T.R | Title | User | Personal Name | Date | Lines |
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629.1 | if you have family coverage, they're already covered | DELNI::GIUNTA | | Thu Nov 18 1993 09:11 | 13 |
| It seems to me that when you sign up for the dental insurance here at Digital,
they only make a distinction between individual and family coverage, so if you
have the family coverage for your medical and dental, the kids are already
covered and included in the charge. They don't charge by how many people are
in the family.
If you don't have family coverage now and are asking when to make the switch,
I'd probably make the switch during the open enrollment period that's closest
to the child's third birthday which is when I think they go to the dentist
for the first time (my kids are only 2 1/2, so we're not doing the dentist
yet). If there's an emergency regarding the teeth such as a fall with
injury to the teeth, that typically gets covered under medical insurance
anyhow.
|
629.2 | Medical coverage will do it? | NIMBUS::HARRISON | Icecreamoholic | Thu Nov 18 1993 09:20 | 14 |
| Cathy,
Since both my husband and I work for Digital, we do not have a family
plan. And, since our son will be 2 on December 13, NEXT year's open
enrollment is perfect timing for the 3-year-old anticipated visit.
Again, our concern was not for the routine visits, but rather for the
emergency visits. Your statement about a fall with injury to the teeth
being covered under medical insurance is an interesting one. We'll
have to check into that further with HCHP.
Thanks for the input. Other thoughts out there?
Leslie
|
629.3 | HCHP's coverage | NIMBUS::HARRISON | Icecreamoholic | Thu Nov 18 1993 09:40 | 5 |
| I just checked with Harvard Community Health Plan, and in the case of
an accident in which the teeth are affected, they only cover "immediate
relief of pain," nothing additional.
Leslie
|
629.4 | check with personal | ASABET::TRUMPOLT | Liz Trumpolt - 223-7195, MSO2-2/F3 | Thu Nov 18 1993 10:35 | 9 |
| Check with your Personal rep and see if you can just add you son to
your Dental ins. I think that's all I had to do when I added my son to
mine. I have the family plan tho since my husbans doesn't work for
Digital and has no medical ins. what so ever where he works. I put my
son on my Dental when he was born and it worked out well caust when he
was 2 he fell and chiped one of his front teeth and I had to take him
to the dentist to make sure he dind't need any treatment of some kind.
Liz
|
629.5 | Family plan is the only way to cover him | NIMBUS::HARRISON | Icecreamoholic | Thu Nov 18 1993 11:25 | 14 |
| Liz,
I checked with John Hancock, but there are just two choices: individual
or family plan, even though, in my case, the family will just be me and
our son (as my husband has his own coverage through Digital) or our son
on my husband's policy.
It is unfortunate that we still have to pay the same amount just to add
a child, when one parent is already covered under another policy, but
that's the way it is.
Thanks for the suggestion, though.
Leslie
|
629.6 | | NOTIME::SACKS | Gerald Sacks ZKO2-3/N30 DTN:381-2085 | Thu Nov 18 1993 12:45 | 1 |
| Of course, it's only $2.25/week.
|
629.7 | what about opting out? | DELNI::GIUNTA | | Thu Nov 18 1993 13:49 | 4 |
| Would it be cheaper for you or your husband to carry the family medical and
dental and have the other spouse opt out? Since we've always used my medical
plan, I've always had family coverage, so I haven't had to look at these
issues much.
|
629.8 | opt-out not an option | NIMBUS::HARRISON | Icecreamoholic | Thu Nov 18 1993 14:04 | 11 |
| Cathy,
There is no opt-out for dental; it's for medical only.
As Gerald points out, it's only $2.25 per week, so it's not a big deal,
but we'd still rather spend the $117 on something else. However, for
peace of mind, I suspect that we'll just get the insurance.
Thanks again for the input.
Leslie
|
629.9 | since no opt-out can you cross charge? | CNTROL::STOLICNY | | Fri Nov 19 1993 12:14 | 11 |
| I'm curious about the situation Leslie describes wherein both
parents work for Digital and one has to opt for the "family"
dental plan to cover the kid(s). Spouse "A" would now be
covered by their individual plan and as a dependent on Spouse
"B"'s family plan. Would that mean that any balance - after
John Hancock payment of Spouse A's dental claims - could be
applied to the Family plan or vice-versa?
Not really related to PARENTING, I know...
Carol
|
629.10 | we did it | NIMBUS::HARRISON | Icecreamoholic | Fri Nov 19 1993 14:57 | 9 |
| Carol,
That's an intersting point, to which I don't have an answer.
Also, we did decide to go with the family plan.
Thanks again for the input.
Leslie
|
629.11 | nope - no cross-charge | NIMBUS::HARRISON | Icecreamoholic | Fri Nov 19 1993 15:00 | 7 |
| I just called Hancock, and a Digital employee cannot be covered under
two policies. Therefore, my son and I are covered under my policy, and
my husband is covered solely under his own policy.
Oh well, it was a good thought, Carol.
Leslie
|
629.12 | CAUTION: Waiting Period for Family Plan | ISLNDS::WILCOX | | Tue Nov 23 1993 12:15 | 21 |
| Leslie,
My husband and I both work for Digital and have 2 children. When
my first son turned 2, I started inquiring about getting him enrolled
into a Dental Ins. plan. At that time (and I believe this still
applies), Dental Insurance enrollment does not go thru an "Open
Enrollment Period". Instead, we had to "apply" for the Family Plan
and wait 3 months before any dependants would be covered. Therefore, I
started this process about the time he was 2 1/2.
Once my husband was carrying the Family Plan, I cancelled my
individual plan with Digital and put myself as a dependant under my
husband's family plan.....by doing so, we saved $117/year that you
spoke about.
FYI...when our 2nd son was born, my husband just went to Personnel
and added him as a dependant soon after he was born, so Troy has been
covered almost since birth. There is no waiting period, once the
Family Plan has been accepted and added.
marty
|
629.13 | | NOTIME::SACKS | Gerald Sacks ZKO2-3/N30 DTN:381-2085 | Tue Nov 23 1993 12:30 | 6 |
| > Once my husband was carrying the Family Plan, I cancelled my
> individual plan with Digital and put myself as a dependant under my
> husband's family plan.....by doing so, we saved $117/year that you
> spoke about.
You don't pay anything for individual coverage.
|
629.14 | ex | ISLNDS::WILCOX | | Tue Nov 23 1993 12:49 | 8 |
| Gerald, I stand corrected. Guess I must be confusing the Medical
Family Plan with the Dental Family Plan. There's been so many changes
in all the benefits at Digital over the last several years, I guess my
brain got a little foggy on the details. However, I clearly recall
there being a waiting period before the Dental Family Plan kicked
in...do you know if this is still true today?
marty
|
629.15 | no waiting period if you change during the open enrollment period | BROKE::STEVE5::BOURQUARD | Deb | Tue Nov 23 1993 13:27 | 4 |
| I added Noelle as my dependent on the family medical plan during the '92
enrollment period. There was no waiting period (except that it didn't kick
in until January '93, of course).
|
629.16 | don't think so | NIMBUS::HARRISON | Icecreamoholic | Tue Nov 23 1993 16:07 | 8 |
| Marty,
Dental Insurance is handled during the Open Enrollment Period, and
there is no waiting period that I know of.
Thanks, though,
Leslie
|
629.17 | ex | MROA::DUPUIS | | Mon Oct 30 1995 10:38 | 9 |
| I hope it's okay to put this question in here...
Has any one been successful in getting what John Hancock considers
"reasonable and customary"? I called the People's Support Network this
morning and was told that that information is not and never has been
available.
Thanks,
Roberta
|
629.18 | | PLUGH::needle | Money talks. Mine says "Good-Bye!" | Mon Oct 30 1995 12:44 | 9 |
| >> I hope it's okay to put this question in here...
Not sure if it's the right place to ask, but I'd be curious in the
discussion. I've been banging my head against the same wall for a week.
Not sure why this information is so closely guarded. I've been tempted
to just punt dental insurance all together for all the good it's done me,
but I'm sure that would be the day I needed it.
j.
|
629.19 | | STAR::LEWIS | | Mon Oct 30 1995 13:09 | 12 |
| I *think* a friend of mine tried to find out once, and was told
that she'd have to have her dentist file some form about approximate
expense. That was the only way she could find out how much JH
would cover. And that would be per singel procedure, presumably.
Dental insurance has always worked out for us, so I'm not hugely
worried about the increase. If it turns out that we spend much
more on the insurance than the dental costs, we'll drop it next
year. It is nice that we can pick and choose our own dentists
(unlike my husband's plan)
Sue
|
629.20 | waiting for an answer...... | MROA::DUPUIS | | Mon Oct 30 1995 14:06 | 15 |
| Well, when I expessed my desire to see this information and was told I
couldn't they finally referred me to Paul Cornelius @MSO. I have sent
in a memo and am waiting for a response.
My concern is not that the rates are going up, although I would like to
know what is R+C today and how that will change after the first of the
year.....I just have a problem with someone telling me that they are
honoring a rate, but they won't tell me what that rate is. It's like
going to a mechanic for an estimate and they say they'll charge you
what ever is reasonable and customary....wouldn't you want to know what
that is?
I'll keep you posted.....
Roberta
|
629.21 | I got a response.... | MROA::DUPUIS | | Tue Oct 31 1995 15:19 | 11 |
| Well, a very kind lady named Patty Haugh called me from John Hancock
and gave me all the information I needed. I asked for a number that
I could give my fellow coworkers who had questions and she told me
to have them call 1-800-332-2060 and that whoever answers the phone
would be able to provide some answers. She did want me to note that
the reasonable and customary charges "rates" that they have right now
are for 1995, the new rates will be available 1/1/96 and they MAY be
higher. You do need the area code of your dentist to receive accurate
information.
Roberta
|