prevention of dental disease by covering the following services at no cost: Oral exams, initial and periodic X-rays, semi-annual cleanings, fluoride treatments, oral hygiene instructions, oral cancer exams, routine extractions. They encourage free treatment benefits like twice-yearly checkup visits, teeth cleanings, and other basic preventive treatments. Healthplex dental plans are easy to use and fit within any budget. The price for Healthplex Dental coverage is as follows: individual - $263.00, couple - $390.00, member/child - $390.00 and family $566.00 for yearly coverage. of people in the US cannot get the dental care they need because of financial barriers. This applies regardless of whether the services are PPO or out-of-network, or both. A Dental Plan for Everyone. Through our national network of Delta Dental companies, we offerdental coveragein all 50 states, Puerto Rico and other U.S. territories. Or give us a call at 1-800-469-8138 to . Our comprehensive, innovative programs, are designed to control costs and assure quality care. To make future payments you must login with your User ID and Password, then select "Make a Payment". Unless otherwise noted, patient copayments will be the same when services are rendered by participating specialists. Find benefit summaries, list of covered drugs, and all necessary forms to get the most out of your EmblemHealth coverage. Connect with your Delta Dental company to learn more. What Type of Benefits are Offered by Insurance Companies? CONTACT | Our dental network partner is changing in 2022 from DentaQuest to Healthplex for certain dental products. I receive dental insurance through my employer, Electronic Funds Transfer & Electronic Remittance Advice Information for Dentists, Prevent Abuse and Neglect through Dental Awareness, Questions & Answers about Electronic Claims Submission, How To Get Started With Electronic Claims Submission. Search HealthPlex Dentists for Medicaid and HARP. MBF members received a letter in the mail during the month of December detailing this change. Effective January 1, 2023, the Management Benefits Fund dental provider will change from HealthPlex to Administrative Services Only, Inc. (ASO), which also administers the Funds Superimposed Major Medical Program (SMMP). Los latinos que no tengan seguro dental pueden optar por usar asistencia dental gratuita o a bajo costo en distintas ciudades de Estados Unidos, incluida Nueva York. Voter Registration If you have a driver's license or ID issued by NYS DMV: Register to Vote or Download Registration Form. Healthplex dental plans are easy to use and fit within any budget. There is no annual dollar limit. If you have enrolled in a dental plan through the New York State of Health Marketplace, Get Covered New Jersey or Healthcare.gov, you can make your initial payment by clicking here. There are currently over 2 million Healthplex members out there, and they cant all be wrong! It has been estimated that around 12.8% of people in the US cannot get the dental care they need because of financial barriers. The information and other content provided in this blog, or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment Read complete disclaimer, Healthplex Dental Insurance Plans and Benefits, Digital Dentistry Technology Advancements, Acidic Beverages: Flavored Water Could Be Destroying Your Teeth, Exploring Factors Affecting Tooth Extraction Cost. <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-KQWP8BJ&gtm_auth=DdlZXia22IFpnqhiEx4GcQ&gtm_preview=env-3&gtm_cookies_win=x" height="0" width="0" style . MCNA is dedicated to promoting high-quality and cost-effective oral health by increasing access to dental care for the public. Home Health Care . VIP Dual (HMO-D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP)*, Medicaid, HARP, and CHPlus (State-Sponsored Programs), Find a doctor, dentist, specialty service, hospital, lab and more, 1199SEIU Preferred Premier & Preferred Plus. A Dental HMO plan under which comprehensive dental services are covered with no out-of-pocket expenses, known as Dentcare. Dependent children are covered up to their 19th birthday, or up to their 23rd birthday if a full-time student. That product is not available in your state (Washington). The Healthplex Group # for our plan is GG-246ID. Have a question about coverage or looking for dental insurance? TRANSPARENCY IN COVERAGE DETAILS . The only difference is how much each one pays. All diagnostic and preventive services are always covered in full, and all other dental services are also covered but you may need to pay a small co-pay at the time of your visit. Get the EmblemHealth Preventive and Comprehensive Dental Brochure, 2023 Dental BrochureDownload PDFEnglish|Espaol|. For assistance please contact support at 1-888-468-5171. SITE MAP | Here are a few benefits of making full use of your insurance benefits every year: Broken teeth, Root Canals, and Treatment (Top Dentist Bronx, NY). NATIONAL ASSOCIATION OF LETTER CARRIERS AFL-CIO, 630 Broadway (Route 110), Amityville, NY 11701, PHONE (631) 789-1616 FAX (631) 789-4641. The SHBP Dental Plan completed an RFP process to review potential DPO vendors with new contracts effective 1/1/2015. Your Benefit Overviews. You can go to any dentist you like or save an average of 36%* on covered services when you see a dentist in our network. Average Overall User Rating for providers who take Healthplex Dental: N/A. Provider Update DHMO insurance plans typically cover dental services at a low cost and minimal or no copayments with a pre-selected primary care dentist or a dentist facility with multiple dentists. Download this section of the Fund Booklet (PDF), Still Have Questions? You can read more about different types of dental insurance plans on the