Frequently Asked Questions

Master Plan

Q: How many times a year can I have my teeth cleaned?
You may get a cleaning every 6 months.
Q: What is a pre-existing condition? Is it covered?
A pre-existing condition is an oral health condition, which existed before your enrollment in a dental program. The plan does not include an exclusion for pre-existing conditions.
Q: What is work in progress? Is it covered?
Work in progress is any oral health procedure that is started and not completed prior to your enrollment in a dental program. The plan does not cover any expenses prior to the date you are covered under the Policy.
Q: Are cosmetic procedures covered? If so, what procedures?
There are no benefits for cosmetic procedures.
Q: Is Orthodontia Covered?
Specialty care partners offer plan members a 25% discount from their Usual and Customary fees for our SmileCard and Master Plans.
Q: Do I need to obtain claim forms?
Most providers use an industry accepted form for submission to an insurance carrier. In the event your provider asks for a claim form, please contact the administrator.
Q: Is there a waiting period?
No, there is no waiting periods.
Q: Is this insurance?
Yes, this is insurance.
Q: Can I change my dentist once I am in the plan?
Yes, you may change your dentist at any time.
Q: My dentist isn't currently in the directory. What can I do?
Call member services and give us your dentists information. We will contact him/her about becoming a Provider.
Q: How long does it take to process my application?
Your application will be processed within 5 days of receipt.
Q: When will I receive my enrollment package and what will it include?
You will receive your enrollment package within 7 days of submission of your application. Your enrollment package will include a welcome letter, policy, certificate and ID card.
Q: If I choose to pay by credit card, what will my credit card statement read?
When paying by credit card, your statement will read "Argus Dental Plan, Inc."
Q: If I choose to pay by Bank Account Draft (ACH), what will my bank statement read?
When paying by Bank Account Draft, your statement will read "Argus Dental Plan, Inc."
Q: Is the processing fee billed separately or with the premium?
For your convenience, your processing fee is billed with your premium.
Q: Can I change my payment type once I am in the plan?
Yes, you may contact member services to change your billing mode.
Q: If I started with monthly payment, can I change it to annual payment at a later date?
This plan allows for monthly or annual billing. You may choose any of these payment methods.
Q: Do the applicant name and billing name need to be the same?
No, the applicant name and the billing name do not need to be the same.
Q: What if I need to change my membership from Individual to Family Coverage?
Contact member services to add any dependents to your membership.
Q: How do I add or cancel coverage for a dependent?
Contact member services to add or cancel coverage for a dependent.
Q: If I cancel the policy, will I receive a refund of the premium or processing fee?
Terms of the contract are for one year. According to our Certificate of Coverage you can terminate but the premiums are non-refundable. The enrollment fee of $25 will not be reimbursed.