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Frequently Asked Questions

  1. What happens if I visit a dentist who isn’t part of the network?
  2. What happens if I visit an out-of-state dentist?
  3. What is Ascent Benefits Company’s mailing address?
  4. My benefits come through COBRA. Who handles my plan?
  5. How are subscribers’ questions handled? Will you provide a toll-free line for this purpose?
  6. What is “balance billing”, and how do you prevent a dentist from billing the patient any amount in excess of the “Amount Allowed”?
  1. What happens if I visit a dentist who isn’t part of the network?
    Your Ascent Benefits Company benefits also cover services performed by dentists who don’t participate in our network. However, work done by non-participating dentists is covered at a lower benefit level and may result in greater out-of-pocket costs.   back to top

  2. What happens if I visit an out-of-state dentist?
    If the dentist you see is outside Colorado, benefits will be based on Ascent Benefits Company's non-participating dentist table of allowance. You will be responsible for the difference between that allowance and the non-participating dentist's usual and customary fee.   back to top

  3. What is Ascent Benefits Company’s mailing address?
    Ascent Benefits Company
    PO Box 41698
    Phoenix, AZ 85080-1698

    For claims:
    Ascent Benefits Company
    Attn: Claims Department
    PO Box 43950
    Phoenix, AZ 85080-3950   back to top

  4. My benefits come through COBRA. Who handles my plan?
    Please contact the employer through which you receive your benefits. Ascent Benefits Company complies with COBRA rules and regulations and accepts existing COBRA participants. We do not, however, assume the employer’s responsibility for notifying, billing and administering COBRA legislation.   back to top

  5. How are subscribers’ questions handled? Will you provide a toll-free line for this purpose?
    Our Customer Service Department is happy to answer any questions and can be reached toll-free at 888.651.7643. This department is located at our corporate headquarters in Phoenix, Arizona, and is staffed with knowledgeable, experienced representatives. For the convenience of our subscribers, our toll-free line is open Monday through Thursday from 7:45 a.m. to 5:00 p.m., and on Friday from 7:45 a.m. until 4:30 p.m. (Mountain Time).   back to top

  6. What is “balance billing”, and how do you prevent a dentist from billing the patient any amount in excess of the “Amount Allowed”?
    Participating Dentists agree to accept payment based on the Contract Amount Allowed or Submitted Amount, whichever is less. If the Amount Allowed for a particular covered service is lower than the dentist’s Submitted Amount, he or she agrees not to charge the difference to the subscriber.

    For example: Dr. X charges $50.00 for a particular covered service. Ascent Benefits Company’s Contract Amount Allowed is $40.00. When Dr. X performs the service on a Ascent Benefits Company patient, his office then files a claim. Ascent Benefits Company sends him a check for $40.00 (less any co-pay or deductible as per the group’s contract), and the service is considered paid in full. Per his contract agreement, Dr. X may not “balance bill” the patient for the remaining $10.00. This feature can add up to significant savings for our subscribers!   back to top

 

     
 

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