Healthplex Dental Insurance

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About Healthplex Dental Insurance Plans.

Dental Plan Specialists

Healthplex, the “Dental Plan Specialists," was established in the 1970's by dentists and other healthcare professionals who were concerned about the increasing costs of dental care. With an understanding of dentistry as well as dental insurance, Healthplex was able to develop benefit plans that effectively managed the risks associated with conventional indemnity plans. One million subscribers later, the corporation is providing dental benefits and administrative services for insurance companies, HMOs, school districts, municipalities, welfare funds and businesses of all sizes.

In New York, dental plans are underwritten by Dentcare Delivery Systems, Inc., a non-profit dental expense indemnity corporation. In New Jersey, benefits are available through our wholly owned Dental Plan Organization, International Healthcare Services, Inc. In addition to dental benefits and administrative plans, Healthplex maintains one of the largest Preferred Provider Organizations in the Northeast. The company is also certified as a Credentials Verification Organization in ten out of ten credentialing elements by the National Committee for Quality Assurance. The National Committee for Quality Assurance is an independent, not-for-profit organization dedicated to measuring the quality of America’s healthcare.

  • Healthplex is certified as a Credentials Verification Organization in ten out of ten credentialing elements by the National Committee for Quality Assurance. Healthplex is the only stand alone dental company in the United States that has this distinction.
  • Healthplex is a Utilization Review Agent. This insures that appropriate notification is given to members and providers regarding all benefit decisions.
  • Healthplex is fully HIPAA compliant.
  • Healthplex is over two million members strong and growing.

As big as we have grown, Healthplex is still operated by the same management team that founded it 30 years ago, and it is still our pleasure and honor to provide the best service at the best price to our clients and members.

Our Mission

It is the mission of Healthplex to provide all of our clients (groups, members, HMOs and providers) with the highest level of dental program available.

It is our vision that all people understand the connection between oral disease and overall health. If left untreated, even minor dental problems can develop into more serious dental conditions as well as general health problems. That is why at Healthplex we promote the Preventive Incentive. Focusing on prevention is the right way to improve your oral health and your overall health -- besides, you will save money on dental services as well!

Support

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(800) 296-3800

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Healthplex Plan Info

Capdent Plan

The CapDent plan is available directly to individuals and their families. Diagnostic and Preventive services are covered in full, and other dental services are covered with minimal co-payments that you pay directly to your participating dentist. This plan is available through Dentcare Delivery Systems (DDS) in New York and through International Healthcare Services (IHS) in New Jersey, It has no deductibles, maximums or waiting periods. There are no exclusions for pre-existing conditions.

Additional benefits of the CapDent Plan are:

  • Extensive network of participating dentists and specialists
  • No claims forms needed
  • Immediate availability to the benefits of the plan
  • Covers many types of services including crowns, bridges, dentures, root canals, periodontal care and orthodontics
  • Cleanings, exams, x-rays and fluoride treatments at no cost to the enrollee
  • Participating specialists at 25% less than usual fees

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