What We Do - Dental Plans
Come to the Right Place!
We can help you create
a new dental plan, or take your current plan and make it more efficient
Our Secret: Good Management:
The costs of dental benefits are greatly reduced by effective plan
management, including coordination of benefits. Client groups shift
this management responsibility entirely to HEG; all the client needs
to provide is an accurate list of eligible employees. Health Economics
Group, Inc. knows how to effectively structure a plan and manage
cash flow to ensure the lowest possible costs.
- Since 1978, no Dental
Plan we manage has ever cost more than our actuarial projections.
- We process more than
8,500 dental claims each month, with greater than 99.9% accuracy.
- More than 60% of Dental
Claims are processed within five business days; more than 90%
within 10 days.
- Coordination of Benefits
savings usually offsets 20-40% of our management fee.
- We pay claims in more
than 40 states for more than 75,000 individuals.
- Our advanced computer
system allows us to match any dental plan design, and enables
us to recommend cost-effective benefit modifications.
Our Services for Self-Funded
- Designing and implementing
a dental benefits program based on your needs and your budget
- Providing plan coverage
flexible enough for your employees to go to any licensed dentists
- Making cost projections
with nearly 100% accuracy
- Helping you explain
plan choices to your employees
- Taking Coordination
of Benefits (COB) into account when planning, to take into consideration
families being covered by more than one dental plan
- Helping to write a
Summary Plan Description and Plan Document
- Creating and providing
enrollment forms individually tailored to your group's plan design
- Preparing and furnishing
dental claim forms
- Processing claims,
which includes: ascertaining eligibility, computing benefits payable,
preparing and mailing explanation of benefits to plan participants,
sending benefit checks to providers or participants, and Flex
electronic funds transfers
- Preparing regular
claims summaries and management reports
- Answering questions
to both providers and participants in a timely and friendly manner
- Providing lists of
local and national preferred provider organizations that list
dentists and dental practices that offer favorable fee schedules
to covered patients and their dependents
- Retaining a Dental
Advisor, who is qualified to resolve complex or problematic claims
- Communicating with
local and regional dental societies on behalf of the plan
For more Information
about working with HEG to provide dental coverage to your employees
for the first time, or to reduce the current costs of your plan,
please, contact us!
Avenue, Suite A Rochester, NY 14607 585-241-9500