Frequently Asked Questions

Access PPO 1

Q: How many times a year can I have my teeth cleaned?
Twice.
Q: What is a pre-existing condition? Is it covered?
Dental needs that were present in the patient prior to enrolling in the Access PPO plan. Pre-existing conditions are covered.
Q: What is work in progress? Is it covered?
Work in progress refers to dental treatment that is in the process of being completed. Under certain specific circumstances, work in progress is covered under your the Access PPO plan. Under most circumstances, work in progress is not covered.
Q: Are cosmetic procedures covered?
No.
Q: Is Orthodontia Covered? What are the Orthodontia benefits? If yes, is Invisalign braces covered?
Orthodontia and Invisalign braces are not covered for adults. The Access PPO Kids plan for children under age 19 covers medically necessary orthodontia.
Q: Do I need to obtain claim forms?
Yes.
Q: Is there a waiting period?
No.
Q: Is this insurance?
Yes.
Q: Can I change my dentist once I am in the plan?
Yes.
Q: My dentist isn’t currently in the directory. What can I do?
We are constantly recruiting new providers. To have a Dominion representative contact your provider about joining our network, please call our Member Services Helpline.
Q: How long does it take to process my application?
If your application and payment information is received by the 17th of the month, your coverage will be effective on the 1st of the following month.
Q: When will I receive my enrollment package and what will it include?
An enrollment package will be mailed to you before your first day of eligibility. It will include an ID card, a Coverage Schedule and Certificate of Coverage, which detail your new dental plan.
Q: If I choose to pay by credit card, what will my credit card statement read?
"Dominion Dental Services."
Q: If I choose to pay by Bank Account Draft (ACH), what will my bank statement read?
"Dominion Dental Services."
Q: Is the processing fee billed separately or with the premium?
There is no processing fee.
Q: Can I change my payment type once I am in the plan?
Yes. To do so, please call Dominion’s Member Services Helpline to make the change.
Q: If I started with monthly payment, can I change it to annual payment at a later date?
Yes. To do so, please call Dominion’s Member Services Helpline.
Q: Do the applicant name and the billing name need to be the same?
No.
Q: What if I need to change my membership from Individual to Family Coverage?
To change the number of dependents covered, please call Dominion’s Member Services Helpline. Dependent changes should be submitted by the 17th of the month.
Q: How do I add or cancel coverage for a dependent?
To change the number of dependents covered, please call Dominion’s Member Services Helpline. Dependent changes should be submitted by the 17th of the month.
Q: If I cancel the policy, will I receive a refund of the premium or processing fee?
Refunds are available only to subscribers who have paid their premium in one annual installment. These subscribers may receive a prorated refund on a monthly basis.