American Dental Association website, Twice-yearly dental checkup visits - including advice on tooth-friendly habits and diet. One of these health care issues is your teeth. Each year, based on your insurance plan premium, your insurance company will set aside certain dental benefits that are valid throughout the year. You may be really excited about what you find. The premiums are billed once per year, so you dont have to worry about writing checks month after month after month. Access HealthPlex Discount Dental Plan Member Schedule: HP-1 Contact Us Schedule of Services Business Hours: 7 a.m. - 7 p.m. CST Monday - Friday . Dental Insurance vs Dental Discount Plans, Dental Insurance for Individuals or Families. General Medical Reimbursement . Conveniently chat online with one of our representatives. MVP partners with Healthplex to ensure members have access to the most comprehensive oral care services through a network of fully credentialed dentists . View our Privacy Policy. Select DHMO plan offers extensive coverage at an affordable cost that works within any budget for an individual, family or business. Healthplex Insurance Company, Inc HIOS ID: 92786NY0010005 Annual Benefit Maximum: None Plan Brochure Link: View Out of Network Coverage: N Dental Plan Type Dental Plan Type: Adult & Family Dental Plan Plan Information Dep Age: Age 29 New for 2023: N Plan Type: EPO Standard or Non-Standard Plan: Standard Waiting Periods: Please see the below chart for what you will pay and covered services. Having healthy teeth is part of staying healthy. Note: The Management Benefits Fund (MBF) does not recommend or endorse any particular dentist. If additional assistance is needed, please contact Healthplex at 888-468-2183, Monday to Friday from 8 a.m. to 5 p.m. CONDITIONS OF USE Their plans are considered even better than the rest because ALL they offer is dental insurance, so they really know what they are doing. Average ProfilePoints score for Providers who take Healthplex Dental: N/A. Physicians Mutual, 2002-2023. N/A. It is called Dentcare Delivery Systems (DDS) in the New York locations, and International Healthcare Service (IHS) in New Jersey locations. Any information provided on this Website is for informational purposes only. After 5 failed attempts your account will be locked. Use these quick links to easily find what you're looking for. EmblemHealthVIP Dual (HMO-D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP)*, * Applicable for 2023 Benefit year for VIP Dual Reserve (HMO D-SNP) plan. Remember dont wait until you have a toothache to think about dental coverage, get it now and go for those periodical cleanings so you wont get a toothache! Who is Involved in Electronic Claims Submission? 2020 EmblemHealth. Healthplex Dental Insurance Company is definitely known as a leader when it comes to their amazing dental plans. 2023 Plans Vermont Health Connect. . COMPLIANCE | NALC Br 6000 offers active and retired members a dental plan it is called Healthplex Dental. They encourage free treatment benefits like twice-yearly checkup visits, teeth cleanings, and other basic preventive treatments. Optical Benefit Comprehensive Professional Services Actives Code = 51882 General Vision Plans that include Comprehensive Dental Benefits areEmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Essential (HMO), EmblemHealth VIP Rx Saver (HMO), EmblemHealth VIP Gold (HMO), EmblemHealth VIP Reserve Classic (HMO), EmblemHealth VIP Dual Reserve (HMO D-SNP)andEmblemHealth VIP Gold Plus (HMO). 2023 Preventive and comprehensive benefits, Medicare Basics and Answers to Your Questions, Fluoride application; Fluoride treatment/1 every 6 months, Single Tooth X-rays; Bitewing X-rays/1 every 6 months, Periodic Oral Exam; Limited Oral Exam/1 every 6 months, Prefabricated Stainless Steel Crowns/1 every 60 months, Post and Core in Addition to Crown/ 1 every 60 months, Inlay/Onlay and Single Crown Restoration/1 every 60 months, Root Canal (molar) Once per permanent tooth per lifetime, Gingivectomy/Gingivoplasty per Quadrant/1 every 36 months, Osseous surgery (1-3 teeth) per Quadrant/1 every 60 months, Osseous surgery (4 or more teeth) per Quadrant/1 every 60 months, Periodontal Maintenance/1 every 36 months, Apicoectomy/Periradicular Services/ 1 per lifetime, Scaling and Root Planing/Once every 36 months per quadrant, Complete or Partial Denture/1 every 60 months, Complete Denture Repair/1 every 12 months, Complete Denture Rebase and Reline/1 every 36 months, Fixed Partial Denture Pontics, Retainers, Recement/1 every 60 months, Extraction or Removal of Tooth Soft Tissue/1 per lifetime, Removal of Bony Impacted Tooth/1 per lifetime, Alveoloplasty without Extraction per Quadrant/1 every 12 months, Excision, Incision and Other Repair Procedures. imagine spending money on procedures that are not covered by your Metroplus Medicare insurance plan, which could have been prevented in the first place through preventive treatment? As the baby formula shortage continues, there are certain precautions you should take. The process of claiming your dental benefits is simple. You are now leaving . healthplex dental plan coverage healthplex customer service healthplex phone number healthplex fayetteville, nc membership healthplex dental reviews what does healthplex dental cover healthplex hours Create this form in 5 minutes! How? Be sure to identify yourself as an eligible member of the Management Benefits Fund and confirm that the dentist is an MBF participating dentist. Why Do Dental Insurance Companies Offer Benefits? If you cannot reach your primary care dentist and you have an Emergency, call Healthplex at (800) 468-0600 for the name of a provider in your area. There is a $5.00 copayment per person/per visit to your general dentist.