The CapDent Plan is available directly to individuals and their families. Most diagnostic and preventive services are covered in full, and other dental services are covered with minimal co-payments. This plan is available through dentists who participate with Dentcare Delivery Systems, Inc. (DDS) in New York and through International Healthcare Services, Inc. (IHS) in New Jersey. It has no deductibles, maximums or waiting periods and there are no exclusions for pre-existing conditions.
Healthplex, Inc., as plan administrator, conducts an extensive evalutation of all providers before and after they are admitted to the network. Each dentist goes through an extensive application and credentialing review process. Healthplex performs on-site inspections that encompass the provider facilities, staffing, management, equipment, sterilization techniques and patient records.
This managed care product stresses preventive services to reduce the potential for more serious problems down the road.
Additional benefits of the CapDent Plan are:
- Extensive network of participating dentists and specialists
- No claims forms needed
- No waiting periods
- Benefits extend to 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 member
- Participating specialists at 25% less than usual fees
- The CapDent NY Plan is ACA compliant and includes the Essential Pediatric Health Benefits, as defined in the Patient Protection Affordable Care Act for all dependent children under the age of 19.
About HealthPlex, Inc.
Healthplex, Inc. is known as "The Dental Plan Specialists." The company 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. Two 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 its 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.
In order to purchase this plan for you and your family, you are required to provide Healthplex certain personally identifiable information. Personal information will be disclosed only to those necessary to issue your policy. Healthplex does not sell, rent or barter your information.
333 Earle Ovington Blvd.
Uniondale, NY 11553-3608