Plan Highlights and Carrier Information

Access PPO 1

Dominion Dental Access PPO 1 Plan Highlights and Carrier Information

Access PPO Plan Highlights

Dominion Dental Services, Inc. (Dominion) is a leading provider of dental benefits in the Mid-Atlantic, offering managed care and indemnity programs, claims adjudication and comprehensive plan administration. Dominion is headquartered in Alexandria, Va.

Among our 500,000 customers are leading health plans, employer groups, municipalities, associations and individuals.

Access PPO Plans

Access PPO plans are designed to provide members with maximum access to dentists. Members may seek dental services from any licensed dentist or use a participating Access PPO network dentist for greater coverage.
When dental care is received and expenses incurred, payments will be made in accordance with the list of benefits and services in the Coverage Schedule that will be mailed to you with your membership card.

Access PPO 1 Plan Features:

  • Maximum access – Use any provider or one of over 190,000 dentist access points nationwide for greater savings
  • No charge for in-network exams, cleanings, bitewing X-rays and other preventive services
  • An annual deductible of $50 per calendar year, per insured person (family maximum of $150) applicable to all services
  • An annual $1,000 maximum limit per insured person
  • No waiting periods

More extensive care (fillings, dentures, crowns, root canals, periodontal care, oral surgery, etc.) is covered at increasing levels, progressing through years 1, 2 and 3 (please see the Plan Comparison chart).

Access PPO Kids Plan Features:

Dominion's exchange-certified pediatric dental plan, Access PPO Kids, provides:

  • Maximum access – Use any provider or one of over 190,000 dentist access points nationwide for greater savings
  • No charge for in-network exams, cleanings, bitewing X-rays and other preventive services
  • An annual deductible of $100 per calendar year, per child ($200 for two or more children) applicable to Basic Care and Major Restorative Care services.
  • An out-of-pocket maximum of $700 per child per calendar year for medically necessary treatment, with a maximum of $1,400 for two or more children. For any medically necessary treatments in which the member copayment listed below is over the annual out-of-pocket maximum, the member shall only be responsible up to the maximum and the Plan would be responsible for the remainder.
  • No waiting periods1

1There is a 24-month waiting period for medically necessary orthodontic benefits.

 

About Dominion Dental Services

Dominion Dental Services (Dominion) is a leading provider of dental benefits in the Mid-Atlantic, offering managed care and indemnity programs, claims adjudication and comprehensive plan administration.

Among our 500,000 customers are leading health plans, employer groups, municipalities, associations and individuals. Dominion is headquartered in Alexandria, Va.

The Dominion Group of companies includes Dominion Dental Services, Inc., the licensed underwriter of the dental plans, and Dominion Dental Services USA, Inc., a licensed administrator of dental benefits.

Dominion Dental Services, Inc. is licensed as a Dental Plan Organization in Virginia, Maryland and Delaware, a Risk Assuming PPO in Pennsylvania and an Accident and Health Insurer in D.C in Pennsylvania and an Accident and Health Insurer in D.C.

Carrier Privacy Policy

Dominion values you as a customer and respects your right to privacy. Our privacy notices contain our commitment to you that the privacy of your health and financial information is protected. These notices describe how Dominion protects, uses and discloses member health and financial information, as well as your rights concerning your health information. Please click here to access our Privacy Notice.

Carrier Address

Dominion Dental Services USA
115 South Union Street
Suite 300
Alexandria, VA 22314