STRENGTH LIES IN DIFFERENCES,
NOT SIMILARITIES1
VALUE-BASED BENECARE
BeneCare’s value-based approach was created by dental professionals in 1979 as an alternative to the traditional insurer’s model. The goal — help provide access to usable, affordable dental care that helps achieve better overall health.
How is our value-based model different from the competition?
Care optimization
Helps ensure treatment is necessary, appropriate, and complete to help maximize benefit dollars and improve outcomes.
Predictive analytics
Analyzes treatment patterns to ensure participating dentists adhere to professional standards.
TIERED NETWORKS
Creates multiple price points, helping to remove barriers to care by giving members options for lower out-of-pocket costs.
ACCESSIBILITY
Our network adequacy standards help ensure you can get an appointment with a participating dentist near your home or work.
LOWER OVERHEAD
Our innovative model helps lower administration costs, allowing more benefit dollars to be allocated to patient care.
Stable rateS
Our concept has consistently resulted in rate trends that track below inflation.2
ACHIEVING COST CONTAINMENT AS AN OUTCOME
The BeneCare model applies dental professional best practices to move patients from emergent and episodic care into oral health maintenance. This can help improve your member’s dental health, reducing future costs and potentially lowering medical costs.
- PPOs & EPOs without the restrictions of DHMOs.3
- Customize deductibles, coinsurance, and maximums.4
- Multiple year rate guarantees.5
EXPLORE OUR GROUP PLANS
Plan Types
Preventive wellness EPO plans designed for individuals in good oral health. Exams, x-rays, and cleanings are covered with no out-of-pocket costs. Basic procedures, such as fillings, are covered at a nominal or no member cost share. Coverage from in-network providers only.
Preventive procedures (exams, x-rays, cleanings) are covered at 100% at in-network providers.6 Fillings, endodontics (root canal), periodontics (gums), and simple extractions are covered. Choose in-network-only access (EPO) or both in- and out-of-network access (PPO).
Coverage includes a combination of preventive, basic, and major restorative procedures, such as crowns, bridges, and implants. Plans typically offer a higher annual maximum. Both in-network-only or in- and out-of-network access is available.
Rich benefit plans that offer generous coverage options for most dental procedures. Members get the lowest out-of-pocket costs and typically the most flexibility in choice. Both in-network-only or in- and out-of-network access is available.
Add orthodontia coverage to any Essential, Comprehensive, or Enhanced Plan.
Network tiers
Our three-tier network helps provide pricing flexibility. Choose a network that best fits your population and budget.
WHAT OUR CUSTOMERS ARE SAYING
BeneCare’s representative was so polite, understanding, and helpful. She took the time to go over my benefits and options with me.
– Edward A. | Atlantic City, NJ
Please allow me to commend Debbie for her clear, considerate customer service.
– Sheila J. | New Haven, CT
I am really satisfied with Taylor’s and BeneCare’s service. I don’t know what I would have done without her and BeneCare’s assistance.
– Paulette D. | Erial, NJ
EASILY MANAGE YOUR PLAN
Our secure websites create a painless way to administer your plan, anytime, anywhere.
- Manage enrollment.
- Access plan documents.
- Update contact information.
- Search for dental professionals.
GOOD SERVICE IS GOOD BUSINESS
Client Services has a 360° view of every customer relationship and direct experience in dentistry, helping to ensure excellent first-contact resolution rates without being bounced from department to department.
- 20 seconds — Average Speed to Answer.5
- 2.2% — Abandonment Rate.
- 97% — First contact resolution.
- No bouncing from department to department.
- No phone menus to navigate.
EXPERIENCE THE BENECARE DIFFERENCE.
Contact your benefits consultant or BeneCare Dental Plans.
1 Quote by Stephen R. Covey.
2 Based on BeneCare rate trends for total book of business (2014 – 2018). Historical rate trends do not guarantee future rates.
3 Available to groups with 50 or more enrolled. Availability of customization options is at BeneCare’s sole discretion and is subject to all applicable laws.
4 Availability, length, and amount of rate guarantees Is subject to BeneCare’s discretion.
5 Based on 2019 call center statistics.
6 Out-of-network coverage is available with customizable co-insurance levels.
