TC Dental Plan FAQ



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True Care FAQ

Answers to basic questions about our Dental Care, Vision Care, Hearing, and Prescription Benefits.

Q. How does the Dental Plan work?

A. Participating dental providers are listed in the membership fulfillment kit; members may also call the toll-free number located on the back of the membership card Monday through Friday, 7 AM to 7 PM. and Saturday, 8 AM to 5 PM Central Time. When calling to schedule an appointment the member should identify him/herself as a member of the Aetna Dental Access® program. To receive the discount the member must present the membership card and pay the total bill at the time of service.

Q. Is there a limit to how many times the card can be used in a year?

A. No. Members and their families may take advantage of the savings any time throughout the year. Members may also change dentists within the network whenever they choose.

Q. Can this discount be combined with dental insurance?

A. In many cases, members may use both. Simply visit a participating dental provider, pay the bill and submit it to the insurance company. The net out-of-pocket cost will be lower because the insurance company should reimburse the member the plan allotted percentage of the reduced bill.

Q. Is there someone that can answer questions about the card and services offered?

A. Yes. Simply call the toll-free number located on the back of the membership card Monday through Friday, between 7 a.m. and 7 p.m. Central and Saturday between 8 a.m. and 5 p.m. Central. A member service representative is standing by to answer any questions.

Q. What is the included vision benefit? Does it include eye examinations? Does it include contact lenses?

A. The vision benefit offers 20% to 60% discounts on eye wear and eye care at more than 12,000 optical locations throughout the United States. Providers include national optical chains such as LensCrafters, Pearle Vision, EyeMasters, JCPenny, and Sears as well as regional chains and thousands of independent practitioners. Often many participating locations offer discounts of 10% on eye exams for both eye glasses and contact lenses. Additionally, the ophthalmology portion of the network offers 10% to 30% discounts on eye exams and surgical procedures, including the popular laser surgeries in select markets.
On average, members receive a 20% discount on replacement contact lenses (excluding disposable lenses) at retail locations. Members may elect to use the mail order service to purchase replacement contact lenses (including disposables) at a 10% to 40% discount.

Q. What is the hearing aids benefit?

A. Members call the toll-free number to speak with a representative who will answer questions about hearing loss, hearing aids, pricing/payment options and arrange a hearing test appointment at the closest hearing provider. Through participating providers, members receive a 15% to 58% discount and a free hearing test at over 2,000 locations throughout the US. In addition, members have access to a mail order program that offers discounts of 40% to 60% off average National Retail Pricing on over 100 models of name brand hearing instruments.

Q. What can I expect to save with the Prescription benefit?

A. Prices will always vary on prescription drugs and therefore it is impossible to estimate specific dollar savings through any non-insured drug program. Your membership offers two avenues for drug purchases: The Neighborhood Pharmacy program offers 10% to 60% discounts on acute care medications and the Mail Order Pharmacy guarantees an average of 10% off AARP's prices. Should you receive a quote anywhere else for less than our mail order pharmacy, we will beat it by a minimum of $5.00 on brand name and generic medications priced at $10.00 or more with no postage or dispensing fees added. Savings can not be used in conjunction with other discount or insurance cards. Pharmacy Discounts are Not Insurance and are Not Intended as a Substitute for Insurance. The discount is only available at participating pharmacies.

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Disclosures

This plan is NOT insurance.

Discount Medical Plan Organization: New Benefits, Ltd. 14240 Proton Rd. Dallas, TX 75244. 1-800-800-7616.

This discount card program contains a 30 day cancellation period. AR and TN Residents: receive a full refund if membership is cancelled within the first 30 days. MD, ND, TX, OK, SC and SD residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of membership materials. All other members receive a refund of all fees excluding the $25 Application fee. The discount medical card program makes available, before purchase and upon request, a list of program providers, including the name, city, state, and specialty of each program provider located in the cardholder's service area.

Internet website address to obtain participating providers, www.locateproviders.com.

This plan provides discounts at certain healthcare providers for medical services. This plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all healthcare services but will receive a discount from those healthcare providers who have contracted with the discount plan organization. The range of discounts for medical or ancillary services provided under the plan will vary depending on the type of provider and medical or ancillary service received.

Aetna Dental Access� Disclosures

Dental benefit is not available to VT residents.

*Actual costs and savings vary by provider and geographical area.

**According to the Aetna Enterprise Provider Database as of November 1, 2006.