FAQs

For a complete listing of participating dentists, please visit Find a Dentist.

Yes, each family member in the program may choose a different dentist or dental office.

PPO subscribers and their family members in the program may receive dental care from any licensed dentist. However, members should always consider using a participating network dentist to maximize their out-of-pocket savings. To learn more about in-network savings, visit EOB and select “In-Network Advantages” in the PPO section.

PPO members may receive their dental care from any licensed dentist and may change dentists at any time. Members should always consider using a participating network dentist to maximize their out-of-pocket savings. To learn more about in-network savings, visit EOB and select “In-Network Advantages” in the PPO section.

One of our primary goals is to provide you with the best possible access to participating dentists. We have designated staff whose sole responsibility is to develop our dental networks and we are continually adding new dentists. For the most up-to-date listing, visit Find a Dentist. To request that your dentist be contacted about joining our networks, please fill out this form.

Benefits will be paid to you, or they may be assigned directly to your dentist. Your dentist may use the standard American Dental Association claims form. Claims can be filed electronically, faxed to 833-517-1939 or mailed to:

Dominion National
P.O. Box 211424
Eagan, MN 55121

Click here for an ADA Claim Form.

PPO members should refer to their Coverage Schedule for information on covered benefits. Make sure you carefully review the exclusions and frequency limitations listed in the document.

You will be sent ID cards and additional information that explains the program in detail by email and/or mail.

The annual amount each member must pay for dental services before the plan will begin to cover the member’s dental procedures. If dependents are covered, there may be a family deductible, which is the overall limit on what a family will pay before the dental plan pays.

The maximum dollar amount that the plan will pay toward the cost of dental care within the specified period per member. The maximum is shared for in-network and out-of-network services (if covered).

The percentage of a covered dental service cost paid by insurance (as listed in the PPO Coverage Schedule).

Out-of-network PPO dentists set their own fees, of which your insurance plan may only pay a portion (if covered). Balance billing occurs when the out-of-network dentist’s fee is higher than the insurance plan’s reimbursement fee to the dentist and the member is billed the remaining balance to cover the additional costs. Always consider using a participating network dentist to maximize your out-of-pocket savings.

Dependents up to age 26, unless otherwise determined by your employer or plan administrator, are covered.

PPO members may receive services from any licensed dentist, including specialists, without a referral from a general dentist. For maximum benefits at the lowest cost, members should visit a participating Dominion dentist.

Below are some examples and descriptions of various dental specialists.

• Endodontist: Treats the roots and nerves of teeth.
• Oral surgeon: Treats problems related to the hard and soft tissues of the face, mouth and jaws.
• Orthodontist: Treats malocclusion and other neuromuscular and skeletal abnormalities of the teeth and their surrounding structures.
• Pediatric dentist: Treats children from birth through adolescence. Provides primary and comprehensive preventive and therapeutic oral health care. Formerly known as a pedodontist.
• Periodontist: Treats diseases of the supporting and surrounding tissues of the teeth.
• Prosthodontist: Restores natural teeth and replaces missing teeth with artificial substitutes.

The PPO program may have certain restrictions, which are best described in the pre-enrollment brochure, Coverage Schedule and other distributed materials.

Office hours are 8:30 a.m. to 4:30 p.m. Eastern, Monday through Friday. Service Team Associates are available from 8:00 a.m. to 6:00 p.m. Eastern, Monday through Friday, at 866-615-4963. After business hours, members have access to certain functions via our Interactive Voice Response (IVR) system.

You may also access your account 24/7 on the secure member portal

To ensure you always have access to real-time benefit information, we encourage you to sign up for your member portal where you can view your digital ID card, find a provider and more.