 |
|---|
 |
 |
 |
 |
 |
 |
To access your SafeGuard information |
 |
A dental emergency is defined as...
dental procedures to evaluate and stabilize dental conditions of a recent onset and severity accompanied by excessive bleeding, severe pain, or acute infection that would lead a reasonably prudent lay person possessing average knowledge of dentistry to believe that immediate care is needed.
Where to Receive CareAll SafeGuard General Dental offices provide emergency dental services 24 hours a day, 7 days a week and SafeGuard encourages you to seek care from your Selected General Dentist.
If you require emergency dental services, you may go to any dental provider, to the closest emergency room, or call 911 for assistance, as necessary. Prior authorization for emergency dental services is not required.
If you do not require emergency dental services and a delay in receiving treatment would be detrimental to your health, please contact your Selected General Dental Office or SafeGuard's Customer Service Department at 800.880.1800 to make reasonable arrangements for your care.
How to Get ReimbursedYour reimbursement from SafeGuard for emergency dental services, if any, is limited to the extent of the treatment you received as it directly relates to emergency dental services -- i.e. to evaluate and stabilize the dental condition. All reimbursements will be allocated in accordance with your plan benefits, subject to any exclusions and limitations. Hospital charges and/or other charges for care received at any hospital or outpatient care facility that are not related to treatment of the actual dental condition are not covered benefits.
If you receive emergency dental services, you will be required to pay the charges to the dentist and submit a claim to SafeGuard for a benefits determination. If you seek emergency dental services from a provider located more than 25 miles away from your Selected General Dentist, you will receive emergency benefits coverage up to a maximum of $50, less any applicable co-payments.
To be reimbursed for emergency dental services, you must notify Customer Service within 48 hours after receiving such services. If your physical condition does not permit such notification, you must make the notification as soon as it is reasonably possible to do so. Please include your name, family ID number, address and telephone number on all requests for reimbursement.
|
