1199 Dental Insurance Coverage and Changes Explained

1199 dental insurance coverage is designed to provide comprehensive protection for your oral health needs.

The plan offers a range of benefits, including preventive care, restorative services, and major treatments.

Preventive care is covered at 100% after a 12-month waiting period, which includes routine cleanings, exams, and X-rays.

Restorative services, such as fillings and extractions, are covered at 80% after a 12-month waiting period.

Major treatments, including crowns and root canals, are covered at 50% after a 12-month waiting period.

Discover more: Waiting Period Dental Insurance Plans

With 1199 dental insurance, you can enjoy 100% covered services with no out-of-pocket costs for a wide range of treatments.

Orthodontic treatment is fully covered, with no maximum limit, as long as you start treatment before age 20 and complete it by then. Comprehensive treatment of dentition is the only type of orthodontics covered.

The National Benefit Fund and other participating funds offer this benefit, ensuring you can get the dental care you need without worrying about the cost.

Here are some of the funds that offer 100% covered services:

EmblemHealth and NBF are two entities that play a significant role in the 1199 dental insurance landscape. EmblemHealth, a New York health insurance company, partnered with NBF to offer dental insurance to 1199 members.

EmblemHealth's partnership with NBF brought affordable dental insurance options to 1199 members. This collaboration allowed EmblemHealth to expand its services to a wider audience.

The 1199SEIU Aetna DMO Plan offers a significant advantage with its vast network of dentists. Over 5,000 participating dentists are available in New Jersey.

One of the standout features of this plan is the absence of an annual dollar maximum, including on orthodontia. This means you won't have to worry about reaching a cap on your dental expenses.

You'll have a Primary Care Dentist (PCD) to coordinate your care and refer you to in-network specialists if needed. This can help streamline your dental care and ensure you're receiving the best possible treatment.

Broaden your view: Carrington Dental Insurance Plan

The plan also comes with a dedicated appointment app to schedule appointments, making it easy to fit dental care into your busy schedule.

For any questions or concerns, you can reach out to the 1199SEIU customer service team, available Monday to Friday from 8 am to 6 pm.

Here are some key benefits of the Aetna DMO Plan at a glance:

If you're an NBF participating dentist, you'll need to contract directly with EmblemHealth to continue providing service to NBF members and their beneficiaries.

You can join EmblemHealth's Preferred Dental network by contacting them at [email protected] or at www.EmblemHealth.com (click the “Provider” tab, then select “For Dental Providers”).

Your credentialing status with the NBF will not be transferred to EmblemHealth, so you'll need to re-apply if you want to join the network.

If you're already a participating provider in the EmblemHealth Preferred Dental network, you won't have to do anything to continue providing service to NBF members and their beneficiaries.

To verify your participation status with EmblemHealth, you can search their Preferred Dental provider directory at http://psearch.ghi.com/ProviderSearchEHGHI/Search.aspx?Plan=PPO|4|110&Network=06.

If you're not already a participating provider in the EmblemHealth Preferred Dental network, it's a good idea to join to ensure you can continue to provide service to NBF members and their beneficiaries.

EmblemHealth and NBF are making some changes to their dental benefits.

All NBF members will have a $3,000 annual maximum dental benefit per calendar year.

This new maximum will cover what NBF has paid for services provided from January 1, 2017, to March 31, 2017, and what EmblemHealth will pay for services provided on or after April 1, 2017, up to December 31, 2017.

1199 dental insurance offers a convenient way to manage your dental care through their Dental ID Card. This card serves as proof of your insurance coverage.

You can use your Dental ID Card to visit any participating provider in the 1199 network. This network includes over 100,000 providers across the United States.

To find a participating provider, simply visit the 1199 website and use their provider search tool. This tool allows you to search by location, provider name, or specialty.

1199 dental insurance also allows you to visit out-of-network providers, but you'll need to pay a higher copayment or coinsurance. This can be a good option if you have a preferred dentist who isn't part of the 1199 network.

We offer a variety of dental insurance options to cater to different needs.

Our dental insurance options include Delta Dental, 1199seiu, Healthfirst, 32BJ, and Fidelis.

These insurance plans provide flexibility and convenience for our patients.

We have different packages available, such as family & individuals, small businesses, and retirees.

Here are some of the dental insurance options we offer: