With the Pacific First health and dental plan, employees and members have access to a vast array of dental and orthodontic coverage, as outlined below. This plan can be altered to better fit the scope of coverage you are aiming to provide. Contact us today for more information.
Pacific First adjudicates all claims and takes the dental professionals opinion into account
Though the workings of dental and orthodontic coverage are similar, there are some differences that should be kept in mind. In general, orthodontic claims will be larger and span over a greater length of time. Below is an outline of how the orthodontics coverage provided in the Pacific Rim Administration Services Ltd. plan works.
Pre-approval: Prior to beginning orthodontic treatment, the plan member will need to obtain a written estimate or treatment plan from the orthodontist, stating the total amount of estimated charges and how they are to be paid.
Payments: As per Orthodontic Association by-laws, the orthodontist is not able to receive service payments from any insurer or benefit provider directly. Therefore, direct payment may be requested from the covered employee, for which they will be accordingly reimbursed by their plan coverage, as set out in the treatment plan.
For all of your inquiries regarding the health and dental benefits offered through Pacific Rim Administration Services Ltd., contact us directly.