SEHP Dental Care Benefit Summary
Dental Program
Each visit is subject to a $20 copayment, up to two visits per 12 month period when you visit a participating provider in the SEHP dental program for covered services.
Covered Services
- Initial examination, including charting
- Periodic examination
- Cleaning
- Bitewing X-Rays, maximum four X-rays per year
Up to two fillings per 12 month period are covered subject to a $10 copayment per filling when you visit a participating provider in the SEHP dental program.
Participating Provider: To locate a participating provider in the GSEU Dental Program, you can link to the EmblemHealth website or call 1-800-947-0101.
EmblemHealth's Discounted Dental Access Program
When you enroll in the SEHP dental program you are automatically enrolled in EmblemHealth's Discounted Dental Access Program. If you utilize a provider who participates in the EmblemHealth Discounted Dental Access Program (and receive services other than the covered services above), you are required to pay the provider directly for all care received, and your liability is reduced to a pre-arranged discounted access rate. You are not subject to pre-certification or eligibility verification when you utilize the discounted program.
Participating Provider: To locate a participating provider in the EmblemHealth Discounted Dental Access Program, please call EmblemHealth's Dedicated Customer Service Center at 1-800-947-0101 for a list or a CD-ROM identifying EmblemHealth Discounted Dental Access Program participating providers.
Administration
For Eligibility questions, please contact the agency Health Benefits Administrator on your campus.
For Customer Service, please contact EmblemHealth's Dedicated Customer Services Center at 1-800-947-0101 after you have enrolled.
Correspondence: Please direct your correspondence to:
EmblemHealth, Attn: NYS Dental Customer Service, P.O. Box 12365, Albany, New York
12212-2365.
Please be sure to include your identification number on all correspondence.
ID Card: If you go to a provider who participates in the SEHP dental program and/or the EmblemHealth Discounted Dental Access Program, present your EmblemHealth identification card before you receive services.