FAQ Association Dental and Vision Benefits

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Association Dental and Vision Plan

1. What are the dental/vision benefits?
To download pdf documents describing the benefits, go to http://www.strategynw.com/pdfs/OMPA_benefits_$1000cym.pdf or go to http://www.strategynw.com/pdfs/OMPA_benefits_$1500cym.pdf

2. How much is the plan?
The dental/vision plan varies in premium from one individual or by the size of your group. The more members that participate with the program will help the sustainability of the plan and is the reason for the price differences.

3. What are the health plan options in 2010?
OMPA members can choose from the many options available through individual or group alternatives. Quotes are available 24/7 for individual plans at www.yourins.com or call 503-667-0500 for free consultation. Quotes for group plans may be obtained by emailing dennis@strategynw.com with your most recent employee census. A pdf of the employee census form may be downloaded at http://www.strategynw.com/pdfs/2010_Employee_Census.pdf. You may also call the number above to discuss other alternatives.

4. Are there any association group benefits available for medical?
At this time there we are working to find the best plan and pricing so that we may offer this benefit in the future.

5. When may I enroll on to the dental?
Everyone may initially enroll without penalty. If coverage is terminated you may re-enroll effective the following April first after a one year one year waiting period. A member that terminates their coverage and enrolls in a different fashion (e.g. individual then to a group) may be allowed to make this change.

6. I am a new member to the OMPA. How long will I have to wait before enrolling to the dental plan?
You may sign up to the dental at anytime as long as your dental/vision paperwork is completed and turned in prior to the 12th of the month prior to the effective date.

7. Are there waiting periods with the plan?
If you have proof of prior dental insurance coverage there is not be a waiting period for major services. Coverage for tier one, tier two, and vision are covered from the start of your plan. When dental is a new coverage you have a 12 month wait for major services. If your group plan has 10 or more members enrolled there is no waiting period for major services. See benefits descriptions above (question 1).

8. Am I limited to using only preferred dentists with the Ameritas Dental plan?
No, you may use any licensed dentist. You may choose to use a preferred dentist. Preferred dentist discount their fees and agree to hold insured harmless for charges that exceed usual, customary, and reasonable allowances. To find an in-network dentist you may use this link to find an Ameritas preferred provider: http://group.ameritas.com/resources/find.asp

9. May I add a dentist to the Ameritas preferred network?
Yes, if your dentist is not part of the Ameritas PPO network you can nominate him/her for the network by visiting the following site: http://www.ameritasgroup.com/member/resource.htm

10. What are the maximum benefits for the dental insurance?
The default dental program has a $1,000 max benefit per person enrolled to the dental. If you currently have a $1,500 benefit program in force you are able to enroll at this benefit.

11. What is the maximum benefit for vision?
The yearly maximum for vision is $150 per person enrolled with the plan. You may go to any provider that you choose and here is the link to submit a vision claim: http://group.ameritas.com/apps/assets/content.asp?doc=029482

12. How do I enroll?
You may download the enrollment form for individuals at http://www.strategynw.com/Ameritas_Enrollment_indiv.pdf. Go to http://strategynw.com/ompa_how_enroll.html for the enrollment procedures, timing, and where to send the paperwork along with a check.

 

Contact Information
Phone: 503-667-0500
Fax: 503-667-0503
Cell: 503-313-2390
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